• Title/Summary/Keyword: LUTS (Lower Urinary Tract Symptom)

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Implementation and estimation of the urophonography measurement system for diagnosis of Lower urinary tract symptom (하부요로계 폐색 진단용 요류음 계측 시스템의 구현 및 평가)

  • Jeong, Do-Un;Cho, Seong-Taek;Jeon, Gye-Rok
    • Journal of Sensor Science and Technology
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    • v.14 no.1
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    • pp.7-15
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    • 2005
  • A sensor and measuring system were implemented to measure both uroflow and urophonography signal during urination for diagnose the lower urinary tract symptom. The implemented system was composed of the uroflow sensor using the load-cell, the urophonography measurement sensor so as stethoscope type, pre-processing part for sensors signal detection, amplifier and filter, system control parts and PC measurement program. A simulator of the lower urinary system that is experimental equipment implemented for evaluate the developed system. The two signals were measured using implemented system and analyzed these signal by means of time domain and frequency domain for extraction of the characteristic parameter which can most effectively reflected by the occlusion of the lower urinary system. Furthermore two signals were measured and analyzed with the subject of 5 healthy adult for clinical application possibility of the implemented system. As a result, the most influence bandwidth of effect according to occlusion of the lower urinary system is $253{\sim}282$ Hz of the urophonography signal.

Factors associated with Lower Urinary Tract Symptoms for Patients with Parkinson's Disease (파킨슨병 환자의 하부요로증상에 영향을 미치는 요인)

  • Song, Hyo-Jeong;Kang, Ji-Hoon;Lee, Eun-Joo;Huh, Jung-Sik;Kim, Young-Joo;Kim, Chul-Soo;Kim, Myung-Ja;Chaung, Seung-Kyo;Park, Hye-Ja;Kang, Hyung-Chang;Oh, Keun-Heau
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.116-123
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    • 2009
  • Purpose: The study was done to identify lower urinary tract symptoms (LUTS) and to evaluate the factors affecting LUTS for the people with Parkinson's disease. Methods: The research design was a cross-sectional study with interviews using a structured questionnaire. The participants were 72 patients with Parkinson's disease who were seen in the Neurology clinic of a university hospital from September to November 2005. Results: Mean score of LUTS for the participants was 10.11. In each symptom score of LUTS (range 0-5), weak stream was the highest 2.06, followed by nocturia 1.71, and urgency 1.61. The severity of LUTS was moderate to severe group for 51%. LUTS were significantly different by regular exercise. Positive correlations were observed between Hoehn and Yahr stage (stage of disease severity) and frequencyand between Hoehn and Yahr stage and urgency (r=.280, p=.018; r=.328, p=.005). LUTS were significantly predicted by regular exercise (p=.001) which explained 15.0% of the variance in LUTS. Conclusion: Regular exercise was found to be a very important factor associated with LUTS for patients with Parkinson's disease.

Non-linear Relationship Between Body Mass Index and Lower Urinary Tract Symptoms in Korean Males

  • Choi, Chang Kyun;Kim, Sun A;Jeong, Ji-An;Kweon, Sun-Seog;Shin, Min-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.3
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    • pp.147-153
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    • 2019
  • Objectives: The purpose of this study was to evaluate the association between body mass index (BMI) and severe lower urinary tract symptoms (LUTS) in Korean males. Methods: This study was conducted on males aged ${\geq}50years$ who participated in the 2011 Korean Community Health Survey. LUTS severity was assessed using the Korean version of the International Prostate Symptom Score (IPSS) questionnaire, and was dichotomized as severe (IPSS >19) and non-severe ($IPSS{\leq}19$). BMI was divided into 6 categories: <18.5, 18.5-22.9, 23.0-24.9, 25.0-27.4, 27.5-29.9, and ${\geq}30.0kg/m^2$. To evaluate the relationship between BMI and LUTS, a survey-weighted multivariate Poisson regression analysis was performed to estimate prevalence rate ratios (PRRs). Age, smoking status, alcohol intake, physical activity, educational level, household income, and comorbidities were adjusted for in the multivariate model. Results: A U-shaped relationship was detected between BMI and severe LUTS. Compared with a BMI of $23.0-24.9kg/m^2$, the PRR for a BMI < $18.5kg/m^2$ was 1.65 (95% confidence interval [CI], 1.35 to 2.02), that for a BMI of $18.5-22.9kg/m^2$ was 1.25 (95% CI, 1.09 to 1.44), that for a BMI of $25.0-27.4kg/m^2$ was 1.20 (95% CI, 1.00 to 1.45), that for a BMI of $27.5-29.9kg/m^2$ was 1.11 (95% CI, 0.83 to 1.47), and that for a BMI ${\geq}30.0kg/m^2$ was 1.85 (95% CI, 1.18 to 2.88). Conclusions: This study showed that both high and low BMI were associated with severe LUTS.

