• 제목/요약/키워드: IPSS(International Prostate Symptom Score)

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

  • 이진광
    • 대한한의학회지
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    • 제45권1호
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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.

Cumulative Probability of Prostate Cancer Detection Using the International Prostate Symptom Score in a Prostate-specific Antigen-based Population Screening Program in Japan

  • Kitagawa, Yasuhide;Urata, Satoko;Narimoto, Kazutaka;Nakagawa, Tomomi;Izumi, Kouji;Kadono, Yoshifumi;Konaka, Hiroyuki;Mizokami, Atsushi;Namiki, Mikio
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7079-7083
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    • 2014
  • The International Prostate Symptom Score (IPSS) is often used as an interview sheet for assessing lower urinary tract symptoms (LUTS) at the time of prostate-specific antigen (PSA) testing during population-based screening for prostate cancer. However, the relationship between prostate cancer detection and LUTS status remains controversial. To elucidate this relationship, the cumulative probability of prostate cancer detection using IPSS in biopsy samples from patients categorized by serum PSA levels was investigated. The clinical characteristics of prostate cancer detected using IPSS during screening were also investigated. A total of 1,739 men aged 54-75 years with elevated serum PSA levels who completed the IPSS questionnaire during the initial population screening in Kanazawa City, Japan and underwent systematic transrectal ultrasonography-guided prostate biopsy between 2000 and 2013 were enrolled in the present study. Of the 1,739 men, 544 (31.3%) were diagnosed with prostate cancer during the observation period. The probability of cancer detection at 3 years in the entire study population was 27.4% and 32.7% for men with $IPSS{\leq}7$ and those with $IPSS{\geq}8$, respectively; there was no statistically significant difference between groups. In men with serum PSA levels of 6.1 to 12.0ng/mL at initial screening, the probability of cancer detection was significantly higher in men with $IPSS{\leq}7$ than in those with $IPSS{\geq}8$. There were no significant differences in clinical characteristics between groups of patients stratified by IPSS. These findings indicate that the use of IPSS for LUTS status evaluation may be useful for prostate cancer detection in the limited range of serum PSA levels.

골반통 및 배뇨곤란을 주소로 하는 전립선염 환자의 경근자법 치험례 (Effect of Meridian Tendino-musculature Acupuncture on a Patient with Chronic Prostatitis)

  • 이지인;강미숙
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.223-232
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    • 2014
  • Objectives : The objective of this study was to report a effectiveness of meridian tendino-musculature acupuncture on the pelvic pain and dysuria in a patient with chronic prostatitis. Methods : A patient with Pelvic pain and Dysuria was treated with acupuncture and moxibustion. Before and After treatment we measured International Prostate Symptom Score(IPSS), National Institutes of Health-Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS). Results : International Prostate Symptom Score(IPSS), National Institutes of Health -Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS) scores were decreased considerably after 14 times treatment. Conclusions : It was suggesting that symptoms(pelvic pain and dysuria) of chronic prostatitis could be improved by acupuncture and moxibustion treatment in the view of the meridian tendino- musculature acupuncture.

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

  • 황윤경;김원일
    • 대한한방내과학회지
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    • 제39권1호
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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.

홍의약침의 단독사용으로 호전된 여성의 배뇨장애 환자 5례에 대한 보고 (Clinical Study for Five Cases of Women with Urinary Disturbance by HongYi Pharmacopuncture as a Single Therapy)

  • 한상겸;장세란;김동철
    • 대한한방부인과학회지
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    • 제29권4호
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    • pp.13-23
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    • 2016
  • Objectives: This study reports the effects of HongYi (Formica yessensis) pharmacopuncture on the women voiding dysfunction patients. Methods: The women patients who complain of voiding dysfunction were treated with HongYi pharmacopuncture for ten times. We measured the international prostate symptom score (IPSS) for five times and analyzed. Results: After treatment with HongYi pharmacopuncture for ten times, the IPSS was improved in all of the patients. Complaints of voiding dysfunction was reduced and other symptoms also improved. Conclusions: HongYi pharmacopuncture is effective on women patients complaining of urinary disturbance.

여성의 배뇨장애에 대한 홍의약침의 치료효과 증례 3례 (Clinical Effects of HongYi Pharmacopuncture on Women with Urinary Disturbance: A Three-case Report)

  • 이보람;황윤경;정택근;김원일
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.196-201
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    • 2016
  • Objective: This study reports on the effects of HongYi (red ant, or Formica rufa Linne) pharmacopuncture through three cases involving female patients with voiding difficulty.Method: We treated the three patients with HongYi pharmacopuncture and evaluated them using the international prostate symptom score (IPSS), which is used for measuring the severity of voiding difficulty.Result: After treatment, the IPSS showed improvement in each patient. The symptoms of voiding difficulty and other complaints also improved.Conclusion: Based on the three cases, HongYi pharmacopuncture may be a viable option for treating voiding difficulty among women.

