Korean Journal of Urology最新文献_第8页

Effect of patient position on pain scales during transrectal ultrasound-guided prostate biopsy. 经直肠超声引导下前列腺活检患者体位对疼痛分级的影响。

Korean Journal of Urology Pub Date : 2015-06-01 DOI: 10.4111/kju.2015.56.6.449

Yeong Uk Kim, Yoon Seob Ji, Young Hwii Ko, Phil Hyun Song

{"title":"Effect of patient position on pain scales during transrectal ultrasound-guided prostate biopsy.","authors":"Yeong Uk Kim, Yoon Seob Ji, Young Hwii Ko, Phil Hyun Song","doi":"10.4111/kju.2015.56.6.449","DOIUrl":"https://doi.org/10.4111/kju.2015.56.6.449","url":null,"abstract":"Purpose: Transrectal ultrasound (TRUS)-guided prostate biopsy is the most useful technique for the diagnosis of prostate cancer; however, many patients describe the procedure as uncomfortable and painful. We investigated the effect of the patient's position on pain scales during TRUS-guided prostate biopsy.Materials and methods: Between July 2012 and June 2013, a total of 128 consecutive patients who underwent TRUS-guided prostate biopsy were included in this study. Seventy patients underwent the procedure in the lithotomy position performed by a urologist and the other patients (n=58) underwent the procedure in the left lateral decubitus (LLD) position performed by a radiologist. Pain was assessed by using visual analogue scale (VAS) scores from 0 to 10. Using a linear regression model, we analyzed the correlation between pain scale score and clinical variables with a focus on patient position.Results: No significant differences related to age, body mass index, prostate volume, prostate-specific antigen (PSA), hematuria, pyuria, International Prostate Symptom Score, or the cancer detection rate were observed between the lithotomy and the LLD groups. In the correlation analysis, VAS score showed a significant correlation with diabetes mellitus, PSA level, and lithotomy position (p<0.05). In the multiple linear regression model, VAS score showed a significant correlation with lithotomy position (β=-0.772, p=0.003) and diabetes mellitus (β=-0.803, p=0.033).Conclusions: We suggest that the lithotomy position may be the proper way to reduce pain during TRUS-guided prostate biopsy.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 6","pages":"449-54"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.6.449","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33266747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Comparison of perioperative outcomes between running versus interrupted vesicourethral anastomosis in open radical prostatectomy: A single-surgeon experience. 开放性根治性前列腺切除术中膀胱输尿管吻合术与连续性输尿管吻合术围手术期疗效的比较:单外科医生的经验。

Korean Journal of Urology Pub Date : 2015-06-01 DOI: 10.4111/kju.2015.56.6.443

Ju Hyun Lim, Chang Myon Park, Han Kwon Kim, Jong Yeon Park

{"title":"Comparison of perioperative outcomes between running versus interrupted vesicourethral anastomosis in open radical prostatectomy: A single-surgeon experience.","authors":"Ju Hyun Lim, Chang Myon Park, Han Kwon Kim, Jong Yeon Park","doi":"10.4111/kju.2015.56.6.443","DOIUrl":"https://doi.org/10.4111/kju.2015.56.6.443","url":null,"abstract":"Purpose: To compare perioperative outcomes between running and interrupted vesicourethral anastomosis in open radical prostatectomy (RP).Materials and methods: The medical records of 112 patients who underwent open RP for prostate cancer at our institution from 2006 to 2008 by a single surgeon were retrospectively reviewed. Preoperative, intraoperative, and postoperative parameters were measured.Results: Of 112 consecutive patients, 62 patients underwent vesicourethral anastomosis by use of the running technique, whereas 50 patients underwent anastomosis with the interrupted technique. The groups did not differ significantly in age, body mass index, prostate-specific antigen, prostate volume, or pathologic findings. The intraoperative extravasation rate was significantly lower in the running group (8.1% vs. 24.0%, p=0.01). The mean anastomosis time was 15.1±5.3 and 19.3±4.6 minutes in the running and interrupted groups, respectively (p=0.04). The rates of postoperative extravasation were similar for both groups (6.4% vs. 10.0%, p=0.12). The duration of catheterization was significantly shorter in the running group (9.0±3.0 days vs. 12.9±6.4 days, p<0.01). The rate of urinary retention after catheter removal and the rate of bladder neck contracture were not significantly different between the two groups. The rate of urinary continence at 3, 6, 9, and 12 months after RP was also similar in both groups.Conclusions: Both anastomosis techniques provided similar functional results and a similar rate of postoperative urine extravasation. However, running vesicourethral anastomosis decreased the rate of intraoperative extravasation and time for anastomosis, without increasing the risk of urinary retention or bladder neck contracture.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 6","pages":"443-8"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.6.443","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33266746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Is intravesical stent position a predictor of associated morbidity? 膀胱内支架位置是相关发病率的预测因子吗?

