Jang Dong Gyu, Yoo Changhee, Oh Cheol Young, Kim Se Joong, Kim Sun Il, Kim Chun Il, Kim Hong Sup, Park Jong Yeon, Seong Do Hwan, Song Yun Seob, Yang Won Jae, Cho In Rae, Cho Sung Yong, Cheon Sang Hyeon, Im Hyoungjune, Cho Jin Seon
Department of Urology, College of Medicine, Hallym University, Chuncheon, Korea.
Korean J Urol. 2011 Jun;52(6):406-9. doi: 10.4111/kju.2011.52.6.406. Epub 2011 Jun 17.
We aimed to verify the current status of transurethral resection of the prostate (TURP) in Korea.
The medical records of 1,341 men who underwent TURP in 9 Korean medical centers between 2004 and 2008 were reviewed. The patients were divided into two groups according to time periods: 2004-2005 (group 1) and 2006-2008 (group 2). To verify differences in the two patient groups, age, prostate volume, indications for TURP, preoperative International Prostate Symptom Score (IPSS), and resected tissue weight were evaluated.
The mean age of the patients was 71.2 years and the mean IPSS was 22.7. The patients' characteristics were not significantly different between the two groups. The annual cases of TURP increased over the study period. The proportion of lower urinary tract symptoms (LUTS) as an indication for TURP increased up to 58.3% in group 2 compared with 51.6% in group 1 (p=0.019). However, the proportion of patients who presented with acute urinary retention decreased from 35.5% to 30.3% with marginal statistical significance (p=0.051). Other indications such as hematuria, bladder stone, recurrent urinary tract infection, and hydronephrosis were not significantly different between the groups. The mean resected weights of the prostate were similar (17.5 g in group 1 and 18.3 g in group 2, respectively; p>0.05).
TURP has been steadily performed in patients with benign prostatic hyperplasia and it is expected to remain constant. LUTS was the most common indication for TURP in recent years.
我们旨在核实韩国经尿道前列腺切除术（TURP）的当前状况。
回顾了2004年至2008年间在9家韩国医疗中心接受TURP的1341名男性的病历。根据时间段将患者分为两组：2004 - 2005年（第1组）和2006 - 2008年（第2组）。为了验证两组患者的差异，评估了年龄、前列腺体积、TURP的适应症、术前国际前列腺症状评分（IPSS）以及切除组织重量。
患者的平均年龄为71.2岁，平均IPSS为22.7。两组患者的特征无显著差异。在研究期间，TURP的年度病例数有所增加。作为TURP适应症的下尿路症状（LUTS）比例在第2组中增至58.3%，而在第1组中为51.6%（p = 0.019）。然而，出现急性尿潴留的患者比例从35.5%降至30.3%，具有边缘统计学意义（p = 0.051）。血尿、膀胱结石、复发性尿路感染和肾积水等其他适应症在两组之间无显著差异。前列腺的平均切除重量相似（第1组为17.5克，第2组为18.3克，分别；p>0.05）。
TURP一直在良性前列腺增生患者中稳定开展，预计将保持稳定。近年来，LUTS是TURP最常见的适应症。
