前立腺肥大症의 臨床的 考察 = Clinical Observation on Benign Prostatic Hyperplasia

다국어 초록 (Multilingual Abstract)

A clinical study was made on 19 cases of Benign Prostatic Hyperplasia admitted during 1.5 year-period from Apr. 1974 to Sept. 1975 in the Department of Urology, Chungnam National University Hospital.
The results are summerized as follows:
1) During this period, 123 patients hospitalized, 19 cases were B.P.H. giving a rate of 15.4% revealed the increasing tendency in incidence than other previous retorts in Korea.
2) Age distribution was between 60 and 85, mean age being 69.4. Peak incidence of age range was 60 to 69, giving a rate of 52.6%.
3) Interval elapsed from initial symptoms to admit was 52.6% within 1 year and 21.1% over 5 years.
4) Most frequent initial disturbance was dysuria(13 cases), while the other common manifestations were pollakisuria urinary retention, gross hematuria in order. Mean amount of residual urine was 440 ml.
5) The degree of prostatic enlargement was mostly Grade 2 on rectal palpation. So-called "prostate glans" 68.4% in all cases.
6) In urinalysis, microscopic hematuria was 15 cases (78.9%) and pyuria 12 cases (63.2%). Positive urine culture was 11 cases (57.9%). In blood, leukocytosis was 6 cases (31.6%), secondary anemia 1 case (5.3%), elevated blood urea nitrogen/crentinine 2 cases (10.5%).
7) Pre-existing disease before operation was discovered in 11 cases (57.9%) related to senility consisting of hypertension 5 cases, emphysema 3 cases, diabetes millitus 1 case. E.K.G. revealed abnormal findings in 7 cases (36.9%) with various degree of left ventricular hypertrophy, myocardial ischemia, right atrial enlargement and hypokalemia.
8) By cystoscopy, there revealed trabeculation 13 cases (86.6%), inflammation 9 cases (59.9%), diverticulum 1 case (6.7%) and stone 1 case (6.7%).
9) There revealed findings of hydroureter 5 cases (26.3%), hydronephrosis 3 cases (15.8%) and non-visualization 1 case (5.3%) on I.V.P. and findings of urethral change such as narrowing, spreading and elongation in all cases (100%), tilting 7 cases (36.8%) reflux 1 case (5.3% ) on cystourethrogram.
10) Prostatectomy underwent on 15 cases, of which 3 cases suprapubically, 12 cases retropubically. During opeartion blood was transfused in 13 cases with mean amount of 1.4 pint. It took average 2 hour 40 minutes to perform each operation. Mean weigh of removed prostatic tissue was 30.4 gm.
11) Histopathology of prostate tissue disclosed nodular hrperplasia in 14 cases (100%). associated prostate carcinoma 1 case (7.1%) and assotiated inflammation 5 cases (35.7%)
12) Druing average 12.7 days postoperative hostipalization, gross hematuria disappeared on average 9.5 days and indwelling catheter removed on average 10.6 days.
13) No serious complication other than epididymitis developed in a few case was observed postoperatively.