• 대한중풍순환신경학회지
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• 제23권1호
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• pp.73-84
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• 2022

■Objective The purpose of this case report is to report the effect of Korean medicine treatment on a patient with pontine infarction complaining of discomfort due to aggravated voiding dysfunction after the onset of the stroke. ■Methods The patient was hospitalized for 44 days and treated with herbal medicine, acupuncture, electroacupuncture, moxibustion, and interferential current therapy(ICT). We checked the amount of self-voided volume and postvoid residual urine volume(PVR), and asked the patient to subjectively evaluate the degree of discomfort due to voiding dysfunction. ■Results After 44 days of hospitalization, the patient responded that the subjective discomfort due to residual urine remained 30% and delayed urine remained 50% compared to the day of admission. The maximum amount of PVR was 234 ml on the 3^rd day, and the minimum amount of PVR was checked on 25^th and 35^th day as 0 ml. ■Conclusions This study suggests that Korean medicine treatment may be effective in the treatment of voiding dysfunction after stroke.

• 대한한방내과학회지
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• 제44권5호
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• pp.1041-1049
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• 2023

Objectives: The aim of this study is to describe the effects of treatment with traditional Korean medicine on a patient with voiding dysfunction caused by cerebral infarction. Methods: The patient was treated with herbal medicine, moxibustion, acupuncture, and electroacupuncture. The effects of these treatments were evaluated using the Korean version of the Modified Barthel Index and a post-void residual volume. Results: In this study, the Korean medicine Dangguishaoyao-san-hap-Jeoryeong-tang resulted in improvements in this patient with post-stroke urinary retention and successful removal of the indwelling catheter. Conclusion: The results suggest that traditional Korean medicine may be effective in ameliorating dysfunction caused by cerebral infarction.

• Childhood Kidney Diseases
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• 제7권2호
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• pp.174-180
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• 2003

목적 : 불안정 방광은 소아에서 원발성 방광 요관역류를 생성하고 지속시키는 원인으로 알려져 있다. 따라서 불안정 방광의 치료제인 항콜린제의 사용은 일차성 방광요관역류의 자연 소실율을 증가시킬 수 있으나 논쟁의 여지가 있어왔다. 저자들은 항콜린제인 옥시부티닌이 소변 가리기 훈련과 배뇨 증상이 각기 다른 소아에서 원발성 방광요관역류의 소실에 미치는 영향을 조사하고자 하였다. 방법 : 1996년 10월부터 2002년 4월까지 이화의대 목동병원에 요로 감염으로 입원한 후 방광요관역류가 발견되고 1년 후 추적 검사에서도 소실되지 않은 152명을 대상으로 하였다. 옥시부티닌군(59명)은 옥시부티닌과 trimethoprim-sulfamethoxazole을, 대조군(93명)은 trimethoprim-sulfamethoxazole만을 투약했다. 방광요관역류의 소실율을 나이, 소변 가리기 및 배뇨 장애 유무에 따라 구분하여 분석하였다. 통계 분석은 Chisquare test를 이용하였고 P-값이 0.05 미만을 유의한 것으로 간주하였다. 결과 : 방광요관역류의 변화는 옥시부티닌군(59명)에서 소실 49.2%, 호전 20.3%, 무변화 30.5%로 대조군(93명)의 45.2%, 16.1%, 38.7%와 비교해 유의한 차이는 없었다. 소변을 가리지 못하는 영유아에서 방광요관역류의 변화는 옥시부티닌군(34명)에서 소실 50.0%, 호전 23.5%, 무변화 26.5%로 대조군(52명)의 44.2%, 19.2%, 36.6%와 비교해 유의한 차이는 없었다. 소변을 가리는 소아에서 방광요관역류의 변화는 옥시부티닌군(25명)에서는 소실 48.0%, 호전 16.0%, 무변화 36.0%로 대조군(41명)의 46.3%, 12.2%, 41.5%와 비교해 유의한 차이는 없었다. 소변을 가리고 배뇨 장애도 없는 연장아에서 방광요관역류의 변화는 옥시부티닌군(9명)에서 소실 33.3%, 호전11.1%, 무변화 55.6%로 대조군(28명)의 53.6%, 10.7%, 35.7%와 비교해 유의한 차이는 없었다. 소변을 가리나 배뇨 장애를 보이는 연장아에서 방광요관역류의 변화는 옥시부티닌군(16명)에서는 소실 56.3%, 호전 18.7%, 무변화 25.0%로 대조군(13명)의 30.7%, 15.4%, 53.9%와 비교해 소실되는 경향이나 유의한 차이는 없었다. 결론 : 옥시부티닌은 소변 가리기나 배뇨 장애와 관계없이 모든 소아에서 역류의 소실율에 미치는 치료 효과가 없었다. 배뇨 장애를 보이는 연장아에서는 역류의 소실율이 약간 증가되는 경향이 있었으나 유의하지 않았다. 원발성 방광요관역류에서 옥시부티닌은 배뇨 장애를 보이는 일부 연장아에서 신중하게 사용되어져야 할 것으로 생각된다.