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-04-24 DOI: 10.4111/kju.2015.56.5.370

Dominik Abt, Livio Mordasini, Elisabeth Warzinek, Hans-Peter Schmid, Sarah Roberta Haile, Daniel Stephan Engeler, Gautier Müllhaupt

{"title":"Is intravesical stent position a predictor of associated morbidity?","authors":"Dominik Abt, Livio Mordasini, Elisabeth Warzinek, Hans-Peter Schmid, Sarah Roberta Haile, Daniel Stephan Engeler, Gautier Müllhaupt","doi":"10.4111/kju.2015.56.5.370","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.370","url":null,"abstract":"Purpose: Temporary drainage of the upper urinary tract by use of internal ureteral stents is a common procedure that is often associated with a variety of symptoms. The role of intravesical stent position in associated morbidity is controversial.Materials and methods: The German version of the ureteral stent symptom questionnaire (USSQ) was completed by 73 patients with an indwelling ureteral stent the day before stent removal. Intravesical stent position was classified into 3 categories by x-ray before stent removal. The influence of intravesical stent position on USSQ score was analyzed, including subscores and single items.Results: Intravesical stent position showed no significant influence on associated morbidity. The median USSQ total score in all patients was 77.5 (range, 30-147). Patients with ipsilateral stents (69.0; range, 30-122) tended to have lower total scores than did those with tangential (86.5; range, 30-122) or contralateral (77.0; range, 31-147) stents, but the differences were not statistically significant (p=0.35). The USSQ subscores for urinary symptoms (p=0.80), body pain (p=0.80), general health (p=0.16), work performance (p=0.07), additional problems (p=0.81), and all of the USSQ single items of interest in the context of stent length also did not differ significantly between the three groups.Conclusions: Intravesical stent position did not significantly influence associated morbidity in our study. An appropriate stent length should be chosen to avoid dislocation. However, complex calculations of optimum stent length, time-consuming manipulations, and costly stock holding of various stent sizes to obtain the perfect stent position do not seem worthwhile.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"370-8"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.370","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33294478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 31

Is a secondary procedure necessary in every case of failed endoscopic treatment for vesicoureteral reflux? 对于膀胱输尿管反流的内镜治疗失败的病例是否都需要二次手术?

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-04-24 DOI: 10.4111/kju.2015.56.5.398

