• Title/Summary/Keyword: lower urinary tract symptom

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Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report (근치적 전립선 절제술 후 발생한 하부요로증상의 근막 트리거 포인트 침치료를 병행한 한의치료 1례)

  • Lee Jin Kwang
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.240-250
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    • 2024
  • Objectives: The purpose of this study is to report a case of Korean medicine treatment accompaning myofascial trigger-point accupuncture for severe & persistent lower urinary tract symptoms after radical prostatectomy. Materials and Methods: A prostate cancer patient with severe & persistent lower urinary tract symptoms after radical prostatectomy conducted 26 months ago, was treated with Korean medicine accompaning myofascial trigger-point accupuncture. The International Prostate Symptom Score(IPSS), the IPSS Quality of Life(IPSS-QoL) and the Overactive Bladder Symptom Score(OABSS) questionaires were administered to evaluate the effect of treatment for lower urinary tract symptoms. Results: After 5 month treatment with Korean medicine accompaning myofascial trigger-point accupuncture, IPSS, IPSS-QoL and OABSS progressed from 28 to 8, from 5 to 2 and from 12 to 4 respectively. Conclusion: This case study suggests that Korean medicine accompaning myofascial trigger-point accupuncture may contribute to treat severe & persistent lower urinary tract symptoms after radical prostatectomy.

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.

The Effect of Pelvic Floor Muscle Exercise Program on Pelvic Floor Muscle Strength and Lower Urinary Tract Symptom of Women with Urinary Incontinence after Stroke (골반저근운동프로그램이 뇌졸중 후 요실금이 있는 여성의 골반저근력과 하부요로증상에 미치는 효과)

  • Choi, Se-Jong;Lee, Yong-Woo;Song, Chang-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.203-210
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    • 2010
  • Purpose : The purpose of this study was to evaluate the effect of Pelvic Floor Muscle Exercise(PFME) in women with urinary incontinence (UI) after ischemic stroke. Methods : Thirty women were divided into two groups by randomly Experimental Group(15 subject) and Control Group(15 subject) in a single blinded, randomised study. Experimental Group was conducted for the 6-weeks PFME program and had a structured training program for 60 minutes, 3 days per week and they were encouraged to PFME at home seven days for a period of 6weeks. They were measured by questionnaire of urinary symptoms and perineometry. Results : A significant improvement in pelvic floor muscle strength and lower urinary tract symptom was also demonstrated within the Treatment Group(p<.05), but not in the Control Group. Conclusion : PFME program had a significant effect in women with UI after stroke measured by pelvic floor muscle strength and lower urinary tract symptom.

Implementation and estimation of the noninvasive vesical pressure measurement system for diagnosis of lower urinary tract symptom (하부요로 폐색진단을 위한 비침습적 방광내압 계측 시스템의 구현 및 평가)

  • Jeong, Do-Un;Jeon, Gye-Rok
    • Journal of Sensor Science and Technology
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    • v.15 no.2
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    • pp.139-147
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    • 2006
  • Lower urinary tract symptoms (LUTS) affect self-assessed quality of life. The prevalence of LUTS is commonly high in the elderly. The purpose of urodynamic investigation is to obtain information on the function of the urinary system. One of the most frequently used measurement procedures in urodynamics is filling and voiding cystometry. But in this system transurethral catheter is used and it makes patients uncomfortable. The aim of this study is to implement the system that could evaluate noninvasively the function of urinary tract. A new system has been developed to analyze urine flow rate and vesical pressure during voiding. These signals were recorded simultaneously and transmitted to a PC. For system evaluation, a model for the lower urinary system of men was constructed. From the evaluation of the model, vesical pressure was correlated with the occlusion degree. In a pilot study with five male subjects, maximum of standard deviation was 1.26, error rate was 3.49 and coefficient of variation was 3.48.

Affecting Variables on Subjective Memory Impairment in the Elderly with Benign Prostatic Hyperplasia (전립선비대증 노인의 주관적 기억장애 영향요인)

  • Kim, Jee-won;Choi, Soon-Ock
    • 한국노년학
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    • v.38 no.4
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    • pp.853-869
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    • 2018
  • This study aimed to investigate variables affecting subjective memory impairment in the elderly with benign prostatic hyperplasia. We used 179 survey data collected from the urology department of two metropolitan general hospitals. The subjects were patients with benign prostatic hyperplasia. T-test, one-way analysis of variance, and $Scheff{\acute{e}}^{\prime}s$ test were performed to identify differences among variables. Pearson's correlation-coefficient and stepwise multiple regression were used to identify variables that affect subjective memory impairment. This study revealed that lower urinary tract symptom and activities of daily living were statistically significant variables, with an explanatory power of 30.0%. The lower urinary tract symptom was due to the benign prostatic hyperplasia increasing the risk of subjective memory impairment. Treatment of the lower urinary tract symptom was delayed because as the elderly got older, they increasingly recognized benign prostatic hyperplasia as a reasonable symptom. Timely intervention and early screening are necessary to prevent lower urinary tract symptom. Finally, programs to reduce the incidence of lower urinary tract symptom and educate nurses to assess, evaluate, perform intervention for subjective memory impairment should be developed.

