https://scholars.lib.ntu.edu.tw/handle/123456789/193800
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 泌尿科 | en |
dc.contributor.author | YANG, STEPHEN SHEI-DEI | en |
dc.contributor.author | TSAI, YAO-CHOU | en |
dc.contributor.author | CHEN, JEN-JIH | en |
dc.contributor.author | CHEN, CHUNG-HSIN | en |
dc.contributor.author | HSIEH, JUI-HSIANG | en |
dc.contributor.author | WANG, CHUNG-CHENG | en |
dc.creator | 楊緒棣;蔡曜州;陳建志;陳忠信;謝瑞香;王炯珵 | zh-tw |
dc.creator | YANG, STEPHEN SHEI-DEI;TSAI, YAO-CHOU;CHEN, JEN-JIH;CHEN, CHUNG-HSIN;HSIEH, JUI-HSIANG;WANG, CHUNG-CHENG | en |
dc.date | 2008 | en |
dc.date.accessioned | 2009-12-23T08:25:01Z | - |
dc.date.accessioned | 2018-07-11T17:15:37Z | - |
dc.date.available | 2009-12-23T08:25:01Z | - |
dc.date.available | 2018-07-11T17:15:37Z | - |
dc.date.issued | 2008 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/175106 | - |
dc.description.abstract | Objectives: To evaluate the voiding function, ejaculation status and sexual function after the novel modification of transurethral incision of the bladder neck ( TIBN) treating young men with primary bladder neck obstruction (PBNO). Methods: Using a videourodynamic study, PBNO was diagnosed in 33 young men 27-50 years of age who presented with chronic lower urinary tract symptoms and low urinary flow. TIBN was performed in all patients, with the modification of preserving a portion of the supramontanal tissue during the procedure. International Prostate Symptom Score (I-PSS), quality of life, uroflowmetry, postvoid residual urine, the status of ejaculation and sexual function using the 5-item version of the International Index of Erectile Function ( IIEF-5) were assessed before, 3 and 24 months after treatment. Results: Follow-up data were available in 32 (97% ) and 26 (79%) patients at 3 and 24 months postoperatively, respectively. During the 2-year follow-up, mean I-PSS decreased from 20.7 to 5.9 (p < 0.01). Mean quality of life decreased from 4.2 to 2.3 (p < 0. 01). Mean maximum flow increased from 10.7 to 19.2 ml/s (p < 0.01). Mean postvoiding residual urine decreased from 107 to 48 ml (p < 0.01). All patients had antegrade ejaculation postoperatively. Mean IIEF scores did not change significantly (22.6 +/- 2.6vs.20.7 +/- 4.3, p = 0.08). Successful overall outcome was achieved in 22 (84.6%) of 26 patients. Conclusions: Applying this modified TIBN to treat the sexually active young men with PBNO had the advantage of improving voiding function and preserving both antegrade ejaculation and sexual function. Copyright (c) 2008 S. Karger AG, Basel. | en |
dc.language | en-us | en |
dc.language.iso | en_US | - |
dc.relation | UROLOGIA INTERNATIONALIS v.80 n.1 pp.26-30 | en |
dc.relation.ispartof | Urologia Internationalis | en_US |
dc.subject | bladder neck obstruction | en |
dc.subject | urodynamic study | en |
dc.subject | videourodynamic study | en |
dc.subject | ejaculation | en |
dc.subject | bladder neck incision | en |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; article; bladder obstruction; clinical article; disease duration; ejaculation; fluoroscopy; follow up; human; International Index of Erectile Function; International Prostate Symptom Score; male; postoperative complication; postvoid residual urine volume; priority journal; quality of life; sexual function; surgical technique; transurethral incision of the bladder neck; urodynamics; uroflowmetry; Adult; Ejaculation; Fluoroscopy; Humans; Male; Middle Aged; Models, Anatomic; Time Factors; Treatment Outcome; Urinary Bladder; Urinary Bladder Neck Obstruction; Urination; Urodynamics | - |
dc.title | Modified Transurethral Incision of the Bladder Neck Treating Primary Bladder Neck Obstruction in Young Men: A Method to Improve Voiding Function and to Preserve Antegrade Ejaculation | en |
dc.identifier.doi | 10.1159/000111725 | - |
dc.relation.pages | 26-30 | - |
item.fulltext | no fulltext | - |
item.languageiso639-1 | en_US | - |
item.grantfulltext | none | - |
顯示於: | 醫學系 |
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