Comparative Analysis of Short-term Efficacy and Complication of Photoselective Vaporization for Benign Prostatic Hyperplasia which was Classified by Prostate Size / 대한비뇨기과학회지

PURPOSE: This study was conducted to compare the short term clinical efficacy and complications of photoselective vaporization for benign prostatic hyperplasia(BPH), which was classified by the prostate size. MATERIALS AND METHODS: The clinical data of 309 men with BPH, who had undergone photoselective vaporization for prostate(PVP) using potassium-titanyl-phosphate(KTP) laser, between January 2005 and December 2006, were retrospectively analyzed. All patients were classified into three groups by their prostate size(60cc; group III). The clinical efficacy of each group was compared in terms of the International Prostate Symptom Score(IPSS), quality of life(QoL) index, changes in the maximum urinary flow rate(Qmax), postvoid residual urine(PVR), complications and postoperative outcomes. The mean follow-up period was 6.4 months. RESULTS: The postoperative parameters were significantly improved in all patients(p<0.05). With respect to each of the three classified groups, the postoperative parameters of each group were also significantly improved (p<0.05). However, in group III, the postoperative IPSS and QoL index were lower than the average value. Especially, the items for frequency, nocturia and urgency of the IPSS resulted in bad grades. The rate of complications in group III were higher than those in groups I and II, such as urinary retention, delayed hematuria, urethral stricture and bladder neck contracture. CONCLUSIONS: Despite the excellence of KTP, careful consideration must be given when the operation is performed on patients with a large prostate size.

Osteitis Pubis after Laparoscopic Burch Colposuspension Using Tacker(R) / 대한비뇨기과학회지

Osteitis pubis is a noninfectious, painful, inflammmatory condition affecting the periosteum, cartilage, and ligaments of the symphysis pubis. It has been associated with urologic and gynecologic procedures, pregnancy and rheumatologic disorders. Despite seven decades of speculation, its pathogenesis, diagnostic criteria, natural history and optimal therapy for osteitis pubis remain controversial. We had experienced two cases of osteitis pubis after laparoscopic Burch colposuspension using prolene mesh and Tacker(R). All cases of osteitis pubis were treated with conservative managements.

Laparoscopic Burch Colposuspension Treating Stress Urinary Incontinence / 대한비뇨기과학회지

PURPOSE: Laparoscopic Burch colposuspension (LBC) is a feasible surgical procedure for stress urinary incontinence (SUI). Initially, transperitoneal laparoscopic Burch (TLBC) operation was performed, but lately, extraperitoneal laparoscopic Burch colposus pension (ELBC) has been developed as a minimally invasive procedure. The aim of this study is to compare the safety and efficacy of TLBC versus the ELBC in treating the women with SUI. MATERIALS AND METHODS: We retrospectively compared 13 cases TLBC with 30 cases ELBC performed between April 1995 and September 1998. Parameters of evaluation included operation time, length of postoperative hospital stay, postoperative catheter ization days, complications, and cure rate. RESULTS: There were no statistically significant differences between the two approaches in operation time and postoperative catheterization days. The postoperative hospital stay of ELBC was statistically shorter than that of TLBC. The mean times to follow-up were 51.2 months (TLBC) and 32.3 months (ELBC). At last follow-up, success rate were 11 of 13 (84.6%) of TLBC and 27 of 30 (90%) of ELBC. The postoperative complication rate were 8 of 13 of TLBC and 14 of 30 of ELBC. As results, ELBC and TLBC are considered as effective surgical method for stress urinary incontinence due to hypermobility. CONCLUSIONS: ELBC and TLBC are considered as effective surgical method for stress urinary incontinence due to hypermobility.