Hyun Jin Jung, Young Jae Im, Yong Seung Lee, Myung Joo Kim, Sang Won Han

{"title":"Is a secondary procedure necessary in every case of failed endoscopic treatment for vesicoureteral reflux?","authors":"Hyun Jin Jung, Young Jae Im, Yong Seung Lee, Myung Joo Kim, Sang Won Han","doi":"10.4111/kju.2015.56.5.398","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.398","url":null,"abstract":"Purpose: Endoscopic treatment (ET) has become a widely accepted procedure for treating vesicoureteral reflux (VUR). However, patients followed up after ET over long periods have reported persistent or recurrent VUR. We evaluated the natural course of failed ET in patients who required further treatments to help physicians in making decisions on the treatment of VUR.Materials and methods: We retrospectively reviewed the medical records of patients who were diagnosed with VUR and underwent ET from January 2006 to December 2009. A total of 165 patients with 260 ureters underwent ET. We compared the parameters of the patients according to ET success or failure and evaluated the natural course of the patients after ET failure.Results: Mean VUR grade and positive photon defect were higher in the failed ET group than in the successful ET group. Six months after the operation, persistent or recurrent VUR was observed in 76 ureters (29.2%), and by 16.3 months after the operation, VUR resolution was observed in 18 ureters (23.7%). Twenty-five ureters (32.9%) without complications were observed conservatively. Involuntary detrusor contraction was found in 1 of 9 (11.1%) among the secondary ET success group, whereas in the secondary ET failure group, 4 of 6 (66.7%) had accompanying involuntary detrusor contraction.Conclusions: Patients in whom ET fails can be observed for spontaneous resolution of VUR unless they have febrile urinary tract infection or decreased renal function. Urodynamic study may be helpful in deciding whether a secondary procedure after ET failure is necessary.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"398-404"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.398","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33294482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Knotted stents: Case report and outcome analysis. 打结支架:病例报告及结果分析。

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-05-04 DOI: 10.4111/kju.2015.56.5.405

Min Su Kim, Ha Na Lee, Hokyeong Hwang

引用次数: 7

Effect of aging on urodynamic parameters in women with stress urinary incontinence. 年龄对压力性尿失禁患者尿动力学参数的影响。

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-04-21 DOI: 10.4111/kju.2015.56.5.393

Yu Seob Shin, Ji Won On, Myung Ki Kim

{"title":"Effect of aging on urodynamic parameters in women with stress urinary incontinence.","authors":"Yu Seob Shin, Ji Won On, Myung Ki Kim","doi":"10.4111/kju.2015.56.5.393","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.393","url":null,"abstract":"Purpose: Stress urinary incontinence (SUI) is one of the most common lower urinary tract symptoms in women. We analyzed age-associated changes in urodynamic parameters in women with SUI.Materials and methods: We analyzed the urodynamic study (UDS) results of patients with urodynamically proven SUI between March 2008 and July 2014. In uroflowmetry, maximal flow rate (Qmax), time to Qmax, voided volume, and postvoid residual urine volume (PVR) and filling cystometry data including first, strong desire to void and Valsalva leak point pressure (VLPP) were measured. Also, Qmax and detrusor pressure at Qmax (Pdet@Qmax) of voiding cystometry data were analyzed.Results: The subjects included 776 patients. Among the patients, 151 were withdrawn because of incomplete UDS data or because they met the exclusion criteria. A total of 625 patients enrolled in our study. The mean age of the population was 57.3 years. The mean Qmax, voided volume, voiding time, and PVR were 26.2 mL/s, 292.1 mL, 25.7 s, and 31.7 mL, respectively. Qmax (p=0.001) in uroflowmetry, PVR (p=0.042), first desire to void (p=0.042), Pdet@Qmax (p=0.016), and the bladder contractility index (p=0.046) were significantly different between the age groups. Qmax and Pdet@Qmax were decreased and PVR was increased significantly with age after 60 years.Conclusions: Older women with SUI also have worsened voiding function with age as the results of urodynamic parameters. Specifically, detrusor contractility decreased with age after 60 years.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"393-7"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33294481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Body mass index, waist-to-hip ratio, and metabolic syndrome as predictors of middle-aged men's health. 体重指数、腰臀比和代谢综合征作为中年男性健康的预测因子。

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-04-21 DOI: 10.4111/kju.2015.56.5.386

Jung Hyun Park, In-Chang Cho, Yoo Seok Kim, Soon Ki Kim, Seung Ki Min, So Shin Kye