Estimation of compensatory hypertrophy in lower urinary system using void force measurement (배뇨력 측정을 통한 하부요로계의 보상성기능항진 평가)

  • Jeong, Do-Un;Jeon, Gye-Rok
    • Journal of Sensor Science and Technology
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    • v.15 no.6
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    • pp.449-456
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    • 2006
  • The purpose of urodynamic investigation is to obtain the information on the function of the urinary system. The aim of this study is to acquire the useful information of lower urinary tract symptom (LUTS) diagnosis through void force signal as noninvasive method. The system which could evaluate the function of compensatory hypertrophy with noninvasive and comfortable method was implemented to measure uroflow and void force during urination. The implemented system composes of the sensor parts, signal conditioning parts and PC monitoring program. For the evaluation of the implemented system, the simulation of control part of the system was performed and the model system for the lower urinary system was designed. The superiority of a measuring characteristic of the implemented system was verified using the model system. From the evaluation of the model system, we have found out that the void force was dependent on the occlusion degree and compensatory hypertrophy significantly.

A Study on Physiological Index, Anxiety and Depression by the Severity of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia (전립선비대증 환자의 하부요로증상의 중증도에 따른 생리학적 지수 및 불안, 우울)

  • Kim, Jung Kyoun;Kim, Jin Bum;Song, Min Sun
    • Journal of Korean Biological Nursing Science
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    • v.18 no.3
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    • pp.127-134
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    • 2016
  • Purpose: The purpose of this study was to investigate the physiological index, anxiety and depression by the severity of lower urinary tract symptoms in patients with benign prostatic hyperplasia. Methods: This research was conducted from the 4th to the 27th of May in 2016 on112 patients with benign prostatic hyperplasia. The data were analyzed using a chi-square test, ANOVA, and Pearson Correlation Coefficients. Results: The results demonstrated a difference depending on the dysuria period of each lower urinary tract symptom, marital status, occupation and perceived health state of the patient. The physiological index by lower urinary tract symptoms showed a difference in the maximum flow rate, amount of post-void residual urine and Prostate-Specific Antigen (PSA), and anxiety and depression factors also revealed a difference. Lower urinary tract symptoms showed a positive correlation to the amount of post voided residual urine and PSA, a negative correlation to the maximum flow rate and also indicated a positive correlation to depression. Conclusion: The results of the study belonging to the moderate and severe categories were high when the result was based on the categorization of subjects with benign prostatic hyperplasia with lower urinary tract symptoms. Considering that depression levels increase as the symptom intensifies and the anxiety score is also high with mild symptoms, psychological support intervention is needed when a pattern of benign prostatic hyperplasia appears.

Four Cases Report of the Female Lower Urinary Tract Infection with Oryeong-san (오령산(五苓散)으로 호전된 여성 하부 요로감염증 환자 치험 4례)

  • Jung, Eun-Hye;Yoo, Jeong-Eun;Choi, Kyung-Hee;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.134-143
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    • 2012
  • Purpose: This paper aims to report the effects of Oryeong-san on lower urinary tract infection. Methods: Four women were admitted to Dunsan Oriental Hospital with chief complaint that was not supposed to be a symptom of urinary tract infection. During the admission, urine test showed pyuria with white blood cell and their chief complain also accompanied. We prescribed Oryeong-san three times a day, and then took follow-up 4 days later. Results: After treatment, symptoms of lower urinary tract infection were decreased and the results of urine test improved also. Conclusions: These cases indicate that Oryeong-san is effective in treatment of the lower urinary tract infection.

Three Cases of Severe Female Urination Disorder Treated with HongYi Pharmacopuncture (홍의약침을 단독 시술한 중증 여성 배뇨장애환자 치험 3례)

  • Hwang, Yun-kyeong;Kim, Won-ill
    • The Journal of Internal Korean Medicine
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    • v.39 no.1
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    • pp.69-75
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    • 2018
  • Objectives: This study was designed to report the effect of HongYi pharmacopuncture on three cases of severe female urinary disorder. Method: Patients were treated with HongYi pharmacopuncture alone for 4 weeks. The effect of treatment was assessed through scores obtained using International Prostate Symptom Score (IPSS) and International Consultation on Incontinence Modular Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS). Result: After treatment, urinary symptoms, and the scores of IPSS and ICIQ-FLUTS were improved in all of the patients. Conclusion: HongYi pharmacopuncture shows a significant beneficial effect on female urination disorder. Further well-designed, controlled studies and more cases are needed to define the effect of HongYi pharmacopuncture.

Frequency domain analysis of the urophonography for LUTS diagnosis (하부요로 폐색 진단을 위한 요류음 주파수 분석)

  • Jeong, Do-Un;Jeon, Gye-Rok
    • Journal of Sensor Science and Technology
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    • v.16 no.3
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    • pp.202-210
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    • 2007
  • The aim of this study is to acquire useful information of lower urinary tract symptom (LUTS) diagnosis through urophonography signal as a noninvasive method. The hardware and software which could evaluate the function of compensatory hypertrophy with noninvasive and comfortable method was implemented to measure uroflow and urophonography signal during urination. The PSD (power spectrum density) and the log-log plot gradient analysis were accomplished in frequency domain. For evaluation of the system and analysis method, a model system for the lower urinary system of men was used. From the evaluation of the model system, the PDS and the log-log plot gradient were dependent on the occlusion degree significantly. In a pilot study on normal and abnormal male subjects, the PSD and the log-log plot gradient were highly correlated with the artificial urethral obstruction.