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김두상,경윤수,우승효,장영섭,김형지 대한배뇨장애요실금학회 2011 International Neurourology Journal Vol.15 No.3
Purpose: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) exhibits variable lower urinary tract symptoms (LUTS). The aim of this study was to evaluate the incidence of LUTS and the efficacy of an anticholinergic agent in young and middle-aged CP/CPPS patients. Methods: Ninety-six men with CP/CPPS were randomly assigned in a single-blind fashion and received either ciprofloxacin (group 1, 49 patients) or ciprofloxacin and solifenacin (5 mg/day; group 2, 47 patients) for 8 weeks. The National Institutes of Health chronic prostatitis symptom index (NIH-CPSI), the International Prostate Symptom Score (IPSS), and the International Index of Erectile Function-5 (IIEF-5) were used to grade the patients’ symptoms and the quality of life impact at the start of the study, and at 4 and 8 weeks from the initiation of the study. Results: There was no significant difference between groups 1 and 2 with respect to age, duration of disease, or sub-domains of the IPSS, NIH-CPSI, or IIEF-5 at baseline. Of these patients, 67.4% had LUTS. Statistically significant differences were determined via the NIH-CPSI for total score and the pain and urinary domain scores. Statistically significant differences were determined via the IPSS for total score and the storage domain score. The total score of the IIEF-5 increased, but the change was not significant. There was no statistically significant difference in residual urine. Conclusions: Many CP/CPPS patients had LUTS. Solifenacin in CP/CPPS demonstrated improvements in the NIH-CPSI and the IPSS total score and storage score. Storage factors significantly improved via the NIH-CPSI and IPSS assessments in the solifenacin treatment group.
김두상 순천향대학교 순천향의학연구소 2012 Journal of Soonchunhyang Medical Science Vol.18 No.2
We present a case of urinary tract fistula between ureter and intervertebral space that developed spontaneously. A 73-year-old woman with left flank pain and fever was referred to the Soonchunhyang University Cheonan Hospital. Abdominal computed tomography and retrograde pyelography revealed the presence of fistula between left upper ureter and L4-5 intervertebral space after spontaneous ureteral rupture. We performed percutaneous nephrostomy and antegrade a Double-J ureteral stent insertion. Three months later, after removal of the stent, repeat retrograde pyelography showed healed ureter. To our knowledge, we report the first case of fistula between ureter and intervertebral space after spontaneous ureteral rupture, as well as the description of endourologic management, instead of open surgery.
복강경을 이용한 정계정맥류절제술의 유용성, 안전성 및 효과에 관한 연구: 2개 Trocar와 3개 Trocar의 비교
김두상,이창호,전윤수,이남규 순천향대학교 순천향의학연구소 2011 Journal of Soonchunhyang Medical Science Vol.17 No.1
Objective: Varicocelectomy can be accomplished using a variety of approaches, including retroperitoneal, transinguinal, subinguinal or scrotal approach and there are advantage and disadvatage, respectively. The goal of this study is to evaluate the efficacy, safety and effect of the laparoscopic varicocelectomy and compare 2 trocars laparoscopic technique with 3 trocars. Methods: Between March 2003 and December 2007, 46 patients with varicocele were treated using 3 trocars (group A) or 2 trocars (group B) laparoscopic varicocelectomy. Data regarding operative time, time of vein ligation, hospital stay, recurrence rate and complications of each procedure were retrospectively evaluated. Results: Of the 46 patients 39 with left side varicocele constituted the population of the present study; the others, with bilateral varicocele,were excluded. No significant differences were found in terms of mean operative time, mean time of vein ligation, mean hospital stay and morbidity between group A and B. Conclusion: Laparoscopic varicocelectomy is feasible, safety and effective surgical technique. Compared with 3 trocars, 2 trocars laparoscopic varicocelctomy results in similar operative and postoperative outcomes. In addition, it is cost-effective and cosmetic.
세포주기억제를 통한 자가정맥 이식편의 동맥경화 예방연구
김두상,박성혁,장지원,원용순,안혁,염욱 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.2
Purpose: Autologous vein graft is the most commonly used conduit for surgical revascularization of the small and medium sized vessels of the coronary and lower extremity circulations. But, 30~50% of these grafts succumb eventually to occlusive failure, often with recurrent morbidity that necessitates reoperation. The cause of failure is the vein graft atherosclerosis from the neointimal hyperplasia, which is the arterial remodeling process through adaptive thickening of the vein wall in response to the increased wall stress. We try to use cis-platin, DNA binding cell cycle specific inhibitory agent, against neointimal hyperplasia in experimental model. Method 5 korean dogs had a autologous vein graft interposition at femoral or carotid arteries using saphenous or jugular veins bilaterally. One side of pairs is treated with cis-platin for one hour (study), while the other is not (control). After 4 weeks, we explanted 6 pairs of vein graft (3 jugular veins and 3 saphenous veins), and measured intimal thickness, intimal area and luminal area using videomorpometry, and analysed intimal ratio and luminal ratio. Result: Treatment with cis-platin reduced intimal thickness by 44%(P=0.0118) and intimal area by 50%(P=0.0124). Intimal ratio was decreased in the study group when compared to the control group by 0.18 versus 0.66 (P=0.001). The luminal area of the treated grafts was significantly larger than controls, having increased by 823%(P=0.0307), and luminal ratio having increased by 0.82 versus 0.34(P=0.001). Conclusion: These results suggest that cis-platin reduced the development of neointimal hyperplasia in experimental vein grafts. In order to prove the obtained results to a higher degree, an accumulation of further cases is necessary.