• 대한의용생체공학회:의공학회지
• /
• 제28권4호
• /
• pp.577-584
• /
• 2007

Uroflowmetry is non-invasive and easily performed to diagnose benign prostatic hypertrophy(BPH) frequent in aged men. Weight change during urination is usually measured to estimate the urinary flow rate by a load cell, but sensitive to any impacts against the bottom of the container, leading to unnecessary noise generation. Moreover, load cells are relatively expensive raising the production cost. The present study proposed a new technique, measuring hydraulic pressure on the bottom of the urine container to evaluate the urinary volume. Low cost pressure transducer enabled almost perfectly linear relationship between the urine volume and the hydraulic pressure. During both the simulated and human urination experiments, variance of the pressure signal was more than 50% smaller than the weight signal acquired by a load cell, which demonstrated that the impact noise was decreased to a great degree by pressure compared to weight measurement.

• Nutrition Research and Practice
• /
• 제12권5호
• /
• pp.378-386
• /
• 2018

BACKGROUND/OBJECTIVES: Benign prostatic hypertrophy (BPH) is a major cause of abnormal overgrowth of the prostate mainly in the elderly. Corni Fructus has been reported to be effective in the prevention and treatment of various diseases because of its strong antioxidant effect, but its efficacy against BPH is not yet known. This study was designed to evaluate the therapeutic efficacy of Corni Fructus water extract (CF) in testosterone-induced BPH rats. MATERIALS/METHODS: To induce BPH, rats were intraperitoneal injected with testosterone propionate (TP). Rats in the treatment group were orally administered with CF with TP injection, and finasteride, which is a selective inhibitor of $5{\alpha}$-reductase type 2, was used as a positive control. RESULTS: Our results showed that the increased prostate weight and histopathological changes in BPH model rats were suppressed by CF treatment. CF, similar to the finasteride-treated group, decreased the levels of testosterone and dihydrotestosterone by TP treatment in the serum, and it also reduced $5{\alpha}$-reductase expression and concentration in prostate tissue and serum, respectively. In addition, CF significantly blocked the expression of the androgen receptor (AR), AR co-activators, and proliferating cell nuclear antigen in BPH rats, and this blocking was associated with a decrease in prostate-specific antigen levels in serum and prostate tissue. CONCLUSIONS: These results suggest that CF may weaken the BPH status through the inactivation of at least $5{\alpha}$-reductase and AR activity and may be useful for the clinical treatment of BPH.

• 생명과학회지
• /
• 제28권12호
• /
• pp.1507-1515
• /
• 2018

노년기 비뇨기 계통에 가장 흔한 증상의 하나인 전립선 비대증은 요도를 둘러싼 전립선의 주위의 평활근과 상피세포의 과다 증식에 의한 것이다. 산수유는 강력한 항산화 효과로 인하여 다양한 질병의 예방 및 치료에 효과적이라고 보고되었지만 전립선 비대증에 대한 효능은 아직 알려지지 않았다. 본 연구에서는 산수유 열수 추출물이 testosterone에 의하여 유도되는 전립선 비대증에 미치는 영향을 조사하였다. 실험동물 내재성 testosterone의 영향을 배제하기 위해 거세를 하였으며, 전립선 비대증을 유도하기 위해, testosterone propionate (TP)를 피하 주사하였다. 산수유 추출물은 TP 주입과 함께 매일 경구 투여하였고, $5{\alpha}$-reductase type 2의 선택적 억제제인 finasteride를 양성 대조군으로 사용하였다. 본 연구의 결과에 의하면, 산수유 추출물 투여군에서는 finasteride 처리군에서와 마찬가지로 혈청 내 dihydrotestosterone 농도가 억제되었으며 전립선 무게 증가와 조직병리학적 변화가 유의하게 감소되었다. 산수유 추출물은 또한 전립선 조직 및 혈청에서 각각 TP에 의해 증가된 $5{\alpha}$-reductase type 2의 발현 및 농도를 유의적으로 억제하였다. 아울러 산수유 추출물은 TP에 의하여 유도된 AR, AR의 co-activator 및 세포증식 마커 단백질들의 발현 증가뿐 만 아니라 prostate-specific antigen의 수치와 발현도 감소시켰다. 결론적으로 산수유 추출물은 전립선 비대억제를 위한 식의약 소재로서의 개발 가능성이 매우 높음을 의미한다.