{"title":"Body mass index, waist-to-hip ratio, and metabolic syndrome as predictors of middle-aged men's health.","authors":"Jung Hyun Park, In-Chang Cho, Yoo Seok Kim, Soon Ki Kim, Seung Ki Min, So Shin Kye","doi":"10.4111/kju.2015.56.5.386","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.386","url":null,"abstract":"Purpose: There is no reported evidence for an anthropometric index that might link obesity to men's sexual health. We evaluated the ability of an anthropometric index and the symptom scores of five widely used questionnaires to detect men's health problems. We determined the predictive abilities of two obesity indexes and other clinical parameters for screening for lower urinary tract symptoms and sexual dysfunction in middle-aged men.Materials and methods: A total of 1,910 middle-aged men were included in the study. Participants underwent a detailed clinical evaluation that included recording the symptom scores of five widely used questionnaires. The participants' body mass index and waist-to-hip ratio were determined. Serum prostate-specific antigen, urinalysis, testosterone, estimated glomerular filtration rate, evaluation of metabolic syndrome, and transrectal ultrasonography were assessed.Results: By use of logistic regression analysis, age and total prostate volume were independent predictors of lower urinary tract symptoms. Metabolic syndrome was the only significant negative predictive factor for chronic prostatitis symptoms. Age and metabolic syndrome were independent predictive factors for erectile dysfunction. Waist-to-hip ratio had a statistically significant value for predicting erectile dysfunction.Conclusions: Our data showed that total prostate volume is a significant predictor of lower urinary tract symptoms, and central obesity has predictive ability for erectile dysfunction. Metabolic syndrome was the only significant negative predictive factor for chronic prostatitis-like symptoms. The management of correctable factors such as waist-to-hip ratio and metabolic syndrome may be considered preventive modalities against the development of men's health problems.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"386-92"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33294480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

One day surgery in the treatment of benign prostatic enlargement with thulium laser: A single institution experience. 一日手术治疗良性前列腺肿大用铥激光:单一机构的经验。

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-05-04 DOI: 10.4111/kju.2015.56.5.365

Luca Carmignani, Alberto Macchi, Dario Ratti, Elisabetta Finkelberg, Stefano Casellato, Serena Maruccia, Carlo Marenghi, Stefano Carlo Maria Picozzi

{"title":"One day surgery in the treatment of benign prostatic enlargement with thulium laser: A single institution experience.","authors":"Luca Carmignani, Alberto Macchi, Dario Ratti, Elisabetta Finkelberg, Stefano Casellato, Serena Maruccia, Carlo Marenghi, Stefano Carlo Maria Picozzi","doi":"10.4111/kju.2015.56.5.365","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.365","url":null,"abstract":"Purpose: Various articles have previously addressed the introduction of new surgical laser therapies for an enlarged prostate gland causing obstructive symptoms. The objective of this study was to report the feasibility of performing the thulium laser vapo-enucleation of the prostate (ThuVEP) procedure for benign prostatic obstruction in a 1-day surgery.Materials and methods: From September 2011 to September 2013, we conducted a prospective study on patients who underwent ThuVEP in a 1-day surgery. The primary outcomes measured perioperatively included operative time, resected tissue weight, hemoglobin decrease, transfusion rate, postoperative irrigation and catheterization time, and postoperative hospital stay. Also, the preoperative and postoperative International Prostate Symptom Score (IPSS) and results of uroflowmetry performed on the 7th and 30th postoperative days were recorded. All perioperative and postoperative complications were monitored.Results: A total of 53 patients underwent the surgical treatment in a 1-day surgery. Seven patients continued antiaggregant therapy with aspirin. Mean preoperative prostatic adenoma volume was 56.6 mL. Mean operative time was 71 minutes. The average catheter time was 14.8 hours. The peak urinary flow rate on day 7 improved from 9.3 to 17.42 mL/s (p<0.001) and the IPSS improved from 18 to 10.2 (p<0.01). Patients were routinely discharged on the day of catheter removal. No complications were recorded.Conclusions: ThuVEP can be safely conducted as a 1-day surgical procedure. This strategy results in cost savings. ThuVEP shows good standardized outcomes with respect to improvement in flow parameters and length of bladder catheterization.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"365-9"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33174834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Natural 10-year history of simple renal cysts. 单纯性肾囊肿10年自然病史。

