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논문 기본 정보

자료유형
학술저널
저자정보
김대영 (국립중앙의료원) 박대형 (국립중앙의료원) 황춘하 (국립의료원) 이종복 (국립중앙의료원) 윤종현 (국립중앙의료원 비뇨기과) 정태욱 (국립중앙의료원) 나웅 (국립중앙의료원)
저널정보
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.21 No.4
발행연도
2017.1
수록면
206 - 209 (4page)

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Background: This retrospective study examined the safety and efficacy of transurethral enucleation with bipolar energy (TUEB) for benign prostatic hyperplasia (BPH), based on initial experiences. Methods: In this study, 2 surgeons performed TUEB on 23 patients between January 2014 and April 2017. The International Prostate Symptom Score (IPSS), quality of life (QoL), digital rectal examination, transrectal ultrasonography, prostate-specific antigen (PSA) levels, maximum flow rate (Qmax), and postvoid residual urine (PVR) were used as variables. Resected prostate volume (g), resection time, efficiency of resection, change in hemoglobin, and indwelling Foley catheter duration were used to assess the efficacy of TUEB. Foley catheter reinsertion rate, occurrence of urethral or bladder neck stricture, urinary incontinence, and bladder injury were evaluated as complications of TUEB. Results: Mean age was 70.3±8.3 years. Mean prostate volume was 55.1±33.9 g. Preoperative and 1-month postoperative PSA, IPSS, QoL, Qmax, and PVR data were collected and showed significant difference. Resected prostate volume, resection time, resection efficiency, indwelling Foley catheter duration, and change in hemoglobin values were 22.9±14.7 g, 109.6±60.3 minutes, 0.23±0.13 g/min, 4.7±4.7 days, and 0.9±0.7 g/dL, respectively. Following TUEB, incontinence occurred in 2 patients and acute urinary retention in 2 (8.7%). Conclusion: Our initial experience suggests that TUEB is efficient and safe for patients with BPH. However, the study was limited by the small number of subjects.

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