• Journal of Yeungnam Medical Science
• /
• 제5권1호
• /
• pp.101-104
• /
• 1988

외요도구를 통한 Foley catheter의 유치는 거의 대부분의 경뇨도적 내시경 수술 후 필수적으로 행하는 술기이다. 그러나 가끔, 특히 심한 요도손상을 입힌 경우나 요도에 false tract가 생긴 때에는 통상의 방법으로 Foley catheter의 외요도구를 통한 방광내로의 유치가 곤란하며 또한 심한 손상을 초래할 위험이 많다. 저자는 guide wire를 이용한 새롭고 안전한 요도 catheter의 유치방법을 고안하여 1986년 9월부터 1988년 6월 까지 요도협착으로 입원하여 internal urethrotomy를 받은 후 Foley catheter의 유치가 곤란하였던 7명의 환자 및 경뇨도전립선절제술후 Foley catheter의 삽입이 곤란하였던 3명의 환자에게 각각 시행하여 전례에서 성공하였다.

• 한국시뮬레이션학회:학술대회논문집
• /
• 한국시뮬레이션학회 2005년도 춘계학술대회 논문집
• /
• pp.154-159
• /
• 2005

In this paper, We used the microphone unlike existing urodynamic inspection which diagnoses the LUTS(lower urinary tract symptoms) and proposed sound measurement the method which the urination happens and apply at a blockade diagnosis. To analyze the blockade degree, We made the experiment set to modeling the Lower Urinry System of the human body and made the microphone of the stethoscope form for the measurement of the urinary sound which the urination happens. We used PC for the analysis of the urinary sound to be measured and implemented the analysis program to use the MATLAB. Hereafter, An analysis result usage, The Practical use will be possible as one of new inspection methods's.

• 생명과학회지
• /
• 제29권6호
• /
• pp.705-711
• /
• 2019

본 연구는 전립선비대증이 노화 및 남성호르몬 과다분비로 인해 유발된다는 가설을 바탕으로 순화기간을 마친 12주령이 된 수컷 쥐에 testosterone을 30일간 피하주사하여 노화 및 testosterone 분비 증가로 인한 전립선비대증 유발 모델 rat을 제작하였다. 실험군은 총 4군으로 각 군당 10마리씩 정상군(N 군), 음성대조군(DO 군), 어성초 추출물 투여군(HO 군) 및 양성물질 finasteride 투여군(FO 군)으로 나누어서 진행하였다. 고환절제술을 한 후 testosterone을 투여한 결과 N군에 비해 나머지 세 군, DO, HO 및 FO군 모두에서 체중이 유의적으로 감소하였다. 전립선의 부피는 N군에 비해서 DO군에서 유의적으로 증가하였으며, HO군과 FO군에서는 DO군에 비해 유의적으로 감소되는 경향을 나타내었다. 전립선의 무게 또한 HO군 및 FO군에서 DO군에 비해 유의적으로 감소되었다. 체중 당 전립선의 비율은 N군에 비해 DO군, HO군 및 FO군에서 유의적으로 증가하였으며, 특히 DO군에 비해 HO 및 FO군은 각각 유의적인 감소를 나타내었다. 혈중 testosterone 및 DHT의 농도는 N군에 비해 모든 군에서 유의적으로 증가되었으나, DO군에서 증가된 혈중 testosterone 및 DHT의 농도는 어성초 추출물 및 finasteride의 공급으로 유의적으로 감소되는 경향이었다. 어성초 추출물의 공급으로 인한 조직병리학적 변화양상을 관찰한 결과 어성초추출물 공급군에서는 DO군에 비해 상피세포, acinar gland, 관상피 세포, 세포핵, 분비선들의 변형 및 위축이 감소하여 정상적인 형태를 나타내고, 양성대조군으로 사용된 finasteride 처리군의 형상과 비슷한 양상을 나타내었다. 어성초 추출물에 대한 이러한 효과는 향후 분자생물학적으로 기전연구들이 더욱 필요하지만 본 결과로 미루어 어성초 추출물 내 함유된 다양한 페놀 및 플라보노이드와 같은 생리활성 성분들은 지금까지 알려져 있던 발모 및 여드름 개선뿐만 아니라 이와 유사한 기전을 가지고 있는 전립선비대증 개선에도 효과적으로 기여할 수 있을 것이라 기대된다.

