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01234 · SP Incont Pelvic Floor Dysfunct 2012; 6(3):63-68...

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SP Review Incont Pelvic Floor Dysfunct 2012; 6(3):63-68 !"#$%&'()*+,-./01234 !"#$% !"#$%&'()*+,-.),/01 6 !"#$%&'() !"#$ E-mail: [email protected] Percent Change (PSA, Qmax, VOL) 8 6 4 2 0 -2 -4 -6 -8 -10 -12 40-49 50-59 60-69 70+ SX Raw Change 0.6 0.5 0.4 0.3 0.2 0.1 0 PSA Qmax VOL SX 1K !"#$ Olmsted !"#$%&'()*+ !E PSA F !"#$%&'($)*+,- EQmaxF!"#$%&'()*+,-.EVOLF !"#$%&'()*+,-.(/0123( !"#$ 60~69 !"#$x1z Age Group !"#$%&'(!"")*+,-./!"0 !"#$%&'($)*+,-./01234 !"#$%&'(!)#*+'(,-.(/012' !"#$%&'()*+,-./0123456789 !"#$%&'%()*'+,%-./012 !"#$%&'()*+,-./01234567 !"#$%&'()*+,-./0123456, !"#$%&'()*+,&-.$/0&123456 !"#$%& 5α E 5 α-reductase inhibitor, 5ARIF!"#$%&'()*+,-./0"123$4 !"#$%&'()*+,-./012345678 !"#$%&'()*+,-./0123456-78 !"#$%&'()*+,-.E1F!"#$% !E2F!"#$%&'()*+,-./E3F! !"#$%&'()*+,-E4F!"#$%&'( ! !"#$%&'( !"#$%&'()20~40 !"#20 mL 40 !"#$%&'()*+,-./01"%&*2345 !"#$%&30 mL!"#$%&'()*+,$ !"#$ 2006 !"#$%& 2,115 !"# 1990 !"#$%&'(Olmsted !"#$%&'( !"#$%&'()*+,-./25%!"#$! !"#$%&'()*+,-+,!./0123456 Etransrectal ultrasound of prostate, TRUS-PF!"#$%& Eprostate specific antigen, PSAF!"#$%Emaximum uri- nary flow rate, QmaxF 2 !"#$%&'()*+,- 2002!"#$%&'()*+,-./01234567 !"#$%&'()*+,-./012345678 !"#$%&'()*+,-./x1z 1 !"#$%&'()*+,-./0123 !"#$%&'()*+,-."/0123%45 !"#$%&'()*+,-./*01234*5 !"#60~69 !"#$%&'()*+,-./0 !"#$%&'()*+,!-."#/0123456 !"#$%&'()*+,-./01)*+234-. !"#$%&'()*+,-#./01#23425 !"#$%&'()*+,-./0123,45Ep=0.05F !"#$%&'()*+,-./Ep=0.06F!"#$ !"#$%&'()*+,Ep=0.20F!"#$%&' !"#$%&'()*"#$+,-./012345" 80% !"#$%&'()*+,-. 2 !"#$ !"#$%&'()*+,-&'(./#012350% 90%!"#$%&'()*80%!"#$% !"#$%&'()*+,-./012-34()*5 !"#$%&'()*+",-./0123$4567 !"#$%&'()"#$*+,-./012345 !"#"$%&'()*+,-. !" 2010 !"#$%&'x2z!"#$ !"#$%&'(!)*2 !"#$%&' 446 !"#$%&' 40~79 2 !"#$% !"#$ 10 !"#$%&'()* 2 1 3 !"#$%&'()*#$%+,-.#$%+,/0 2 !"#$%&'()*+,-./012345'() !"#$%&'()*+", 2 !"#$ E 25%~75%F 32.6 !"#$%&'()*+,- 2.2%!"#$%&'()*+,-./02!"# !"#$%&'()*+$,-./012345678
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Storage symptoms 6.7±3.6 7.5±3.6 0.061Voiding symptoms 11.7±5.1 13.7±4.4 0.001Total score 18.3±7.1 21.2±6.9 0.001Quality of life index 3.6±0.9 3.8±0.8 0.091

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Urodynamic studyMaximum urethral closure 71.3±2.2 (30.0-148.0) 80.2±2.1 (31.0±167.0) 0.004 0.140 0.035 pressure (cmH2O)Detrusor pressure at Qmax 44.3±1.6 (12.0±118.0) 50.4±1.6 (4.0±104.0) 0.008 0.183 0.003 (cmH2O)

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1. St Sauver JL, Jacobson DJ, Girman CJ, Lieber MM, McGree ME,Jacobsen SJ: Tracking of longitudinal changes in measures of be-nign prostatic hyperplasia in a population based cohort. J Urol 2006;175:1018-1022.

2. Lieber MM, Rhodes T, Jacobson DJ, et al: Natural history of benignprostatic enlargement: Long-term longitudinal population-basedstudy of prostate volume doubling times. BJU Int 2010; 105:214-219.

3. Ezz el Din K, Kiemeney LA, de Wildt MJ, Debruyne FM, de la Ro-sette JJ: Correlation between uroflowmetry, prostate volume,postvoid residue, and lower urinary tract symptoms as measuredby the International Prostate Symptom Score. Urology 1996; 48:393-397.

4. Witjes WP, Aarnink RG, Ezz-el-Din K, Wijkstra H, Debruyne EM, dela Rosette JJ: The correlation between prostate volume, transitionzone volume, transition zone index and clinical and urodynamic in-vestigations in patients with lower urinary tract symptoms. Br J Urol1997; 80:84-90.

5. St Sauver JL, Jacobson DJ, Girman CJ, McGree ME, Lieber MM,Jacobsen SJ: Correlations between longitudinal changes in transi-tional zone volume and measures of benign prostatic hyperplasiain a population-based cohort. Eur Urol 2006; 50:105-111.

6. Nose H, Foo KT, Lim KB, Yokoyama T, Ozawa H, Kumon H: Accu-

SU

Review

racy of two noninvasive methods of diagnosing bladder outlet ob-struction using ultrasonography: Intravesical prostatic protrusion andvelocity-flow video urodynamics. Urology 2005; 65:493-497.

7. Doo CK, Uh HS: Anatomic configuration of prostate obtained bynoninvasive ultrasonography can predict clinical voiding parametersfor determining BOO in men with LUTS. Urology 2009; 73:232-236.

8. Ku JH, Ko DW, Cho JY, Oh SJ: Correlation between prostatic ure-thral angle and bladder outlet obstruction index in patients with lowerurinary tract symptoms. Urology 2010; 75:1467-1471.

9. Lee LS, Sim HG, Lim KB, Wang D, Foo KT: Intravesical prostaticprotrusion predicts clinical progression of benign prostatic enlarge-ment in patients receiving medical treatment. Int J Urol 2010; 17:69-74.


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