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
- 2015.1
- 수록면
- 150 - 156 (7page)
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초록· 키워드
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Purpose: Our objective was to evaluate the use of a holmium laser for transurethral deroofing of a prostatic abscess in patients with severe and multiloculated prostatic abscesses.
Materials and Methods: From January 2011 to April 2014, eight patients who were diagnosed with prostatic abscesses and who underwent transurethral holmium laser deroofing at Pusan National University Hospital were retrospectively reviewed.
Results: Multiloculated or multifocal abscess cavities were found on the preoperative computed tomography (CT) scan in all eight patients. All patients who underwent transurethral holmium laser deroofing of a prostatic abscess had successful outcomes, without the need for secondary surgery. Of the eight patients, seven underwent holmium laser enucleation of the prostate (HoLEP) for the removal of residual adenoma. Markedly reduced multiloculated abscess cavities were found in the follow-up CT in all patients. No prostatic abscess recurrence was found. Transient stress urinary incontinence was observed in three patients. The stress urinary incontinence subsided within 3 weeks in two patients and improved with conservative management within 2 months in the remaining patient.
Conclusions: Transurethral holmium laser deroofing of prostatic abscesses ensures successful drainage of the entire abscess cavity. Because we resolved the predisposing conditions of prostatic abscess, such as bladder outlet obstruction and prostatic calcification, by simultaneously conducting HoLEP, there was no recurrence of the prostatic abscesses after surgery. We recommend our method in patients requiring transurethral drainage.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Weinberger M / 1988 / Prostatic abscess in the antibiotic era / Rev Infect Dis 10:239~249
Oliveira P / 2003 / Diagnosis and treatment of prostatic abscess / Int Braz J Urol 29:30~34
Aravantinos E / 2008 / Ultrasound-guided transrectal placement of a drainage tube as therapeutic management of patients with prostatic abscess / J Endourol 22:1751~1754
장기돈 / 2012 / Treatment of Prostatic Abscess: Case Collection and Comparison of Treatment Methods / Investigative and Clinical Urology 53(12):860~864
El-Shazly M / 2012 / Transurethral drainage of prostatic abscess: points of technique / Nephrourol Mon 4:458~461
Oliveira P / 2003 / Diagnosis and treatment of prostatic abscess / Int Braz J Urol 29:30~34
Aravantinos E / 2008 / Ultrasound-guided transrectal placement of a drainage tube as therapeutic management of patients with prostatic abscess / J Endourol 22:1751~1754
장기돈 / 2012 / Treatment of Prostatic Abscess: Case Collection and Comparison of Treatment Methods / Investigative and Clinical Urology 53(12):860~864
El-Shazly M / 2012 / Transurethral drainage of prostatic abscess: points of technique / Nephrourol Mon 4:458~461
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