1.The Effect of Compressive Dressubg ib tge Amount of Postoperrative Bleeding after Total Hip Replacement Arthroplasty.
Nac Hoon SEONG ; Tae Yoon KIM ; Hyun Jung OH ; Se Rae NOH ; Kyung Hoi KOO ; Seung Han SHIN
Journal of the Korean Hip Society 2006;18(1):56-60
Purpose: Compressive hip dressings have been used to decrease the amount of postoperative bleeding after total hiparthroplasty. However, there is no data showing that a compressive dressing is effective. This study evaluated the effect of compressive dressings on the level of postoperative bleeding after total replacement arthroplasty. Materials and Methods: This prospective randomized clinical trail included 80 consecutive primary total hip arthroplasties in 72 patients. The 80 hips were randomly assigned to a compressive dressing group or a non-compressive dressing group using a table of random numbers. Forty-two hips in 37 patients were treated using the compressive dressing and the remaining 38 hips in 35 patients were treated using a non-compressive dressing. The patients were followed up for an average of 10.3 months. In all patients, a hemovac suction drain was inserted postoperatively. Results: The mean level of bleeding was 626.6 mL in the compressive group and 693.8 mL in the non-compressive group. There was no statistical difference between the two groups (P=0.416). Moreover, the incidence of postoperative complications including dislocation, nerve injury, symptomatic deep vein thrombosis and heterotopic ossification was similar in both groups. Conclusion: These results suggest that the compressive dressing has no significant effect on the amount of postoperative bleeding and clinical results after total hip arthroplasty.
Arthroplasty*
;
Arthroplasty, Replacement
;
Arthroplasty, Replacement, Hip*
;
Bandages
;
Dislocations
;
Hemorrhage*
;
Hip
;
Humans
;
Incidence
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Ossification, Heterotopic
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Postoperative Complications
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Prospective Studies
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Suction
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Venous Thrombosis
2.Clinical Outcome of Acute Bacterial Prostatitis, a Multicenter Study.
In Rae CHO ; Keon Cheol LEE ; Seung Eon LEE ; Joon Seong JEON ; Seok San PARK ; Luck Hee SUNG ; Choong Hee NOH ; Won Jae YANG ; Young Deuk CHOI ; Sung Joon HONG ; Seung Choul YANG ; Jin Seon CHO ; Hyun Soo AHN ; Se Joong KIM ; Hong Sup KIM ; Ki Hak SONG ; Do Hwan SEONG ; Jun Kyu SUH ; Kyung Seop LEE ; Yun Seob SONG ; Dong Hyeon LEE ; Young Sig KIM
Korean Journal of Urology 2005;46(10):1034-1039
PURPOSE: Few studies have examined acute prostatitis in Korea. To initiate the investigation of this topic, a multi-center retrospective analysis of acute prostatitis was conducted. MATERIALS AND METHODS: The clinical records of 335 patients from 13 hospitals, diagnosed with acute prostatitis, between January of 1994 and October of 2004, were reviewed. For each patient, the urine culture, changes in the PSA (prostate-specific antigen) value and the prostate volume, the incidence of prostate abscess, the use of antibiotics, and whether the disease went into remission or progressed to chronic prostatitis were analyzed. RESULTS: The mean age of the patients, time from the onset of symptom to admission and number of days of admitted were 54.9+/-15.1 (16-85) years, 2.4+/-3.4 (16-85) days and 7.5+/-3.9 (1-25) days, respectively. The chief symptoms of the patients were high fever, dysuria and urinary frequency. Routine urinalysis found pyuria in 82% and hematuria in 70% of patients. The causative organisms of 43.0% of the patients were cultured, with the chief organisms found to be E. coli (67%) and P. aeruginosa (13%), et al. The mean PSA and prostate volume on initial diagnosis were 24.6+/-30.2ng/ml and 45.8 +/-17.4ml, respectively, and a prostate abscess was found in 4 patients (3.1%). The antibiotics injected during patient admission were: cephalosporin family (68%), aminoglycosides (70%) and quinolone family (43%). An additional alpha blocker was used in 49% of cases. Oral quinolone (91%), cephalosporin (9%) and alpha blocker (44%) were prescribed for a mean 32.5 (2-180) days after discharge. 259 (77%) of the patients were available for follow-up. Of these, 21% took antibiotics over an 8 week treatment period, and 8% over a 12 week period. The disappearance of pyuria after treatment was observed in a mean of 13 days after the end of treatment. After 13 weeks of treatment, 11 (50%) of the 22 patients who received prostate massage (4.2% of all follow up patients) were found to have chronic prostatitis. The mean PSA and prostate volume declined during follow up, to 6.13+/-10.38ng/ml and 37.5+/-13.5ml, respectively. CONCLUSIONS: In our study, the most common chief symptom of acute prostatitis was a high fever, with the most common causative organism being E. coli. Patients were admitted for approximately one week, and treated with antibiotic for about one month, after which time PSA elevation was observed in 80% of patients. Although all acute prostatitis patients were treated with proper antibiotics, progression to chronic prostatitis was observed in 4.2% of patients.
