C. Doo, M. Choo, Kyu-Sung Lee, M. Chung, K. Park, J. Paick, T. Hwang
{"title":"Efficacy of terazosin for overactive bladder symptoms and sexual function in patients with overactive bladder and symptomatic benign prostatic hyperplasia: a prospective multicenter trial.","authors":"C. Doo, M. Choo, Kyu-Sung Lee, M. Chung, K. Park, J. Paick, T. Hwang","doi":"10.5213/JKCS.2008.12.1.36","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.36","url":null,"abstract":"Objective: This study is to evaluate the efficacy of terazosin in the treatment of overactive bladder (OAB) symptoms and sexual dysfunction in patients with symptomatic benign prostatic hyperplasia (BPH) and OAB. Methods: Of 200 men aged 50-80 years with symptomatic BPH, an International Prostatic Symptom Score (IPSS) ≥8 accompanied by OAB symptoms, 185 patients completed treatment with terazosin 2-5 mg once daily for 8 weeks. Patients were asked to complete a voiding diary, the International Index of Erectile Function (IIEF) questionnaire, and the IPSS at baseline, 4 and 8 weeks. Results: 8-week terazosin treatment improved OAB symptoms as well as reducing IPSS (19.8 to 12.7) and IIEF (34.4 to 37.4) scores. OAB symptoms improved significantly, irrespective of symptom severity by the IPSS, but the IIEF score only increased in patients with severe symptoms. Conclusions: Additional studies are needed to further evaluate the placebo effect. However, terazosin monotherapy is effective in patients with symptomatic BPH and OAB, and may increase sexual function in patients with severely symptomatic BPH. (J Korean Continence Soc 2008;12:36-41)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116940995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dementia and Voiding Dysfunction.","authors":"J. Choi","doi":"10.5213/JKCS.2008.12.1.10","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.10","url":null,"abstract":"Voiding dysfunction is very common in Alzheimer's disease, especially urinary incontinence with reported frequencies of 11-90%. Urinary incontinence occurs secondarily from dementia, can result in medical morbidity, impaired self-esteem of the patents, caregiver's stress, early institutionalization of the patients, and considerable financial cost. Many studies have found that the frequency and severity of incontinence is positively correlated with the severity of dementia and the inability to walk or transfer. Research on the management of urinary incontinence in demented patients has focused almost exclusively on toileting programs and drug treatments for detrusor overactivity. To date, anticholinergic and antispasmodic medications have not been shown to be effective in treating incontinence in demented persons. Therefore we have to study about the etiology and treatment of Alzheimer's disease. (J Korean Continence Soc 2008;12:10-17)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130233301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Female Acute Urinary Retention Caused by Urethral Diverticulum.","authors":"Young Joo Kim","doi":"10.5213/JKCS.2008.12.1.88","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.88","url":null,"abstract":"We report two cases of acute urinary retention in women with urethral diverticulum. Cystoscopy were performed all patients. But diverticular opening was not found. All patients failed voiding by a bladder outlet obstruction. In one case, bladder outlet obstructive symptom resolved completely after the surgical removal of the diverticulum. In another case, patient refused operation. (J Korean Continence Soc 2008;12:88-91)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134631857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Sohn, W. Bae, Ho jae Lee, Jo Un Jung, Sun Wook Kim, N. Lee, Sung Dae Kim, Yong‐Hyun Cho, S. Kim
{"title":"Infective Cellulitis of Obturator Foramen and Persistent Vaginal Erosion following Transobturator tape (TOT) procedure.","authors":"D. Sohn, W. Bae, Ho jae Lee, Jo Un Jung, Sun Wook Kim, N. Lee, Sung Dae Kim, Yong‐Hyun Cho, S. Kim","doi":"10.5213/JKCS.2008.12.1.78","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.78","url":null,"abstract":"We experienced the case of infected mesh with subsequent infective cellulitis of obturator foramen after a TOT procedure. We reported our case of a 47-year-old woman who presented with persistent vaginal discharge, pain and motion limitation of left leg after having a TOT placed for stress incontinence. Inflammation around obturator foramen was demonstrated on computed tomography (CT) scan. We performed total excision of the mesh material. She ultimately had an uneventful postoperative course and no recurrence of incontinence after follow-up 1 month. (J Korean Continence Soc 2008;12:78-80)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126694575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recognitional study about patients and caregivers' understanding of clinical trial.","authors":"D. Kim, O. Kwon, Sang Gyung Kim, I. Shin","doi":"10.5213/JKCS.2008.12.1.48","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.48","url":null,"abstract":"","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125806109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Initial 4 Cases Experience of Male Sling Procedure for the Treatment in Patients with Post-prostatectomy Incontinence.","authors":"D. Han, H. Jeong","doi":"10.5213/JKCS.2008.12.1.81","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.81","url":null,"abstract":"There are 3 surgical treatments for the management of post-prostatectomy incontinence, including endoscopic injection of periurethral bulking agent, perineal sling procedure, and artificial urinary sphincter (AUS). 4 patients with post-prostatectomy incontinence in our hospital underwent sling procedure using polypropylene mesh. All patients were evaluated for urodynamic result, pad count, operative time, hospital stay, complication, success, and satisfaction. Mean age was 67.8years (64-75). Mean follow-up time was 38.5months (30-51). 