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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 287 - 293 (7page)
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Purpose: To evaluate the outcomes of sacral neuromodulation (SNM) after failure of transcutaneous posterior tibial nerve stimulation (TPTNS) in patients with overactive bladder (OAB). Methods: A retrospective study was conducted in 3 university hospitals and included all patients with OAB and treated with SNM after TPTNS had been tried between October 2008 and May 2018. The primary endpoint was the proportion of definitive SNM device implantation in patients with 50% objective and/or subjective improvement after a test period (stage 1). The secondary outcomes of interest were changes of the number of diurnal voids and nocturia episodes per 24 hours between the end of TPTNS and the end of stage 1. Results: Overall, 28 of the 43 patients included achieved at least 50% objective and/or subjective improvement during stage 1 and underwent an Interstim II implantation (65.1%). The mean daytime frequency decreased significantly from 10.3/day at the end of TPTNS to 7.8 diurnal voids/day at the end of SNM stage 1 (P=0.01). The mean number of nocturia episodes decreased from 2.5/night at the end of TPTNS to 2.1/night at the end of stage 1, but this did not reach statistical significance (P=0.18). There was no other parameter significantly associated with response to SNM Conclusions: SNM might improve OAB symptoms in most patients who experienced no or poor efficacy with TPTNS. History of failed TPTNS should not preclude the use of SNM in OAB patients.
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참고문헌 (23)
참고문헌 신청
Cornu JN / 2016 / Prevalence and initial management of overactive bladder in France : a cross-sectional study / Prog Urol 26:415~424
Irwin DE / 2011 / Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction / BJU Int 108:1132~1138
Irwin DE / 2009 / The economic impact of overactive bladder syndrome in six Western countries / BJU Int 103:202~209
Gormley EA / 2015 / Diagnosis and treatment of overactive bladder(nonneurogenic)in adults : AUA/SUFU guideline amendment / J Urol 193:1572~1580
Corcos J / 2017 / CUA guideline on adult overactive bladder / Can Urol Assoc J 11:E142~73
Irwin DE / 2011 / Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction / BJU Int 108:1132~1138
Irwin DE / 2009 / The economic impact of overactive bladder syndrome in six Western countries / BJU Int 103:202~209
Gormley EA / 2015 / Diagnosis and treatment of overactive bladder(nonneurogenic)in adults : AUA/SUFU guideline amendment / J Urol 193:1572~1580
Corcos J / 2017 / CUA guideline on adult overactive bladder / Can Urol Assoc J 11:E142~73
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