Implementation and Estimation of the LUTS Diagnosis System for Home Health Care (홈 헬스케어에 적용 가능한 하부요로계 폐색 모니터링 시스템 구현 및 평가)

  • Jeong Do-Un;Chung Wan-Young;Jeon Gye-Rork
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.697-700
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    • 2006
  • A sensor and measuring system were implemented to measure two signals that uroflow and urophonography during urination for diagnose the lower urinary tract symptom. The implemented system was composed of the uroflow sensor using the load-cell, the urophonography measurement sensor so as stethoscope type, pre-processing part for sensors signal detection, amplifier and filter, system control parts and PC measurement program. A simulator of the lower urinary system that is experimental equipment implemented for evaluate the implemented system. The two signals were measured using implemented system and analyzed these signal by means of time domain and frequency domain for extraction of the characteristic parameter the most influence of effect according to occlusion of the lower urinary system. Furthermore two signals were measured and analyzed with the subject of 5 healthy adult for clinical application possibility of the implemented system. As a result, the most influence bandwidth of effect according to occlusion of the lower urinary system is $253\sim282Hz$ of the urophonography signal.

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Analysis of uroflow sound for BPH Diagnosis using log-log plot methode (전립선비대증 진단을 위한 요류음 신호의 log-log plot 분석)

  • Jeong, Do-Un;Jeon, Gye-Rok
    • Proceedings of the IEEK Conference
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    • 2006.06a
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    • pp.863-864
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    • 2006
  • The aim of this study is to acquire useful information of lower urinary tract symptom(LUTS) diagnosis through urophonogaphy signal as noninvasive method. The system was implemented to measure urophonography signal, urinary volume and uroflow. The slope of the log-log plot of power spectrum density changed rapidly from $2.01{\sim}2.07$ to over 3.32 when the occlusion rate was 2 mm to 3.8 mm. This information combined with the uroflow parameters could give a useful prediction of lower urinary tract symptoms.

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Implementation of Uroflow and Urophonography Analysis System for LUTS Diagnosis (하부요로증상 진단을 위한 요속 및 요류음 분석 시스템 구현)

  • Jeon, Gye-Rok;Jeong, Do-Un
    • Journal of Biomedical Engineering Research
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    • v.31 no.4
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    • pp.302-309
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    • 2010
  • The present study proposed a method of measuring uroflow and urophonography at the same time for more accurate diagnosis in case uroflow looks normal due to compensatory function hypertrophy in the expression of early obstruction. In case of early obstruction, there happens turbulent uroflow by the obstruction even if the uroflow looks normal and thus obstruction can be detected by measuring and analyzing signal caused by turbulent flow. We implemented a system that can measure both uroflow and urophonography, and evaluated its performance. In the experiment, we observed changes in uroflow and urophonography according to artificial pressure and the degree of obstruction, and confirmed that it is possible to determine the effect of compensatory function hypertrophy by analyzing urophonographyic parameter under the same uroflow. The results of our experiment show that the effect of compensatory function hypertrophy in the early-stage obstruction of lower urinary tract, which is not detectible with uroflowmetry alone, can be assessed through urophonographic analysis.

Association between Metabolic Syndrome and Lower Urinary Tract Symptoms, Prostate Specific Antigen, and Prostate Volume: Single C enter Study (대사증후군과 하부요로증상, PSA 및 전립샘 용적과의 연관성 : 단일기관 연구)

  • Kang, Jung Hun;Kim, Yon-Min;Jeong, Jeongyun
    • Journal of radiological science and technology
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    • v.41 no.4
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    • pp.313-319
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    • 2018
  • The purpose of this study was to investigate the influence of metabolic syndrome (MS) on the lower urinary tract symptoms (LUTS), prostate specific antigen (PSA), and prostate volume in Korean men. We analyzed the data from 2654 men over the age of 40 who visited our health promotion center for regular health checkups. Of the total 2654 men, mean age, PSA level, International Prostate Symptom Score (IPSS), and prostate volume were 54.6 years, 1.21ng/ml, 6.2 points, and 27.8ml, respectively. All examinees were divided into MS group (46.5%, 1235 men) and non-MS group (53.5%, 1419). Age and prostate volume were significantly higher in the MS group. The patients were divided into three groups according to their ages: 40's, 50's, and over 60 years old. Prostate volume of the MS group in the younger age groups (40-49 years and 50-59 years) was significantly larger than that of the non-MS group. However, no difference was revealed in the age group of 60-69 years. No significant differences were found in the PSA level and LUTS between the MS and non-MS groups. In the multivariate regression analysis, central obesity was the strongest risk factor for the enlargement of prostate over 30ml among the metabolic components.

