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  1. Article ; Online: Lower Urinary Tract Symptoms are Common After Artificial Urinary Sphincter Implantation.

    Son, Hee Seo / Kim, Jang Hwan

    Urology

    2022  Volume 165, Page(s) 343–350

    Abstract: Objective: To investigate lower urinary tract symptoms (LUTS) observed after artificial urinary sphincter (AUS) implantation for post-radical prostatectomy urinary incontinence (PRPUI).: Materials and methods: Cases of AUS for PRPUI were evaluated. ... ...

    Abstract Objective: To investigate lower urinary tract symptoms (LUTS) observed after artificial urinary sphincter (AUS) implantation for post-radical prostatectomy urinary incontinence (PRPUI).
    Materials and methods: Cases of AUS for PRPUI were evaluated. Stress urinary incontinence (SUI) was assessed using the Sandvik-incontinence severity index. Other LUTS were evaluated using the overactive bladder symptom score and international prostate symptom score. The prevalence and predictive risk factors for post-AUS LUTS were analyzed.
    Results: Of 129 patients evaluated (mean follow-up = 42.3 months, mean age = 76.7 years), 8.5% had very severe SUI, 78.4% had moderately to severely symptomatic LUTS (IPSS = 8-35 points), and 45.2% were dissatisfied with their urinary condition. Nocturia was the most prevalent (48.0%). Maximum cystometric capacity (rho = -0.236, P = .007) and involuntary detrusor contraction (P = .002) were significantly related to the severity of post-AUS urgency urinary incontinence (UUI). Multivariable linear regression analysis indicated that involuntary detrusor contraction was more associated with post-AUS urgency (P <.001) and UUI (P = .006) than any other preoperative parameter. Age significantly correlated with the severity of post-AUS urgency (rho = 0.309, P <.001), UUI (rho = 0.196, P = .026), and the need for straining to void (rho = 0.240, P = .007).
    Conclusion: Even after successful placement of an AUS, many patients were dissatisfied with various LUTS, ranging from the most frequent nocturia to the need for straining to void. Attention should be paid not only to SUI but also to non-SUI LUTS, which are observed in the general population in this age group and change over time. Counseling to educate patients about expected outcomes and continuous monitoring and treatment for LUTS should be provided for the PRPUI-AUS population.
    MeSH term(s) Aged ; Humans ; Lower Urinary Tract Symptoms/diagnosis ; Lower Urinary Tract Symptoms/etiology ; Lower Urinary Tract Symptoms/surgery ; Male ; Nocturia/complications ; Urinary Incontinence/complications ; Urinary Incontinence/surgery ; Urinary Incontinence, Stress/etiology ; Urinary Sphincter, Artificial/adverse effects
    Language English
    Publishing date 2022-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2022.01.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Water Vapor Therapy and Zonal Anatomy of the Prostate.

    Kim, Jang Hwan / Kim, Hee Youn / Lee, Seung-Ju / Lee, Dong Sup

    International neurourology journal

    2024  Volume 28, Issue 1, Page(s) 67–69

    Abstract: Water vapor therapy using Rezūm has been recently introduced as a minimally invasive surgery for benign prostatic hyperplasia and is being increasingly performed. However, there is a lack of real-time images showing this practice and how convective water ...

    Abstract Water vapor therapy using Rezūm has been recently introduced as a minimally invasive surgery for benign prostatic hyperplasia and is being increasingly performed. However, there is a lack of real-time images showing this practice and how convective water vapor acts in the prostate gland. In real-time ultrasonography, convective water vapor rapidly spreads throughout the ipsilateral transitional zone and is mostly limited within the transitional zone. For educational purposes, we would like to present a case to help readers understand water vapor therapy by visualizing convective water vapor using real-time ultrasound.
    Language English
    Publishing date 2024-03-31
    Publishing country Korea (South)
    Document type Case Reports
    ZDB-ID 2584447-7
    ISSN 2093-6931 ; 2093-4777
    ISSN (online) 2093-6931
    ISSN 2093-4777
    DOI 10.5213/inj.2346278.139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Experiences with an Extraperitoneal Transvesicoscopic Repair of a Vesicovaginal Fistula.

    Kim, Hongwook / Hong, ChangHee / Kim, JangHwan

    Urology journal

    2023  Volume 20, Issue 4, Page(s) 240–245

    Abstract: Purpose A vesicovaginal fistula (VVF) is a debilitating condition for women in terms of both its personal and social impacts. A reported transperitoneal laparoscopic approach to treatment has some limitations such as risk of intra-peritoneal organ injury ...