• 대한한방내과학회지
• /
• 제39권3호
• /
• pp.372-388
• /
• 2018

Objective: This study evaluates the effectiveness and safety of moxibustion for benign prostatic hyperplasia (BPH). Methods: Using the keywords "benign prostatic hyperplasia", "benign prostatic hypertrophy", "benign prostatic enlargement", "prostatic hyperplasia", and "moxibustion", we searched papers in numerous databases, including National Discovery for Science Leaders (NDSL), Korean Traditional Knowledge Portal (KTKP), Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), PubMed, Embase, and CENTRAL. The search range included randomized controlled trials (RCTs). Papers not matched with inclusion criteria were excluded. The methodological quality of each RCT was assessed using the Cochrane risk-of-bias tool. Where appropriate, meta-analyses were performed. Results: Initially, 77 studies were found. Of these, 11 duplicate studies were removed and 27 were excluded following title and abstract screening. After the remaining 39 papers were scanned, 13 RCTs were selected and analyzed. Among these 13 RCTs, five compared moxibustion therapy and oral medication, seven compared moxibustion plus acupuncture therapy and oral medication, and one compared moxibustion plus acupuncture therapy and sham-moxibustion. The meta-analysis showed positive results for the use of moxibustion therapy in terms of International Prostate Symptom Score (IPSS), Quality Of Life (QOL), Maximum Flow Rate (Qmax), Prostate Volume (PV), and the efficacy rate. The meta-analysis showed positive results for the use of moxibustion plus acupuncture therapy in terms of IPSS, QOL, and the efficacy rate. Conclusions: This meta-analysis of clinical trials suggests that moxibustion is effective intreating BPH patients. The results of this study could be applied to clinical treatment of BPH. However, additional large-scale clinical researches should be conducted.

• 대한한방부인과학회지
• /
• 제27권1호
• /
• pp.41-64
• /
• 2014

Objectives: This study was to evaluate the effect of Jaeumkanghwa-tang (JEKHT) on the propylthiouracil (PTU)-induced rat hypothyroidism. Methods: Six groups, each of 8 rats per group were used in the present study - intact vehicle control, PTU control, Levothyroxine ($LT_4$), JEKHT 500, 250 and 125 mg/kg treated groups. JEKHT were administered once a day for 42 days as an oral dose of 500, 250 and 125 mg/kg, and hypothyroidism was induced by daily subcutaneous treatment of PTU 10 mg/kg for 28 days. The changes on the body and organ weight, serum hormone and lipid profiles, liver and testis antioxidant defense factors were observed with histopathology of organs. Results were compared with $LT_4$ 0.5 mg/kg intraperitoneally treated rats in this experiment. Results: PTU treatment, marked decrease of body weight, increases of thyroid weight, decreases of liver, testis, epididymis and prostate weights, decreases of serum Tri-iodothyronine ($T_3$), and Thyroxine ($T_4$) level with increase of serum Thyroid-stimulating hormone (TSH) level, decreases of serum testosterone and dihydrotestosterone (DHT) level with increases of serum Follicular stimulating hormone (FSH) level, increases of serum High density lipoprotein (HDL), decrease of triglyceride content, increase of serum Aspartate aminotransferase (AST) level, decreases of liver and testis antioxidant defense factors were observed. In addition, marked hyperplasia of follicular cells with decreases of follicular colloid contents and diameters was additionally demonstrated with the decrease of hepatocyte numbers per unit area due to hypertrophy of hepatocytes related to lipid droplet depositions, increase of a/oligospermatic epididymal tubules with epididymal atrophic changes, seminiferous tubular atrophy with decrease of stage I~II seminiferous tubules in testis, prostate tubular atrophic changes at histopathological inspections. However, these PTU induced hypothyroidism and related hepatic and male reproductive organ damages were favorably and dose-dependently inhibited by treatment of JEKHT 500, 250 and 125 mg/kg, and JEKHT also effectively regulated the PTU-induced abnormal antioxidant defense factor changes in the both liver and testis. Conclusions: JEKHT 500, 250 and 125 mg/kg dose-dependently inhibited PTU-induced hypothyroidism and related liver and male reproductive organ damages in rats.

