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여정균,박민구 대한비뇨기종양학회 2019 대한비뇨기종양학회지 Vol.17 No.1
The clinical practice guidelines (CPGs) is made step by step. The evidences that have been published were searched and a group of experts make a consensus based in the evidences. The CPGs in the medical field, where utilizations and interests are increasing, must be confirmed in the management of quality. The Korean Appraisal of Guidelines for Research & Evaluation II (K-AGREE II) tool that helps to manage the quality of CPGs and to develop CPGs was translated by the Steering Committee for Clinical Practice Guideline. It is divided into 6 domains and each domains are independent. It is consisted of 23 items as detail and 2 items for the overall evaluation. Only fifteen CPGs are successfully certified using the K-AGREE II tool in the Korean Medical Guideline Information Center from 2013 and 3 CPGs made by the Korea Urological Association and the associated societies are certified successfully. With the level of certification of CPGs is higher, the Korea Urological Association and the associated societies are also try to develop CPGs that meet their level of certification. The Korean clinical practice guideline for the treatment of prostate cancer developed recently is the evidence of effort. (Korean J Urol Oncol 2019;17:1-6)
통증을 동반한 정계정맥류 환자에서 정계정맥류 결찰술 비교: 후복막 접근 고환동맥 보존법, 복강경 접근, 서혜부하 접근 미세수술
여정균 대한남성과학회 2009 The World Journal of Men's Health Vol.27 No.3
Purpose: To compare pre-and postoperative scrotal pain in patients with varicocele who underwent varicocelectomy with different approaches and to identify the factors that affect the outcomes. Materials and Methods: A total of 48 patients with left-sided varicocele who had left scrotal pain was included and followed up for more than 3 months. Twenty patients underwent varicocele ligation using modified Palomo, fifteen with laparoscopic approach and thirteen with microscopic subinguinal varicocelectomy respectively. Visual pain scale was used at pre-operation and 3 months later postoperatively. We compared age, grade, a character of pain, operation time, a number of pain killer and pain score. Results: Mean age of patients was 28.9 years (range 15∼58 years). 45 patients described their pain as dull ache and 3 as a sharp sensation. There was complete resolution of pain in 35 patients (72.9%), while 7 (14.5%) had partial resolution. 6 (12.5%) had persistent symptoms and varicocele recurred in 3 (6.2%). There was no significant difference in pain resolution according to surgical approaches. Microsurgical approach had a prolonged operation time, but recurrence was not occurred. 3 patients that had a sharp scrotal pain were included in partial resolution or persistent pain. Conclusions: Surgical approaches were effective in the treatment of painful varicocele in selected patients and there was no significant difference in pain resolution according to surgical approaches. The sharp scrotal pain was related to the outcome of treatment.
여정균,Seung Ik Cho,박선구,조석,하정구,이정우,조성용,박민구 대한남성과학회 2018 The World Journal of Men's Health Vol.36 No.2
Purpose: We investigated the correlations of serum total testosterone (TT) levels with body composition and physical fitnessparameters in patients with erectile dysfunction (ED) to know the best exercise for testosterone deficiency. Materials and Methods: Eighty-seven ED patients underwent serum TT assessment as well as body composition and basicexercise testing. The bioelectrical impedance analysis was used to assess body composition. Seven types of basic exercisetests were used to determine physical fitness. Correlations between serum TT levels and body composition/physical functionparameters were evaluated using partial correlation analyses. A serum TT cut-off value was obtained for the parameters significantlycorrelated with serum TT levels. Results: The subjects had a mean serum TT level of 342.1 ng/dL. Among the body composition parameters, body and abdominalfat percentages showed statistically significant negative correlations with serum TT levels. Among the basic exercisetest parameters, only the cycle ergometer test for cardiorespiratory fitness showed a statistically significant positive correlationwith serum TT levels. Conclusions: Serum TT levels in patients with ED, may be increased by reducing fat percentage and improving cardiorespiratoryfitness via aerobic exercise.