检索结果-南通市图书馆

Pathophysiology of clinical benign prostatic hyperplasia

Asian Journal of Urology 2017年第3期4卷 152-157页

作者： keong tatt foo Department of Urology Singapore General HospitalSingapore

A disease can be defined as an abnormal anatomy(pathology)and/or function(physiology)that may cause harm to the *** clinical benign prostatic hyperplasis(BPH),the abnormal anatomy is prostate adenoma/adenomata,resulting in a varying degree of benign prostatic obstruction(BPO)that may cause harm to the bladder or *** clinical BPH can be defined as such and be differentiated from other less common causes of male lower urinary tract *** of the prostate adenoma/adenomata(PA)can be made by measuring the intravesical prostatic protrusion(IPP)and prostate volume(PV)with non-invasive transabdominal ultrasound(TAUS)in the *** PA can then be graded(phenotyped)according to IPP and *** studies have shown a good correlation between IPP/PV and BPO,and therefore progression of the *** severity of the disease clinical BPH can be classified into stages from stage Ⅰ to Ⅳ for further *** classification is based on the effect of BPO on bladder functions,namely that of emptying,normal if postvoid residual urine(PVRU)100 *** effect of BPO on quality of life(QoL)can be assessed by the QoL index,with a score≥3 considered *** with no significant obstruction and no bothersome symptoms would be stage Ⅰ;those with no significant obstruction but has bothersome symptoms(QoL≥3)would be stage Ⅱ;those with significant obstruction(PVRU>100 mL;or MVV<100 mL),irrespective of symptoms would be stage Ⅲ;those with complications of the disease clinical BPH such as retention of urine,bladder stones,recurrent bleeding or infections would be stage Ⅳ.After assessment,further management can then be individualised.A low grade and stage disease can generally be watched(active surveillance)while a high grade and stage disease would need more invasive management with an option for *** final decision making would take into account the patient’s age,co-morbidity,so

关键词： Pathophysiology Clinical benign prostatic hyperplasia Grading Staging Definition Clinical relevance

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Current consensus and controversies on male LUTS/BPH(part two)

引用

Asian Journal of Urology 2018年第1期5卷 8-9页

作者： keong tatt foo Department of Urology Singapore General HospitalSingapore

Part one of this special issue dealt with the historical development,epidemiology,aetiology and pathophysiology of clinical benign prostatic hyperplasia(BPH).With the current definition that clinical BPH is prostate adenoma/adenomata(PA)causing a varying degree of obstruction irrespective of symptoms,the disease can be diagnosed with transabdominal ultrasound in the clinic with confidence and managed accordingly.

关键词： BPH epidemiology clinical

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Patients with small prostates and low-grade intravesical prostatic protrusion e A urodynamic evaluation

引用

Asian Journal of Urology 2017年第4期4卷 247-252页

作者： Han Jie Lee Alvin Lee Hong Hong Huang Palaniappan Sundaram keong tatt foo Department of Urology Singapore General HospitalSingapore

Abstract Objective:Despite high-grade intravesical prostatic protrusion(IPP)being closely related to bladder outlet obstruction(BOO),up to 21%of patients with low IPP remain *** study evaluates the characteristics and urodynamic findings of men with small prostates and low ***:One hundred and fourteen men aged>50 years old with lower urinary tract symptoms(LUTS)were assessed with symptoms,uroflowmetry,serum prostate-specific antigen(PSA),transabdominal ultrasound measurement of prostate volume(PV),IPP and post-void residual urine(PVRU).All patients underwent pressure flow *** with PV<30 mL and IPP10 mm were examined for parameters correlating with BOO or impaired detrusor ***:Thirty-six patients had PV<30 mL and IPP<10 *** patients(25.0%)had urodynamic BOO,all with normal bladder *** patients(38.9%)had poor detrusor contractility and all had no ***,PVRU and IPP were significantly associated with BOO,with IPP showing greatest positive *** Qmax and IPP were significantly associated with detrusor *** 5-year follow-up,most patients responded to medical *** three out of nine patients(33.3%)with BOO eventually underwent surgery,and all had a high bladder neck seen on the *** one patient(7.1%)with poor detrusor contractility eventually required surgery after repeat pressure flow study revealed ***:In men with small prostates and low IPP,the presence of BOO is associated with higher PV,PVRU and IPP,and most respond well to medical *** can possibly be explained by elevation of the bladder neck by a small subcervical adenoma.

