Source:http://linkedlifedata.com/resource/pubmed/id/19827614
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
2009-10-15
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pubmed:abstractText |
We performed holmium laser enucleation of the prostate (HoLEP) on 98 patients between February 2005 and February 2007. Seventy five patients with the mean age of 68.9 (ranging 55-84) were assessed preoperatively and followed up at 1, 3 and 12 months postoperatively. Before and after HoLEP, International Prostate Symptom Score (IPSS), quality of life (QOL) index, maximum flow rate (Qmax) and post-void residual (PVR) urine were all improved significantly (P < 0.001). When urinary incontinence was strictly defined as International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scores > or = 1, incontinence was observed in 71% of patients preoperatively. ICIQ-SF scores were increased from 5.2 preoperatively to 8.0 at 1 month postoperatively, but improved thereafter and had decreased significantly to 2.5 (p < 0.05 compared with baseline) at 12 months. Univariate and multivariate logistic regression analysis revealed date of operation and operation time were significantly (P < 0.05) correlated with postoperative stress urinary incontinence (SUI) at 1 month and enucleated volume was of borderline significance (p = 0.052) at 12 months. In terms of sexual function, mean IIEF5 scores were not significantly changed, but we could classify the scores into five types of response-unchanging (64%), improving (13%), worsening (11%), transient worsening (9%) and unclassified (2%). HoLEP is an effective treatment for BPH. Urinary incontinence improved by 1 year. HoLEP does not appear to affect sexual function, but various clinical courses were observed.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0018-1994
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pubmed:author |
pubmed-author:InoueTakahiroT,
pubmed-author:KambaTomomiT,
pubmed-author:KamotoToshiyukiT,
pubmed-author:KanematsuAkihiroA,
pubmed-author:NakamuraEijiroE,
pubmed-author:NishiyamaHiroyukiH,
pubmed-author:OgawaOsamuO,
pubmed-author:OkuboKazutoshiK,
pubmed-author:ShiraishiYusukeY,
pubmed-author:WatanabeJunJ,
pubmed-author:YoshimuraKojiK
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pubmed:issnType |
Print
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pubmed:volume |
55
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
539-43
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pubmed:meshHeading |
pubmed-meshheading:19827614-Aged,
pubmed-meshheading:19827614-Aged, 80 and over,
pubmed-meshheading:19827614-Erectile Dysfunction,
pubmed-meshheading:19827614-Follow-Up Studies,
pubmed-meshheading:19827614-Humans,
pubmed-meshheading:19827614-Lasers, Solid-State,
pubmed-meshheading:19827614-Male,
pubmed-meshheading:19827614-Middle Aged,
pubmed-meshheading:19827614-Postoperative Complications,
pubmed-meshheading:19827614-Prostatectomy,
pubmed-meshheading:19827614-Prostatic Hyperplasia,
pubmed-meshheading:19827614-Regression Analysis,
pubmed-meshheading:19827614-Risk Factors,
pubmed-meshheading:19827614-Time Factors,
pubmed-meshheading:19827614-Treatment Outcome,
pubmed-meshheading:19827614-Urinary Incontinence, Stress
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pubmed:year |
2009
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pubmed:articleTitle |
[One year follow-up results of urinary incontinence and sexual function after holmium laser enucleation of the prostate].
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pubmed:affiliation |
Department of Urology, Postgraduate School of Medicine, Kyoto University.
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pubmed:publicationType |
Journal Article,
English Abstract
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