• 대한한의학회지
• /
• 제42권3호
• /
• pp.153-164
• /
• 2021

Objectives: The aim of this study is to investigate the effect of Heat-sensitive Moxibustion on Benign Prostatic Hyperplasia Methods: We searched articles from Academic Journals(CAJ) online databases, Oriental Medicine Advanced Searching Integrated System (OASIS), Searching key words were '前列腺增生', '熱敏灸' and '열민구', '전립선비대'. The search range included randomized controlled trials (RCTs). Among the articles published to 2020, 10 articles were found. After review the title, abstract and original, 3 articles were selected finally to rule out treatment combined with completely different treatments. Result: The Heat-sensitive moxibustion at acupoints in the treatment of Benign prostatic hyperplasia were significantly superior to control group after treatment in the symptoms of patients, IPSS, QOL, PVR and Qmax(P<0.05). The Heat-sensitive moxibustion can significantly reduce the incidence of temporary urinary incontinence after Transurethral resection of the prostate(TURP) and improve life quality and satisfaction of patients(P<0.05). The individualized desensitization saturated time and amount of Heat-sensitive moxibustion is superior effective to general amount and time of traditional moxibustion in the total effective rate, IPSS, Ru and Qmax(P<0.01) for Benign prostatic hyperplasia. Conclusion: Heat sensitive moxibustion directly transfer heat to the source of a disease. So it can be considered as a good treatment for Benign prostate hypertrophy. It was also shown a better effect on BPH compared to traditional moxibustion, According to the thermo principles of tumor, if the tumor cell's death temperature of 43℃ is reached, that can cause tumor degeneration. Therefore I think Heat sensitive moxibustion can be applied to various tumor disease. The results of this study could be applied to clinical treatment of BPH. However, additional large-scale clinical researches should be conducted.

• The Korean Journal of Pain
• /
• 제11권2호
• /
• pp.268-272
• /
• 1998

Background: Postoperative bleeding is a common complication in transurethral resection of prostate (TURP). Some patients become restless and combative after operation, particularly when in pain, producing bleeding from the prostatic bed. So many patients may be necessary to pain control for reduce bleeding. The purpose of this study is to compare recently used two Methods for post-operative analgesia. Methods: We studied 40 patients, ASA physical staus 1, 2, undergone TURP under general anesthesia. The patients divided into two groups: continuous epidural pain control group (I, n=20) received an epidural bolus of morphine 2 mg and 1% lidocaine 10 ml followed by a epidural 0.08% bupivacaine 40 ml and morphine 4.5 mg (basal infusion rate 0.5 ml/hr), intravenous patient-controlled analgesia (IV-PCA) group (II, n=20) received an intravenous bolus of fentanyl $50\sim100{\mu}g$ followed by a IV-PCA morphine 30 mg, ketorolac 180 mg and droperdol 2.5 mg (basal infusion rate 0.5 ml/hr, bolus 0.5 ml, lock-out interval 15 min). This study conducted the analgesic efficacy, side effect and patient's satisfaction for 1 day after TURP. Results: Continuous epidural pain control group had more significant analgesia than IV-PCA at postoperative 30, 60 min, but no significant difference was observed later in both group. Nausea and pruritus were scantly developed in both group but the incidence was no significant differeance. Patients responded good satisfaction over 70% in both group. Conclusions: Postoperative continuous epidural pain block and IV-PCA are both effective Methods of postoperative pain control with lower incidence of side effects.