Abscess
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Aminoglycosides
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Anti-Bacterial Agents
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Diagnosis
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Dysuria
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Fever
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Follow-Up Studies
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Hematuria
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Humans
;
Incidence
;
Korea
;
Massage
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Patient Admission
;
Prostate
;
Prostate-Specific Antigen
;
Prostatitis*
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Pyuria
;
Retrospective Studies
;
Urinalysis
3.The Influence of Chlormadinone Acetate on the Total and Free Serum Prostate Specific Antigen Levels in Men with Benign Prostatic Hyperplasia.
Jin Seon CHO ; Kyung Seop LEE ; Bup Wan KIM ; Sae Woong KIM ; Choung Soo KIM ; Choong Hee NOH ; Hyun Yul RHEW ; Kwangsung PARK ; Dong Soo PARK ; Jae Shin PARK ; Jong Kwan PARK ; Ill Young SEO ; Tae Hee OH ; Sang Eun LEE ; Byung Ha CHUNG ; Se Il JUNG ; Jae Il CHUNG ; Hee Chang JUNG ; In Rae CHO ; Il Chun KIM
Korean Journal of Urology 2006;47(4):368-371
PURPOSE: Chlormadinone acetate (CMA) therapy for benign prostatic hyperplasia (BPH) may lower the serum prostate specific antigen (PSA) level. However, little is known about the effect of CMA on the total or free serum PSA levels of PSA. Such information would be important since PSA testing is useful for prostate cancer screening. Thus, we prospectively studied the effect of CMA therapy on the total and free serum PSA levels. MATERIALS AND METHODS: The patients with lower urinary tract symptoms (LUTS) and BPH who were aged over 50 years were treated with 50mg CMA for 6 months. Men with a PSA level greater than 10ng/ml were excluded to reduce the likelihood of including cases of occult prostate cancer. Those with suspicious findings on the digital rectal examination and serum PSA testing were biopsied to rule out prostate cancer. alpha- blocking agents were permitted to treat the men with LUTS. Serum levels of the total and free PSA were measured at the study baseline and after approximately 3 and 6 months. The prostate volume (PV) was assessed by transrectal ultrasonography. RESULTS: The analysis included 170 patients with a mean age of 67.9 years, a baseline PV of 47.3ml and a baseline total PSA of 4.1ng/ml. The total PSA levels declined from 4.1ng/ml at baseline to 2.0ng/ml after 6 months of treatment (50.7% decrease, p<0.01). The mean percent free PSA (21% to 22% at baseline) was not significantly altered by CMA treatment. The PSA levels and PV at baseline did not affect the rate of decline of PSA. CONCLUSIONS: The total PSA serum levels decreased by an average of 50% during CMA therapy, but the percent free PSA did not change significantly. This information is potentially useful in the interpretation of the PSA data that's used for early detection of prostate cancer in the men receiving CMA.
Chlormadinone Acetate*
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Digital Rectal Examination
;
Humans
;
Lower Urinary Tract Symptoms
;
Male
;
Mass Screening
;
Prospective Studies
;
Prostate*
;
Prostate-Specific Antigen*
;
Prostatic Hyperplasia*
;
Prostatic Neoplasms
;
Ultrasonography