Korean Journal of Urology Pub Date : 2015-05-01 Epub Date: 2015-04-24 DOI: 10.4111/kju.2015.56.5.351

Hongzoo Park, Choung-Soo Kim

{"title":"Natural 10-year history of simple renal cysts.","authors":"Hongzoo Park, Choung-Soo Kim","doi":"10.4111/kju.2015.56.5.351","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.351","url":null,"abstract":"Purpose: To carry out long-term follow-up of patients diagnosed with asymptomatic simple renal cysts (SRCs).Materials and methods: One hundred fifty-eight adult patients in whom SRCs were incidentally diagnosed by abdominal ultrasonography or abdominopelvic computed tomography between August 1994 and June 2004 were followed up for over 10 years. The retrospective analysis investigated sequential changes in the size, shape, and Bosniak classification of the renal cyst and analyzed risk factors for increased size and growth rate of the cysts.Results: The median follow-up period was 13.9 years (range, 10.0-19.8 years). Median patient age was 54.1 years (range, 22-86 years). Mean maximal cyst size was 33 mm (range, 2-90 mm). Among all patients, 120 (76%) showed a mean increase in maximum renal cyst diameter of 1.4 mm (6.4%) per year. Age at initial diagnosis was a risk factor for increased renal cyst maximum diameter. The probability of an increase in maximum diameter of an SRC was 7.1 times greater in patients aged 50 years or older at diagnosis than in those aged less than 50 years. However, among patients with an increased maximum diameter, the mean growth rate was lower in patients aged ≥50 years than in those aged <50 years.Conclusions: About three-quarters of adult patients with accidentally diagnosed SRCs presented with an increased maximum diameter. The only risk factor for an increase in maximum diameter was age. In patients with an increase in the maximum diameter, the growth rate of the maximum diameter was 6.4% per year during 10 years and decreased with age.","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"351-6"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.351","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33174832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 32

New horizons in geriatric urology. 老年泌尿外科的新视野。

Korean Journal of Urology Pub Date : 2015-05-01 DOI: 10.4111/kju.2015.56.5.335

Hyung Jee Kim

{"title":"New horizons in geriatric urology.","authors":"Hyung Jee Kim","doi":"10.4111/kju.2015.56.5.335","DOIUrl":"https://doi.org/10.4111/kju.2015.56.5.335","url":null,"abstract":"As the human life-span grows longer with developments in modern medicine and the birth rate slows, the rapid aging of the world population has become a major global demographic trend [1]. Korea is no exception. According to the National Statistics Office, the Korean population over the age of 65 years in 2014 accounted for 12.7% of the total population [2]. This figure increased more than twice compared with 5.1% in 1990. In 2026, about 20% of the total population is expected to be more than 65 years old. This means that in 11 years, one in five people in Korea will be elderly. As the elderly population increases, their health problems have emerged as important personal and social problems. The number of people with age-related disease has increased substantially [3]. Many elderly persons experience disease, disability, and dependency, with high costs for health and social care [4]. With the aging of the population, other specialties such as dementia have been emphasized because they tend to serve the geriatric population. However, Dugan et al. [5] propose that urology holds a unique position in the provision of geriatric care because urologists manage personal, often very “private,” aspects of the elderly adult’s physical and emotional well-being, such as control of urination. Drach and Griebling [6] refer to urologists as the “hidden providers” of geriatric care, ultimately sought out by many geriatric patients. In urology, the percentage distribution of patients by physician specialty by those aged 65 years and older and enrolled in Medicare is 46.2%, whereas the corresponding","PeriodicalId":17819,"journal":{"name":"Korean Journal of Urology","volume":"56 5","pages":"335-6"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4111/kju.2015.56.5.335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33174829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7