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전립선비대증 환자에서 물소리가 요역동학검사 결과에 미치는 영향 |
| 부산대학교병원 비뇨의학교실¹, 국립암센터 비뇨의학과² |
| 김현우¹, 박시균¹, 이권경¹, 강병진¹, 신동길¹, 서호경², 이정주¹ |
Objective: Since there are a certain number of patients who complains of urgency by hearing the sound of running water, this study aims to investigate the urodynamic change in benign prostatic hyperplasia (BPH) males according to the sound of running water.
Materials & Methods: A total of 30 BPH males underwent two urodynamic studies (UDS) which was performed with and without the sound of running water. The UDS was performed in a quiet room and the sound of running water was played by a smartphone application in a loudness range from 50 to 60 db. The patients listened to the sound by an earphone when the UDS was performed with the sound of running water. The order of the two UDS in a patient was randomly chosen. Additionally, all the patients were asked to complete ‘International Prostate Symptom Score (IPSS)’ and ‘Overactive Bladder Symptom Score Questionnaire (OABSS)’. The parameters of UDS with and without the sound of running water were compared by using the paired T-test.
Results: The mean age and prostatic volume of the patients were 71.93 ± 7.28 years and 63.07 ± 35.20 cc, respectively. The mean total score of IPSS and OABSS were 23.00 ± 8.00 and 8.43 ± 4.48, respectively. According to the comparative analysis regarding urodynamic parameters, mean volumes at first desire to void, normal desire to void, and urgency were significantly smaller when the patients were listening to the sound of running water (with and without the sound of running water: 151.13 ± 76.46 mL and 174.67 ± 70.79 mL, p = 0.007; 197.33 ± 96.46 mL and 214.60 ± 99.35 mL, p = 0.047; 233.10 ± 116.35 mL and 254.93 ± 122.26 mL, p = 0.037; respectively; Table 1). All the other urodynamic parameters did not show significant differences between with and without the sound of running water during the UDS(Table 1).
Conclusion: Patients with BPH may feel desire to void at a smaller urine volume when they hear the sound of running water.
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keywords : urodynamic, sound, void |
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