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Functional Evaluation of Upper Urinary Tract with Diuretic Mercaptoacetyltriglycine Renal Scans in Patients with Benign Prostatic Obstruction before and after Surgical Intervention: A Pilot Study

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Functional Evaluation of Upper Urinary Tract with Diuretic Mercaptoacetyltriglycine Renal Scans in Patients with Benign Prostatic Obstruction before and after Surgical Intervention: A Pilot Study
Συνεισφορές: Sung Yong Cho, Kyungtae Ko, Kyo Chul Koo, Hyung Joon Kim, Woo Jin Bang, Min Soo Choo, Sang Hyub Lee, Young Eun Yoon, Wonho Jung, Jae Young Choi, Dong Sup Lee, Koo, Kyo Chul
Στοιχεία εκδότη: Hindawi Pub. Co.
Έτος έκδοσης: 2020
Θεματικοί όροι: Aged, Combined Modality Therapy, Diuretics / administration & dosage, Glycine / administration & dosage, Glycine / analogs & derivatives, Humans, Kidney / diagnostic imaging, Kidney / drug effects, Kidney / pathology, Male, Middle Aged, Prostate / drug effects, Prostate / pathology, Prostate / surgery, Prostatic Hyperplasia / diagnostic imaging, Prostatic Hyperplasia / drug therapy, Prostatic Hyperplasia / pathology, Prostatic Hyperplasia / surgery, Tomography, X-Ray Computed, Ultrasonography, Urinary Bladder / diagnostic imaging, Urinary Bladder / drug effects, Urinary Bladder / pathology, Urinary Bladder / surgery, Urinary Bladder Neck Obstruction / diagnostic imaging, Urinary Bladder Neck Obstruction / drug therapy, Urinary Bladder Neck Obstruction / pathology, Urinary Bladder Neck Obstruction / surgery, Urinary Tract / diagnostic imaging
Περιγραφή: Introduction: We investigated which benign prostatic hyperplasia-related lower urinary parameters are related to upper urinary tract obstruction and whether transurethral prostatectomy could improve upper urinary tract obstruction. Materials and methods: Patients with prostate size over 30 g and urodynamically proven bladder outlet obstruction were enrolled in this prospective observational study. Bladder wall thickness and prostate size were measured by ultrasonography. A urodynamic study with laboratory tests including serum creatinine, prostate-specific antigen, and urinalysis was performed. Finally, a diuretic scintigraphy using mercaptoacetyltriglycine was performed. Tests except the urodynamic evaluation were repeated after transurethral prostatectomy. Results: In total, 24 patients were enrolled, and 19 patients completed the present study. The mean values of age (yrs), prostate size (mL), bladder thickness (mm), bladder compliance (ΔmL/Δpr), and the bladder outlet obstruction index were 68.42 ± 8.25, 72.29 ± 32.78, 4.42 ± 1.14, 50.17 ± 32.15, and 82.11 ± 34.68, respectively. The mean T1/2 (min) was 17.51 ± 16.34 on the left side and 15.30 ± 11.96 on the right side. Statistical analysis showed that bladder compliance and bladder thickness were preoperatively related to upper urinary tract obstruction (p = 0.001 and p = 0.007, respectively). Diuretic mercaptoacetyltriglycine scan in 19 patients showed improvement 6 months after prostate surgery. Clinically significant proteinuria was associated with upper urinary tract obstruction, and proteinuria was also improved after prostate surgery. Conclusion: Storage-phase bladder dysfunction could be a reliable urodynamic factor for the indication of upper urinary tract obstruction in patients with benign prostatic hyperplasia, and upper urinary tract obstruction with subsequent kidney damage could be improved by surgical decompression of benign prostatic obstruction. ; open
Τύπος εγγράφου: article in journal/newspaper
Γλώσσα: English
ISSN: 32851073
Relation: BIOMED RESEARCH INTERNATIONAL; J00315; https://ir.ymlib.yonsei.ac.kr/handle/22282913/183810; T202007081
DOI: 10.1155/2020/4605683
Διαθεσιμότητα: https://ir.ymlib.yonsei.ac.kr/handle/22282913/183810
https://doi.org/10.1155/2020/4605683
Rights: CC BY-NC-ND 2.0 KR
Αριθμός Καταχώρησης: edsbas.CD58A9FE
Βάση Δεδομένων: BASE
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PubType: Academic Journal
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  Label: Title
  Group: Ti
  Data: Functional Evaluation of Upper Urinary Tract with Diuretic Mercaptoacetyltriglycine Renal Scans in Patients with Benign Prostatic Obstruction before and after Surgical Intervention: A Pilot Study
– Name: Author
  Label: Contributors
  Group: Au
  Data: Sung Yong Cho<br />Kyungtae Ko<br />Kyo Chul Koo<br />Hyung Joon Kim<br />Woo Jin Bang<br />Min Soo Choo<br />Sang Hyub Lee<br />Young Eun Yoon<br />Wonho Jung<br />Jae Young Choi<br />Dong Sup Lee<br />Koo, Kyo Chul
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  Data: Hindawi Pub. Co.