Report of Four Cases of Paljung-san on Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia (팔정산(八正散)으로 하부요로증상이 호전된 양성전립선비대증 환자 4례)

  • Song, Moon-Koo;Park, Sung-Hwan;Kang, Ji-Suck;Ahn, Young-Min;Ahn, Se-Young;Kim, Young-Ock;Lee, Byung-Cheol
    • The Journal of Korean Medicine
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    • v.31 no.1
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    • pp.153-161
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    • 2010
  • Objective: The primary objective of this study was to evaluate the effect of Paljung-san on lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH). Methods: We researched four men with BPH and LUTS, who were treated 3 times a day for 10 days with Paljung-san. The International Prostate Symptom Score (IPSS) and post void residual urine (PVR) were evaluated. Results: The mean decrease in IPSS total score was 13 points (P=0.007, Mann-Whitney test). The reduction of IPSS was more prominent in the obstructive subscore but was not significant (P=0.057, Mann-Whitney test). Furthermore, Paljung-san reduced PVR. Conclusions: After the 10-day treatment period, Paljung-san improved total IPSS score, especially in the obstructive subscale score, and reduced post void residual urine.

In Search for a Common Pathway for Health Issues in Men - the Sign of a Holmesian Deduction

  • Aoun, Fouad;Chemaly, Anthony Kallas;Albisinni, Simone;Zanaty, Marc;Roumeguere, Thierry
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.1-13
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    • 2016
  • The evidence for the existence of a common pathway for health issues in men is presented in this review. Several epidemiological studies have shown that conditions like cardiovascular diseases (CVD), metabolic syndrome, diabetes, lower urinary tract symptom (LUTS), erectile dysfunction (ED), prostate cancer, hypogonadism, depression and suicide can be associated as risk factors for each other. Thus, the risk of CVD is significantly increased in men with metabolic syndrome, ED, hypogonadism, prostate cancer and/or LUTS. In addition, the above mentioned conditions are more prevalent in atherosclerotic patients. In addition, growing evidence indicates that low androgen levels can cause metabolic syndrome. In addition, obesity, dyslipidaemia and diabetes can further reduce androgen levels potentiating their adverse effect. Low testosterone levels are also associated with a higher incidence of aggressive prostate cancer on biopsy and on definitive pathology, and lower probability of abiraterone response in the metastatic setting. Several recent studies point towards diffuse endothelial dysfunction and dysregulated pro-inflammatory state as the biological link between all these disorders. Our current hypothesis is that oxidative stress caused by these dysfunctions explains the pathogenesis of each of these conditions.

Estimation and Implementation of the Uroflowmetry Using Load Cell (로드셀을 이용한 요류검사기의 구현 및 평가)

  • Jeong, Do-Un;Cho, Seong-Taek;Nam, Ki-Gon;Chung, Moon-Kee;Jeon, Gye-Rok
    • Journal of Sensor Science and Technology
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    • v.13 no.6
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    • pp.436-445
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    • 2004
  • In this study, a uroflowmetry system was developed to detect a voiding symptom conveniently at home or hospital. A implemented hardware was composed of mechanism and system circuit part, the software was developed to process uroflow data, graph display, extraction of parameter, and evaluation of congregate rate so as to analysis obtaining uroflow data. The following experiment was performed to evaluate an ability of classification and fitness. The curve pattern of uroflow was classified into each symptom. Various parameters were calculated in the curve pattern of each uroflow as follows. The parameters are MFR, AFR, VOL, VT, and FT. A significant difference among parameters was examined by a statistical analysis for extracted parameters between normal and abnormal experimental group. The uroflow data with the various symptom was divided into normal and abnormal group using fuzzy classifier. The result of the fuzzy classification using MFR and AFR was superior by 91.23 % than grouping evaluation including VOL.