• 대한중풍순환신경학회지
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• 제19권1호
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• pp.1-8
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• 2018

■ Objectives The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with poststroke urinary retention ■ Methods A stroke patient with urinary retention was treated with herbal medication(Paljungsan), acupuncture, electro-acupuncture and moxibustion. To evaluate the effect of TKM on post-stroke urinary retention, we observed voiding pattern and residual urine after voiding. ■ Results Maintenance of regular self voiding and decrease of residual urine after voiding were observed after the TKM treatment. ■ Conclusion This study showed the effect of TKM treatment on Urinary retention of stroke patient.

• 대한한방소아과학회지
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• 제18권2호
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• pp.77-91
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• 2004

Objectives : In evaluating a child with enuresis, an organized approach to the history leads to a working diagnosis and an appropriate treatment plan. but, there's no study about history taking in enuretic children. This article was undertaken to evaluate the enuretic child exactly and to study nocturnal enuresis systematically. Methods : It was conducted a computerized literature search in following database: Medline (via Pubmed), NDSL, EBSCO. Korean articles via oriental pediatric association homepage, KISS. Key words to search were 'nocturnal enuresis', 'bedwetting', 'enuresis', 'incontinence', 'management', 'evaluation', 'assessment', 'questionnaire', 'guideline', 'voiding dysfunction'. Results : Questions are grouped in eight categories: primary history(sex, age, height, weight), family history, enuresis history(primary/secondary, frequency, time of enuresis, nocturia), voiding history(average number, frequency, pattern, volume, posture, daytime enuresis), medical history, constipation/encopresis, sleep(OSA). Conclusion : A careful, complete history taking will help to plan treatment properly and to study.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
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• pp.301-302
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• 2015

본 연구는 출혈성 뇌졸중 환자의 배뇨장애 관련요인을 파악하기 위한 후향적 연구로서 환자의 나이와 출혈 부위는 배뇨장애와 관련성이 없었으며 출혈량이 많을수록, 입원기간이 길수록, 유치도뇨 기간이 길수록 GCS점수가 낮을수록 배뇨장애가 있는 것으로 나타났으나 배뇨장애에 영향을 미치는 요인으로는 유치도뇨 유지기간만이 유의하였으며, 유치도뇨 기간이 1일씩 늘어날 때마다 배뇨장애가 발생할 확률은 1.18배씩 늘어나는 것으로 나타났다.

• 대한약침학회지
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• 제13권1호
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• pp.129-144
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• 2010

Objective : Traumatic lumbar burst fracture causes significant spinal cord injury. This report is intended to estimate the efficacy using oriental treatment on a patient with lumbar burst fracture and spinal cord injury. Methods : From 21th December, 2009 to 5th February, 2010, 1 female inpatient diagnosed with lumbar burst fracture and spinal cord injury was treated with general oriental medicine therapy : mae-sun therapy ; acupuncture ; moxibustion ; pharmacopuncture ; physical therapy and herbal medication. TUG, SCIMII and VAS were used for evaluation of gait disturbance and pain in both feet. Measurement of self voiding amount and remaining amount through CIC was used for evaluation of neurogenic vesical dysfunction. Results : The patient showed a certain degree of improvement in gait disturbance, pain in both feet and neurogenic vesical dysfunction through above evaluation methods. Conclusion : Oriental treatments such as mae-sun therapy, acupuncture and moxibustion therapy, pharmacopuncture therapy and herbal medication can be effective for spinal cord injury due to traumatic lumbar burst fracture.

• Archives of Plastic Surgery
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• 제33권4호
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• pp.514-517
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• 2006

Purpose: To report a rare case of concealed penis that was aggravated by circumcision and simple way of treatment using skin flap. The concealed penis is a primarily pediatric disease and is usually treated by urologists. The plastic surgeons tend to see these patients when it become secondary deformation or in conjoinment with other specialties. In such situation, the plastic surgeons do not have many experiences. Methods: A 3-year-old boy was admitted with aggravated concealed penis after circumcision in congenital webbed penis. Patient had been operated with scar revision and skin flap and peri operative antibiotics. Results: The patient recovered well without any complication such as infection, hematoma and necrosis of flap. Patient was discharged POD#7 with remaining sutures. Patient was followed up for 7 months and he has no sign of erectile dysfunction, voiding dysfunction and evidence of inflammation of the urinary system. Conclusion: We experienced a case of concealed penis that was aggravated from aggressive circumcision in congenital webbed penis.

• The Korean Journal of Pain
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• 제9권2호
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• pp.412-414
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• 1996

Herpes zoster is an infection by the varicella zoster virus in a partly immune compromised person such as old age, cancer, immune deficiency disease. When either the upper lumbar or sacral segments are involved, serious urinary retention caused by central spread of herpes zoster from dorsal root ganglion can occur. The urinary disturbance appears to have been due to motor dysfunction of detrusor muscle, trigone muscle, and internal sphincter. We experienced two cases of zoster affecting different segments of the spinal cord and resulting in urinary retention.

• Childhood Kidney Diseases
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• 제19권1호
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• pp.1-7
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• 2015

Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.