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  Data: 2020
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  Data: <searchLink fieldCode="DE" term="%22Aged%22">Aged</searchLink><br /><searchLink fieldCode="DE" term="%22Combined+Modality+Therapy%22">Combined Modality Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Diuretics+%2F+administration+%26+dosage%22">Diuretics / administration & dosage</searchLink><br /><searchLink fieldCode="DE" term="%22Glycine+%2F+administration+%26+dosage%22">Glycine / administration & dosage</searchLink><br /><searchLink fieldCode="DE" term="%22Glycine+%2F+analogs+%26+derivatives%22">Glycine / analogs & derivatives</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Kidney+%2F+diagnostic+imaging%22">Kidney / diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Kidney+%2F+drug+effects%22">Kidney / drug effects</searchLink><br /><searchLink fieldCode="DE" term="%22Kidney+%2F+pathology%22">Kidney / pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Male%22">Male</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+Aged%22">Middle Aged</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate+%2F+drug+effects%22">Prostate / drug effects</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate+%2F+pathology%22">Prostate / pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Prostate+%2F+surgery%22">Prostate / surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Prostatic+Hyperplasia+%2F+diagnostic+imaging%22">Prostatic Hyperplasia / diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Prostatic+Hyperplasia+%2F+drug+therapy%22">Prostatic Hyperplasia / drug therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Prostatic+Hyperplasia+%2F+pathology%22">Prostatic Hyperplasia / pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Prostatic+Hyperplasia+%2F+surgery%22">Prostatic Hyperplasia / surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Tomography%22">Tomography</searchLink><br /><searchLink fieldCode="DE" term="%22X-Ray+Computed%22">X-Ray Computed</searchLink><br /><searchLink fieldCode="DE" term="%22Ultrasonography%22">Ultrasonography</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+%2F+diagnostic+imaging%22">Urinary Bladder / diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+%2F+drug+effects%22">Urinary Bladder / drug effects</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+%2F+pathology%22">Urinary Bladder / pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+%2F+surgery%22">Urinary Bladder / surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neck+Obstruction+%2F+diagnostic+imaging%22">Urinary Bladder Neck Obstruction / diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neck+Obstruction+%2F+drug+therapy%22">Urinary Bladder Neck Obstruction / drug therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neck+Obstruction+%2F+pathology%22">Urinary Bladder Neck Obstruction / pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neck+Obstruction+%2F+surgery%22">Urinary Bladder Neck Obstruction / surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Tract+%2F+diagnostic+imaging%22">Urinary Tract / diagnostic imaging</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Introduction: We investigated which benign prostatic hyperplasia-related lower urinary parameters are related to upper urinary tract obstruction and whether transurethral prostatectomy could improve upper urinary tract obstruction. Materials and methods: Patients with prostate size over 30 g and urodynamically proven bladder outlet obstruction were enrolled in this prospective observational study. Bladder wall thickness and prostate size were measured by ultrasonography. A urodynamic study with laboratory tests including serum creatinine, prostate-specific antigen, and urinalysis was performed. Finally, a diuretic scintigraphy using mercaptoacetyltriglycine was performed. Tests except the urodynamic evaluation were repeated after transurethral prostatectomy. Results: In total, 24 patients were enrolled, and 19 patients completed the present study. The mean values of age (yrs), prostate size (mL), bladder thickness (mm), bladder compliance (ΔmL/Δpr), and the bladder outlet obstruction index were 68.42 ± 8.25, 72.29 ± 32.78, 4.42 ± 1.14, 50.17 ± 32.15, and 82.11 ± 34.68, respectively. The mean T1/2 (min) was 17.51 ± 16.34 on the left side and 15.30 ± 11.96 on the right side. Statistical analysis showed that bladder compliance and bladder thickness were preoperatively related to upper urinary tract obstruction (p = 0.001 and p = 0.007, respectively). Diuretic mercaptoacetyltriglycine scan in 19 patients showed improvement 6 months after prostate surgery. Clinically significant proteinuria was associated with upper urinary tract obstruction, and proteinuria was also improved after prostate surgery. Conclusion: Storage-phase bladder dysfunction could be a reliable urodynamic factor for the indication of upper urinary tract obstruction in patients with benign prostatic hyperplasia, and upper urinary tract obstruction with subsequent kidney damage could be improved by surgical decompression of benign prostatic obstruction. ; open
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  Data: 32851073
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  Data: BIOMED RESEARCH INTERNATIONAL; J00315; https://ir.ymlib.yonsei.ac.kr/handle/22282913/183810; T202007081
– Name: DOI
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  Data: 10.1155/2020/4605683
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  Data: https://ir.ymlib.yonsei.ac.kr/handle/22282913/183810<br />https://doi.org/10.1155/2020/4605683
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  Data: CC BY-NC-ND 2.0 KR
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        Value: 10.1155/2020/4605683
    Languages:
      – Text: English
    Subjects:
      – SubjectFull: Aged
        Type: general
      – SubjectFull: Combined Modality Therapy
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      – SubjectFull: Diuretics / administration & dosage
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    Titles:
      – TitleFull: Functional Evaluation of Upper Urinary Tract with Diuretic Mercaptoacetyltriglycine Renal Scans in Patients with Benign Prostatic Obstruction before and after Surgical Intervention: A Pilot Study
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