전립선비대증 환자의 수면장애 융합적 영향요인 (Convergence Factors Influencing Sleep Disturbance of Benign Prostate Hyperplasia Patients)

  • 안민권
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.179-187
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    • 2017
  • 본 연구의 목적은 국내 전립선비대증 환자의 수면장애 영향요인을 규명하기 위함이다. 훈련된 연구보조원이 J시의 164명 전립선비대증 환자에게 문장을 설명하고 읽어주어 질문지를 작성하였다. 질문지는 전립선비대증상, 불안, 우울, 수면장애로 구성되었다. 수면장애는 소득, 규칙적인 운동 및 질병의 수에 따라 통계적으로 유의한 차이가 있었다. 수면장애와 전립선비대증상(r=.45, p<.001), 불안(r=.59, p<.001), 우울(r=.42, p<.001)간에 통계적으로 유의한 상관관계가 있었다. 수면장애 영향요인은 불안(${\beta}=.41$, p<.001), 소득(${\beta}=-.36$, p<.001), 전립선비대증상(${\beta}=.28$, p=.021)이었다. 이들 변수는 수면장애에 대해 41.2%의 설명력을 보였다. 이와 같은 연구결과는 전립선비대증 환자의 수면장애를 줄이기 위해 전립선비대증상과 불안의 융합적 관련성을 고려한 관리 전략 개발의 기초자료로 활용할 수 있다.

전침 및 봉약침치료를 시술한 양성전립선비대증 환자의 임상증상개선에 대한 후향적 단면연구 (A Retrospective and Cross-sectional Study on Symptom Improvements in Benign Prostatic Hyperplasia Patients Treated with Electroacupuncture and Bee Venom Acupuncture)

  • 박성환;한수련;강지석;안영민;안세영;이혜정;이병철
    • 대한한방내과학회지
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    • 제31권3호
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    • pp.437-447
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    • 2010
  • Obejectives : To investigate the clinical effect of electroacupuncture and bee venom acupuncture for benign prostatic hyperplasia(BPH) symptoms. Methods : Among 39 outpatients who were treated at a BPH clinic, 8 were finally selected for analysis by charts-review, retrospectively. They were treated by electroacupuncture and bee venom acupuncture more than 3 times. We estimated the effectiveness of the treatments by using the International Prostate Symptom Score (IPSS) questionnaire and checking their nocturia frequency. On the basis of these variables, we analyzed the statistical significations of symptom improvements. Results : Among 8 patients, the IPSS and nocturia frequency showed significant improvement after the final treatment compared with baseline (P = .0078, P = .0078). The IPSS significantly decreased even after the 1st treatment and also after the 2nd treatment compared with the baseline (P = .0078, P = .0078). The IPSS at post final-treatment, post 1st- and post 2nd treatment also showed significant improvement compared with IPSS at baseline in 6 severe symptomatic patients(P = .031, P = .031, P = .031). Nocturia frequency decreased after the 1st treatment compared with baseline and showed significant improvement between baseline and post 2nd treatment (P = .0078). Conclusions : In a retrospective and cross-sectional study investigating the clinical effects of electroacupuncture and bee venom acupuncture on BPH, these treatments proved to have significant therapeutic effects, particularly for various symptoms involving frequent nocturia.

열증으로 변증된 배뇨곤란 환자의 자신환 치험 3례 (Three Case Reports of Urinary Disturbance as Heat Syndrome Treated with Jasin-hwan)

  • 김태용;오민규;신현수;한종현;박준범
    • 대한한방내과학회지
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    • 제27권4호
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    • pp.927-935
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    • 2006
  • Urinary disturbance is deficit in volitional control of voiding. Stroke can cause temporary or permanent urinary disturbance. The purpose of this study was to confirm the effect of Jasin-hwan on urinary disturbance as heat syndrome. This study was carried out on 3 patients with urinary disturbance caused by stroke. We measured components of IPSS (international prostate symptom score) at pre-treatment and post-treatment. After prescribing medication to the patients, symptoms improved rapidly within three weeks. These results support that Jasin-hwan is effective in reduction of urinary disturbance as heat syndrome.

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전립선암 노인 환자의 하부요로증상 (Lower Urinary Tract Symptoms of Elderly Prostate Cancer Patients)

  • 조옥희;유양숙;차경숙;김명완
    • 가정∙방문간호학회지
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    • 제18권2호
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    • pp.126-132
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    • 2011
  • Purpose: The purpose of this study was to investigate the degree of LUTS (Lower Urinary Tract Symptoms) and factors affecting LUTS in patients with prostate cancer. Methods: Fifty-four patients with prostate cancer participated and they completed a structured questionnaire at a hospital in Seoul. The LUTS level was measured by using the International prostate symptom score (1992) and the data were analyzed by Wilcoxon rank sum test and Kurskal-Wallis test. Results: Most subjects obtained a higher than moderate LUTS score. The participants who had a lower perceived health status and did not drink alcohol were more likely to had a lower LUTS score than other patients who had higher perceived health status and drink alcohol. In addition, eye diseases were significantly associated with the LUTS score. In LUTS, all the patients received higher IPSS-QOL (International prostate symptom score quality of life) and frequency, nocturia. Conclusion: For proper nursing care related to LUTS, nurses should focus on the factors identified when performing nursing assessments and should develop nursing intervention programs for symptoms management.

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