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        경직장초음파하 전립선생검 수용에 영향을 미치는 인자들

        김종근(Jong Keun Kim),방우진(Woo Jin Bang),오철영(Cheol Young Oh),유창희(Changhee Yoo),조진선(Jin Seon Cho) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.2

        Purpose: This study aimed to improve prostate biopsy compliance by analyzing factors that influenced the acceptance of prostate biopsies. Materials and Methods: When a prostate biopsy was accepted by men who had prostate-specific antigen (PSA) ≥2.5 ng/ml or with abnormal digital rectal examination. The questionnaire consisted of 9 questions about the subjects’ demographic characteristics, 15 questions for assessing their knowledge of prostate and 8 questions about the factors influencing their acceptance of a prostate biopsy. Results: The subjects of this study were 188 patents who accepted the prostate biopsy and completed the questionnaire in 2011. The mean age was 66 years. The distribution of factors influencing the patient acceptance of the prostate biopsy was 66.0 percent for ‘the thought that the biopsy would help me maintain my health,’ 63.4 percent for ‘a doctor’s advice for the biopsy,’ and 48.2 percent for ‘the level of prostate-specific antigen tested.’ The greater influence on the patient acceptance of the prostate biopsy was associated with the lower income levels of subjects when they responded with ‘uncomfortableness with urinating’ or ‘my family’s or acquaintance’s recommendation for the biopsy’ and married patients showed a higher acceptability of the biopsy when there was any ‘previous experience with medical examinations due to different disease.’ Conclusions: The patient acceptance of biopsies can be influenced by patients’ demographic characteristics, and therefore when a prostate biopsy is explained to patients, their demographic characteristics should be taken into consideration.

      • KCI등재후보

        전립선비대증을 동반한 발기부전 환자에서 Mirodenafil 50mg 매일 복용요법과 100mg 필요 시 복용요법의 유효성 비교

        조중훈(Jung Hoon Cho),서준상(Jun Sang Seo),김규식(Kyu Shik Kim),김태효(Tae Hyo Kim),노준화(Joon Hwa Noh),배재현(Jae Hyun Bae),오철영(Cheol Young Oh),이승환(Seung Hwan Lee),조성용(Sung Yong Cho),최재덕(Jae Duck Choi),한준현(Jun Hyun H 대한비뇨기종양학회 2015 대한비뇨기종양학회지 Vol.13 No.3

        Purpose: To Compare the improvement of erectile dysfunction (ED) and lower urinary tract symptoms (LUTS) as well as the efficacy of mirodenalfil 50mg once daily and 100mg on-demand in patients with benign prostatic hyperplasia (BPH) and erectile dysfunction (ED). Materials and Methods: Prospective study was done with 220 patients who had BPH and ED from June 2013 to October 2014. Out of 220 individuals, 260 met inclusion criteria and 204 finished the research. Patients were divided into two groups. Group 1 had mirodenafil 50mg once daily and Group 2 had mirodenafil 100mg on-demand. The five-item version of the International Index of Erectile Function (IIEF-5), International Prostate Symptom Score (IPSS), Qmax, and residual urine volume(PVR) were assessed immediately before initiation of treatment (V1) and after four (V2) and twelve weeks of treatment (V3). Results: No difference of IIEF-5, IPSS, Qmax, and PVR between two groups in V1. At V3, both groups had improvements of IPSS and group 1 had better improvements (-5.1±4.4 vs. -3.1±3.9 p<0.001). And Group 1 had larger improvements than Group 2 in Qmax significantly. No difference in PVR in both groups comparing V1 vs. V2 and V1 vs V3. Group 1 had better improved IIEF-5 than Group 2 (V1 vs. V3 : 4.8±5.8 vs. 4.4±5.1; p=0.032). There was no drop out patients due to cardiovascular problems. Conclusions: Once daily mirodenafil 50mg was more efficacious in treating both ED and LUTS than on-demand dosing mirodenafil 100mg without any complication of cardiovascular problems.

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