Injection

[이성훈]

Transrectal ultrasonography directed intraprostatic injection of gentamycin-xylocaine in the management of the benign painful prostate syndrome. A report of a 5 year clinical study of 75 patients.

Authors

Mayersak JS.

Journal

Int Surg. 1998 Oct-Dec;83(4):347-9.

Affiliation

Abstract

There is almost a complete failure of the urological profession to study chronic prostate gland pain, which is its most common and difficult condition to manage. Variations in nomenclature for the disease include pelvic floor myalgia syndrome, chronic anxiety syndrome, prostatodynia, interstitial cystitis and abacterial prostatitis, so comparison of treatment populations is difficult. Over 50% of negative prostate biopsies being performed for PSA elevation show prostatitis lesions. Transperineal aminoglycoside injection for 'hard-core' prostatitis reported a 77% cure rate. A 5 year study of 75 patients with recalcitrant benign painful prostate syndrome treated with transrectal ultrasound guided intraprostatic injection of gentamycin and xylocaine produced a 90% cure rate. Of the patients, 74% required only a single injection of 160 mg of gentamycin in 4 cc with 2 cc of 1% xylocaine to achieve a cure. Minimal injection pain was encountered. Some patients required 5 injections over the 5 year period. Multiple injection patients were considered therapeutic failures. Fourteen tumor-negative prostate needle biopsies showed prostatitis lesions. One elevated PSA patient had 3 biopsies. Current medical therapy of prolonged one month antibiotics, anti-inflammatory agents and alpha adrenergic blocking agents had failed in all injection treated patients. Of the patients, 60% had prostatic calculi. Cystic seminal vesicle abnormalities were frequent. Complications were only minor, with hematospermia, gross hematuria and mild pain. The 90% cure rate was defined by the absence of symptoms.

[으흠]

이런 케케묵은 자료를 들고오는 이유를 모르겠군요

그냥 사장된 치료방법이에요. 퀴놀론계의 약물에 대한 캐치가 없으면 direct방법을 고집하는거고, 요즘 젊은 의사와 대화해보면 왜 굳이 직접주사를 하냐고 합니다.

그리고 리서치도 곧이 곧대로 믿을 수는 없는 겁니다. 각 분야에 정말 실력자이거나 권위자가 아니면 대다수가 베껴쓰기, 짜집기인데요.

그냥 여기 까페 자체에 효과 본 사람이 없다는게 더 확실한 근거죠. 100명중에 1명이 효과 있다고 하면 그 1명이 거짓말을 하고 있는거죠. 그 1명이 운이 좋거나 그 사람에게 맞는 치료법이 아니라.. 혹은 정말 세균성이였거나