关键词： Male Prostate hyperplasia Pathology Prostate Ultrasonography Urodynamics Intravesical prostatic protrusion

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Solving the benign prostatic hyperplasia puzzle

引用

Asian Journal of Urology 2016年第1期3卷 6-9页

作者： keong tatt foo Department of Urology Singapore General HospitalSingapore

*** Benign prostatic hyperplasia(BPH)is a common urological condition,and yet there are many puzzles waiting to be *** perspective is to help explain some of these puzzles,based on our recent publications and previous... 详细信息

关键词： prostatic BPH hyperplasia

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Benign prostatic hyperplasia and male lower urinary symptoms:A guide for family physicians

引用

Asian Journal of Urology 2017年第3期4卷 181-184页

作者： Farhad Fakhrudin Vasanwala Michael Yuet Chen Wong Henry Sun Sien Ho keong tatt foo Department of Family Medicine Sengkang Hospital at Alexandra HospitalSingHealthSingapore International Urology Fertility and Gynaecology CentreMount Elizabeth Medical CentreSingapore Department of Urology Singapore General HospitalSingHealthSingapore

Male patients with lower urinary tract symptoms(LUTS)and benign prostatic hyperplasia(BPH)are increasingly seen by family physicians worldwide due to ageing demographics.A systematic way to stratify patients who can be managed in the community and those who need to be referred to the urologist is thus very *** history taking,physical examination,targeted blood or urine tests,and knowing the red flags for referral are the mainstay of stratifying these *** selection is always key in clinical practice and in the setting of the family *** best patient to manage is one above 40 years of age,symptomatic with nocturia,slower stream and sensation of incomplete voiding,has a normal prostatespecific antigen level,no palpable bladder,and no haematuria or pyuria on the *** roles of α blockers,5-α reductase inhibitors,and antibiotics in a primary care setting to manage this condition are also discussed.

关键词： Benign prostatic hyperplasia Male lower urinary tract symptoms Guideline Family physicians

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Can intravesical prostatic protrusion predict bladder outlet obstruction even in men with good flow?

引用

Asian Journal of Urology 2016年第1期3卷 39-43页

作者： Alvin Lee Han Jie Lee Kok Bin Lim Hong Hong Huang Henry Ho keong tatt foo Department of Urology Singapore General HospitalSingapore Urology Centre Raffles HospitalSingapore

Objective:Men with benign prostate hyperplasia(BPH)with good urinary flow may still have bladder outlet obstruction(BOO).Intravesical prostatic protrusion(IPP)has been shown to be able to predict *** aim to investigate the use of IPP to predict BOO in men with good urinary ***:One hundred and fourteen consecutive men(>50 years old)presenting with lower urinary tract symptoms suggestive of BPH were recruited in 2001 and *** were evaluated with serum prostate specific antigen(PSA),uroflowmetry and transabdominal ultrasound measurement of IPP and prostate volume(PV).Pressure-flow urodynamic studies were performed on all men and BOO was defined by BOO index>*** with Qmax12.0 mL/s were considered to have good ***:Among the 114 men,61 patients had good urinary *** median age,PV and Qmax were 66 years,32.9 mm3 and 14.5 mL/s respectively.14/61(23.0%)patients had BOO and their distribution of IPP were as follows:Grade 1 e 0/20(0%)obstructed,Grade 2 e 6/22(27.3%)and Grade 3 e 8/19(42.1%).Sensitivity of Grade 2/3 IPP for BOO was 100% while specificity of Grade 3 IPP was 76.6%.The area-under-curve(AUC)for IPP was greater than that for PV(0.757 vs.0.696).Conclusion:Even in men with good flow,high grades of IPP were more likely to have BOO and hence,may be a useful adjunct to predict BOO.

关键词： Male Prostate hyperplasia Pathology Ultrasonography Urinary bladder Urodynamics

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Current consensus and controversies on male LUTS/BPH(part one)

引用

Asian Journal of Urology 2017年第3期4卷 137-137页

作者： keong tatt foo Department of Urology Singapore General HospitalSingapore

It is an honor to be the guest editor of this special issue on Current Consensus and Controversy on Male Lower Urinary Tract Symptoms(LUTS)/Benign Prostatic Hyperplasia(BPH).As the title implies,one can write on a wid... 详细信息

关键词： BPH overs editor

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：