2 patients underwent radical prostatectomy, and other 2 patients underwent transurethral prostatectomy. Of the 4 patients, 3 (75%) were successful. In satisfaction, 2 (50%) were unsatisfied due to recurrent incontinence and erectile dysfunction. The male sling procedure using polypropylene mesh is a simple, effective treatment and an additional therapeutic option. (J Korean Continence Soc 2008;12:81-87)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134157158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Dutasteride on Serum Prostate-specific Antigen (PSA) in Patients with Benign Prostate Hypertrophy.","authors":"Gilho Lee, J. Hong, Hyung Jee Kim","doi":"10.5213/JKCS.2008.12.1.42","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.42","url":null,"abstract":"Purpose: 5α reductase, dutasteride, has widely used to treat enlarged prostate (BPH). By suppressing the conversion of testosterone to dihydrotestosterone it decreases serum prostate-specific antigen (PSA) which is very important screening marker for prostate cancer. We evaluate the early serum PSA changes after dutasteride treatment to Korean BPH patients. Materials and Methods: A total 159 men with a clinical diagnosis of BPH and no evidence of prostate cancer were enrolled. They were treated with dutasteride 0.5mg daily for 12 months. Serum PSA was evaluated at 2, 6, and 12 months after the medication. Result: Dutasteride statistically significantly reduced serum PSA to 0.70±0.52, 0.64±0.35, and 0.59±0.49 from baseline level at 2, 6, and 12 months after the medication, respectively. However, there was no statistical significance among the three groups in serum PSA changes after dutasteride. There were statistically significant correlations between a high pre-treatment serum PSA level and a large reduction of follow-up PSA levels at 2, 6, and 12 months after dutasteride treatment. Conclusions: The reduction of serum PSA is variable in patients to patients at 2, 6, and 12 months after dutasteride treatment. The patient with high initial serum PSA revealed a large reduction of serum PSA level after treatment. The traditional concept that follow-up serum PSA level should be doubled for prostate cancer screening may overestimate real serum PSA level within 12 months in Korean men receiving 5α reductase inhibitors. (J Korean Continence Soc 2008;12:42-47)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132050775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Female Stress Urinary Incontinence","authors":"Y. Park","doi":"10.5213/JKCS.2008.12.1.1","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.1","url":null,"abstract":"Stress urinary incontinence (SUI) is a significant health problem world‐wide with considerable social and economic impact on individuals and society. The initial evaluation of urinary incontinence begins with a thorough detailed history taking, physical examination including stress test and Q-tip test, and routine laboratory studies. The pelvic examination demonstrates laxity of pelvic support, presence of any degree of prolapse. A neurologic examination should be done if neuropathy is suspected. The urodynamic study can be helpful to confirm the classic features of urinary incontinence and determine its cause. Conservative managements have been used to treat stress urinary incontinence and seem to make common sense, especially in less severe and bothersome cases. Pelvic floor muscle training appeared to be an effective treatment for adult women with stress or mixed incontinence. In pharmacologic treatment, duloxetine appears to be a promising new option for the treatment of SUI. There are literally hundreds of surgical procedures used to treat incontinence, and they are consistently being revised in going attempts to improve outcomes. Burch colposuspension and sling procedures still are the main stream but recently tension‐free vaginal tape procedure and its variants are developed and widely performed all over the world. Mid‐urethral slings showed good outcomes and are safe and brief to perform and have a relatively short learning curve. Remeex system is a relatively new surgical device introduced for the cure of SUI. Its main advantage is the possibility to adjust the sling tension if urine loss or voiding difficulties manifest after surgery. TVT‐secur procedure needs only one vaginal incision and minimal periurethral dissection for small sized mesh. Therefore, it can help make the surgery quicker and simpler. As the population of aging women increases, it is inevitable that these women’s disorders will become more prevalent. This will pose a major challenge to the health care systems. (J Korean Continence Soc 2008;12:1-9)","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"4 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120845704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kyu Kim, N. Lee, Jo Un Jung, H. Suh, Dong Hwan Lee
{"title":"The factors of pain and anxiety associated with urodynamics in female patients","authors":"Kyu Kim, N. Lee, Jo Un Jung, H. Suh, Dong Hwan Lee","doi":"10.5213/JKCS.2008.12.1.68","DOIUrl":"https://doi.org/10.5213/JKCS.2008.12.1.68","url":null,"abstract":"","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125615437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Outcome of Tension-free Transobturator Suburethral Tape (inside-out TVT-O) Procedure for the Treatment of Stress Urinary Incontinence: The Two Years Follow-up.","authors":"Young Joo Kim, J. Huh, H. Song","doi":"10.5213/JKCS.2007.11.2.145","DOIUrl":"https://doi.org/10.5213/JKCS.2007.11.2.145","url":null,"abstract":"","PeriodicalId":231333,"journal":{"name":"Journal of the Korean Continence Society","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130883687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}