1.Clinical features of acute urine retention in patients with benign prostate hyperplasia.
Yichuan ZHANG ; Leye HE ; Zhi LONG ; Xiaohui SUN ; Guomin WANG ; Xiaming PEI ; Kuangbiao ZHONG ; Qifa YE
Journal of Central South University(Medical Sciences) 2012;37(3):300-304
OBJECTIVE:
To explore the clinical features of acute urine retention (AUR) ocurring in patients with benign prostate hyperplasia (BPH).
METHODS:
Clinical data from 548 patients diagnosed with BPH were retrospectively studied, and the clinical parameters of these patients with or without AUR were analyzed by statistical methods.
RESULTS:
Development of AUR was found in 164 patients (29.9%). Patients' age, IPSS, maximum flow rate (Q(max)), residual urine volume, prostate volume, transition zone volume, prostate-specific antigen (PSA) density, total PSA (tPSA) and free PSA (fPSA) including the ratio of free to total PSA(f/tPSA) were significantly different in the 2 groups (P<0.05), while there were no significant differences in the disease duration and transition zone index between the 2 groups (P>0.05). Multivariate logistic regression analysis showed that IPSS score, residual urine volume, tPSA, and Q(max) were risk factors for predicting the development of AUR.
CONCLUSION
BPH patient's age, IPSS, Q(max), residual urine volume, prostate volume, transition zone volume, tPSA and fPSA, and PSA density all influence the occurrence of AUR, in which symptom severity, residual urine volume, total PSA and Q(max) are the principal risk factors for prognosing AUR.
Adult
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Age Factors
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Aged
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Aged, 80 and over
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Humans
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Male
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Middle Aged
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Prostate-Specific Antigen
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blood
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Prostatic Hyperplasia
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complications
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pathology
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Retrospective Studies
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Risk Factors
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Urinary Retention
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epidemiology
;
etiology
2.Conventional versus nerve-sparing radical surgery for cervical cancer: a meta-analysis.
Hee Seung KIM ; Keewon KIM ; Seung Bum RYOO ; Joung Hwa SEO ; Sang Youn KIM ; Ji Won PARK ; Min A KIM ; Kyoung Sup HONG ; Chang Wook JEONG ; Yong Sang SONG
Journal of Gynecologic Oncology 2015;26(2):100-110
OBJECTIVE: Although nerve-sparing radical surgery (NSRS) is an emerging technique for reducing surgery-related dysfunctions, its efficacy is controversial in patients with cervical cancer. Thus, we performed a meta-analysis to compare clinical outcomes, and urinary, anorectal, and sexual dysfunctions between conventional radical surgery (CRS) and NSRS. METHODS: After searching PubMed, Embase, and the Cochrane Library, two randomized controlled trials, seven prospective and eleven retrospective cohort studies were included with 2,253 patients from January 2000 to February 2014. We performed crude analyses and then conducted subgroup analyses according to study design, quality of study, surgical approach, radicality, and adjustment for potential confounding factors. RESULTS: Crude analyses showed decreases in blood loss, hospital stay, frequency of intraoperative complications, length of the resected vagina, duration of postoperative catheterization (DPC), urinary frequency, and abnormal sensation in NSRS, whereas there were no significant differences in other clinical parameters and dysfunctions between CRS and NSRS. In subgroup analyses, operative time was longer (standardized difference in means, 0.948; 95% confidence interval [CI], 0.642 to 1.253), while intraoperative complications were less common (odds ratio, 0.147; 95% CI, 0.035 to 0.621) in NSRS. Furthermore, subgroup analyses showed that DPC was shorter, urinary incontinence or frequency, and constipation were less frequent in NSRS without adverse effects on survival and sexual functions. CONCLUSION: NSRS may not affect prognosis and sexual dysfunctions in patients with cervical cancer, whereas it may decrease intraoperative complications, and urinary and anorectal dysfunctions despite long operative time and short length of the resected vagina when compared with CRS.
Constipation/epidemiology/etiology
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Female
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Humans
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Hysterectomy/adverse effects/*methods
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Intraoperative Complications/epidemiology
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*Organ Sparing Treatments/adverse effects/methods
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Pelvis/*innervation/surgery
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Rectum/*innervation/surgery
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Sexual Dysfunction, Physiological/epidemiology/etiology
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Urinary Bladder/*innervation/surgery
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Urinary Retention/epidemiology/etiology
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Uterine Cervical Neoplasms/epidemiology/*surgery
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Uterus/innervation/surgery
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Vagina/innervation/surgery
3.Complications of Transrectal Ultrasound-Guided Prostate Biopsy: Impact of Prebiopsy Enema.
Sung Chul KAM ; See Min CHOI ; Sol YOON ; Jae Hui CHOI ; Seong Hyun LEE ; Jeong Seok HWA ; Ky Hyun CHUNG ; Jae Seog HYUN
Korean Journal of Urology 2014;55(11):732-736
PURPOSE: Transrectal ultrasound (TRUS)-guided biopsy of the prostate is usually safe. However, some patients are hospitalized owing to complications from TRUS biopsy. We identified the risk factors for complications and effective preventive measures for treating complications after TRUS biopsy. MATERIALS AND METHODS: Medical records and radiological images of 1,083 patients who underwent TRUS biopsy of the prostate over 10 years in Gyeongsang National University Hospital were examined retrospectively to investigate the correlation between complications after TRUS biopsy and preventive antibiotics, prebiopsy enema, number of biopsy cores, and pathological findings. RESULTS: Complications occurred in 69 patients (6.4%). The complication rates of the 1,008 patients who received antibiotics and the 75 patients who did not were 6.3% and 8.0%, respectively (p=0.469). Complication rates of the pre-biopsy enema group (n=658) and the group without prebiopsy enema (n=425) were 4.7% and 8.9%, respectively (p=0.007). Complication rates of the 6-core biopsy group (n=41) and the 12-core biopsy group (n=955) were 7.3% and 6.3%, respectively (p=0.891). Complication rates of the prostate cancer group (n=306) and the no prostate cancer group (n=713) were 6.2% and 6.6%, respectively (p=0.740). CONCLUSIONS: A prebiopsy enema was associated with a reduced risk of complications after TRUS biopsy. Preventive antibiotics, number of biopsy cores, and pathological findings did not significantly influence the complication rate.
Aged
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*Endosonography
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Enema/*methods
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Humans
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Image-Guided Biopsy/*adverse effects/methods
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Incidence
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Male
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Prostatic Neoplasms/*pathology
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Prostatitis/epidemiology/etiology/*prevention & control
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Rectum
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Republic of Korea/epidemiology
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Retrospective Studies
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Risk Factors
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Syncope, Vasovagal/epidemiology/etiology/*prevention & control
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Urinary Retention/epidemiology/etiology/*prevention & control