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Early Experiences of a Minimal Invasive Intra-Prostatic Implant, Prostatic Urethral Lift for Benign Prostatic Hyperplasia Treatment in Korea
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Jonghyup Yang, Dongho Shin, Jaewoo Sung, Shinjay Cho, Sungmin Kang, Hyun Cheol Jeong, Sae Woong Choi, Woong Jin Bae, Sae Woong Kim
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Urogenit Tract Infect 2019;14(3):80-86. Published online December 31, 2019
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DOI: https://doi.org/10.14777/uti.2019.14.3.80
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- Purpose: As a minimal invasive device for benign prostatic hyperplasia (BPH) treatment, prostatic urethral lift (PUL) is widely accepted worldwide but not widely used in Korea. We investigated the one-year results of for patients with BPH in Korea.
Materials and Methods: From April 2017 to June 2018, 42 patients with BPH were treated with PUL under local anesthesia with sedation. International Prostate Symptom Score (IPSS) and maximum urinary flow rate and post-void residual (PVR) were evaluated preoperatively and 1, 3, 6, and 12 months later.
Results: Mean age was 69.57±8.58 years old, and mean prostatic volume was 37.17±12.19 cc. Preoperative total IPSS and quality of life (QOL) were 19.94±7.81 and 3.69±1.30, respectively. Total IPSS improved to 11.26±7.22 (p<0.001), and QOL was 2.42±1.43 (p=0.01) after one month. Patients showed no evidence of inflammation related to the implants. IPSS and QOL were somewhat worse after 3 months but were better than baseline at 6 and 12 months. Preoperative maximum flow rate (Qmax) was 9.71±5.45 ml/sec, and one month after surgery, it had improved to 12.63±7.33 (p=0.01); it remained good at 3, 6, and 12 months (12.63±7.38, 12.45±7.39, 14.73±9.67). PVR was not significant at any points postoperative (80.61±67.91 to 43.95±8.19, p=0.119). No patient reported retrograde ejaculation, erectile dysfunction or urinary tract infection.
Conclusions: We evaluated the one-year efficacy of PUL for BPH treatment in Korea, and found significant improvement of IPSS, QOL and Qmax. It is expected that not only the improvement of voiding symptom but also the preservation of sexual function with a low risk of adverse events.
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Jaundice and Acute Pyelonephritis due to a Giant Urinoma
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Sung Dae Kim, Dong Sub Lee, Dong Wan Sohn, Sae Woong Kim, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2008;3(2):244-248. Published online October 31, 2008
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- Disruption of the urinary collecting system can produce internalized urine leaks that can be continous urine extravasation and form an encapsulated collection of urine, which is known as a urinoma. Urinoma is also called as pararenal pseudocyst and usually the result of renal injury and may be the result of obstructive uropathy from a ureteral stone or pelvic mass or even a urological procedure. Although urinoma may induce the urinary infection such as acute pyelonephritis, it may not give rise to jaundice due to biliary tract obstruction. We describe an unusual case of jaundice and acute pyelonephritis due to a giant urionoma after high grade renal injury.
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The Antimicrobial Effect of Antibiotics to Patients with Chronic Prostatitis of Positive Reaction on Chlamydial Antibody
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Sung Dae Kim, Dong Wan Sohn, Sae Woong Kim, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2008;3(1):81-88. Published online April 30, 2008
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- "Purpose: Chronic bacterial prostatitis is the most common urological disease in adult males, with antibiotic therapy being the gold standard for its treatment. Recent studies suggest that Chlamydia may play a role in chronic prostatitis but was difficult to prove the pathogen to the prostate. We evaluated the effect of three antibiotics (azithromycin, doxycycline, levofloxacin) in patients with chronic prostatitis of positive reaction on Chlamydial antibody. Material and Methods: The study included 54 patients who had symptoms of chronic prostatitis and proven presence of Chlamydia. The presence of Chlamydia was confirmed in expressed prostatic secretion (EPS) immediately after prostatic massage by multiplex polymerase chain reaction (PCR). The patients were randomized to receive azithromycin 1.0g (n=16) once, or doxycycline 100mg b.i.d. (n=19) for 21 days or levofloxacin 100mg t.i.d. (n=19) for 21 days. Patients’ sexual partners were treated at the same time. Clinical and bacteriological efficacy (leukocyte count, pathogen eradication rate, NIH-CPSI) was evaluated after the end of therapy. Results: After treatment of antibiotics, the leukocytes counts in the EPS was significantly decreased in all groups (p<0.05), but there was no significant difference in three groups. Also, all of groups was superior to control Chlamydia (azithromycin:doxycycline:levofloxacin=93.75%:78.94%:89.47%) and there was no significant difference of the pathogen eradication rates in three groups. The total NIH-CPSI score was significantly decreased, especially pain domain and quality of life domain (p<0.05), and there was no significant difference in three groups. Conclusions: These data suggest that antibiotics of three groups was effective to the patient with chronic prostatitis of positive reaction on Chlamydia antibody."
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The Present Status and Counterplans of Nosocomial Infection
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Sung Dae Kim, Dong Wan Sohn, Sae Woong Kim, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2007;2(2):1-11. Published online May 31, 2007
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- "Although of advances in medical environment we are faced with new pathogen in hospital according to increase of antimicrobial resistance, invasive procedure, population of old men, abuse of immune suppressants. Nosocomial infections are more common phenomena than other infection in clinical practice. Therefore, we should know about the exact definition, diagnostic principles, need of control of nosocomial infection. Especially, We need to understand about it in Korea. So the Korean Society for Nosocomial Infection Control (KOSNIC) organized the Korean Nosocomial Infectious Surveillance System (KONIS) to establish a nationwide database of nosocomial infection rate on the intensive care units of hospitals in Korea. This article focuses on the definition, background, principles of diagnosis, the current status and counterplans of nosocomial infection in Korea. We have full assurance that it should provide a theoretical strategy to enforce the infection control."
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The Relationship between Sexually Transmitted Diseases and HIV Transmission
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Sung Dae Kim, Dong Wan Sohn, Seung-Ju Lee, Sae Woong Kim, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2007;2(2):157-166. Published online October 31, 2007
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- More than 42 million people worldwide are now infected with HIV, in spite of sustained prevention activities. Although the spread of HIV has been primarily sexual, epidemiological studies have indicated that the efficiency of the spread of HIV is poor, perhaps as infrequently as 1 in every 1,000 episodes of sexual intercourse. However, sexually transmitted diseases (STDs) that cause ulcers or inflammation greatly increase the efficiency of HIV transmission by increasing both the infectiousness of, and the susceptibility to HIV infection. STDs might be particularly important in the early stages of a localized HIV epidemic, when people with risky sexual behaviour are most likely to become infected. In China, eastern Europe and Russia, there has been a remarkable increase in the incidence of STDs in recent years, and this is reflected in the rapid increase in the spread of HIV in these areas. Targeted STDs detection and treatment should have a central role in HIV prevention in these emerging epidemics.
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Bilateral Vesicoureteral Reflux and Wilms' Tumor Combined with Urinary Tract Infection
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Byung Il Yoon, Sung Dae Kim, Dong Wan Sohn, Sae Woong Kim, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2007;2(2):221-224. Published online October 31, 2007
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- Vesicoureteral reflux is a common condition in children. It may cause and maintain urinary tract infection, evaentually leading to progressive renal damage and end-stage renal disease. Wilms' tumor is the most common primary malignant renal tumor of childhood. There is no literature that vesicoureteral reflux combined with Wilms' tumor. We report rare case of bilateral vesicoureteral reflux combined with left Wilms' tumor.
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