    Abstract Purpose A vesicovaginal fistula (VVF) is a debilitating condition for women in terms of both its personal and social impacts. A reported transperitoneal laparoscopic approach to treatment has some limitations such as risk of intra-peritoneal organ injury and unnecessary bladder dissection. We here report on our experiences with an extraperitoneal transvesicoscopic approach to a VVF repair, which overcomes these drawbacks. Materials and Methods Seven VVF patients were treated using the transvesicoscopic approach. Under general anesthesia, patients were placed in the dorsal lithotomy position. The VVF orifice was obstructed via the vaginal canal using a Foley catheter. The bladder was then filled with normal saline under cystoscopic inspection, and a 5 mm trocar was inserted into it at the suprapubic area. The bladder wall was next fixed to the anterior abdominal wall. Thereafter, two 3 mm ports were punctured at the interspinous skin crease allowing the fistula margin to be cut and sutured in layers. Results Six of the study subjects in whom we attempted a transvesicoscopic repair of VVF had undergone a hysterectomy due to myoma and one had an intraabdominal abscess removal with Behcet's disease. One myoma patient who had a preexisting vesicoperitoneal fistula was converted to an open transabdominal VVF repair. The mean age of the 6 remaining patients was 46.0 ± 7.2 years (range, 35-57). The mean operation time was 273 ± 40.6 minutes (range, 223-323). There was no instances of significant pain or other immediate complications. Five patients showed no recurrence of the fistula during the follow-up period (8.7±5.1 months). Conclusion A transvesicoscopic approach is an effective modality for the repair of a VVF that is more minimally invasive and has a lower morbidity than a transabdominal procedure.
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Vesicovaginal Fistula/etiology ; Vesicovaginal Fistula/surgery ; Urinary Bladder ; Anesthesia, General ; Dissection ; Myoma
    Language English
    Publishing date 2023-07-26
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2251940-3
    ISSN 1735-546X ; 1735-1308
    ISSN (online) 1735-546X
    ISSN 1735-1308
    DOI 10.22037/uj.v20i.7518
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effect of exercise on stabilizing and strengthening core muscles for patients with herniated lumbar disc: A systematic review and meta-analysis.

    Chang, Min Cheol / Park, Donghwi / Kim, Jang Hwan / Choo, Yoo Jin

    Asian journal of surgery

    2023  Volume 47, Issue 1, Page(s) 731–733

    MeSH term(s) Humans ; Intervertebral Disc Displacement/therapy ; Lumbar Vertebrae ; Muscles ; Patients ; Treatment Outcome
    Language English
    Publishing date 2023-10-27
    Publishing country Netherlands
    Document type Meta-Analysis ; Systematic Review ; Letter
    ZDB-ID 1068461-x
    ISSN 0219-3108 ; 1015-9584
    ISSN (online) 0219-3108
    ISSN 1015-9584
    DOI 10.1016/j.asjsur.2023.10.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effect of β3-adrenoceptor agonist on the micromotion of bilateral major pelvic ganglion-excised rat bladder.

    Son, Hee Seo / Moon, Soo Young / Kwon, Joonbeom / Kim, Jang Hwan

    Neurourology and urodynamics

    2023  Volume 42, Issue 2, Page(s) 530–538

    Abstract: Aims: Micromotion is an autonomous intramural movement of the bladder, and is believed to be an initial step in the generation of urinary urgency. Therefore, controlling micromotion may be a novel target in overactive bladder (OAB) treatment. However, ... ...

    Abstract Aims: Micromotion is an autonomous intramural movement of the bladder, and is believed to be an initial step in the generation of urinary urgency. Therefore, controlling micromotion may be a novel target in overactive bladder (OAB) treatment. However, developing micromotion treatment has been limited by the absence of a standardized animal model. We attempted to create a micromotion animal model and investigated the effectiveness of a β
    Methods: Bilateral major pelvic ganglia (MPGs) were excised in 18 male Sprague-Dawley rats, resulting in an almost completely denervated bladder. On postoperative Day 7, cystometry was performed. Rats were divided into three treatment groups: CL316,243; β
    Results: Low-amplitude oscillations in intravesical pressure (micromotion) were observed 1 week after MPGs excision. Micromotion frequency significantly (p = 0.003) decreased (2.17 ± 3.54 times/5 min) with CL316,243 compared with vehicle (6.33 ± 1.97 times/5 min). Micromotion amplitude also decreased with CL316,243 (1.15 ± 1.93 cmH
    Conclusions: Systemic administration of the β
    MeSH term(s) Animals ; Male ; Rats ; Adrenergic beta-3 Receptor Agonists/pharmacology ; Rats, Sprague-Dawley ; Receptors, Adrenergic ; Urinary Bladder ; Urinary Bladder, Overactive ; Receptors, Adrenergic, beta-3
    Chemical Substances Adrenergic beta-3 Receptor Agonists ; oxybutynin (K9P6MC7092) ; Receptors, Adrenergic ; Receptors, Adrenergic, beta-3
    Language English
    Publishing date 2023-01-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604904-7
    ISSN 1520-6777 ; 0733-2467
    ISSN (online) 1520-6777
    ISSN 0733-2467
    DOI 10.1002/nau.25127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effects of Puffing, Acid, and High Hydrostatic Pressure Treatments on Ginsenoside Profile and Antioxidant Capacity of Mountain-Cultivated Panax ginseng

    Kim, Jang-hwan / Shin, Jae-Sung / Kim, Wooki / Lee, Hyungjae / Baik, Moo-Yeol

    Foods. 2023 May 28, v. 12, no. 11

    2023  

    Abstract: The purpose of this study was to investigate the effects of puffing, acid, and high hydrostatic pressure (HHP) treatments on the ginsenoside profile and antioxidant capacity of mountain-cultivated Panax ginseng (MCPG) before and after treatments. Puffing ...

    Abstract The purpose of this study was to investigate the effects of puffing, acid, and high hydrostatic pressure (HHP) treatments on the ginsenoside profile and antioxidant capacity of mountain-cultivated Panax ginseng (MCPG) before and after treatments. Puffing and HHP treatments decreased extraction yield and increased crude saponin content. The combination of puffing and HHP treatment showed significantly higher crude saponin content than each single treatment. Puffing treatment showed the highest ginsenoside conversion compared with HHP and acid treatments. Significant ginsenoside conversion was not observed in HHP treatment but was in acid treatment. When the puffing and acid treatments were combined, Rg3 and compound K content (1.31 mg and 10.25 mg) was significantly higher than that of the control (0.13 mg and 0.16 mg) and acid treatment (0.27 mg and 0.76 mg). No synergistic effect was observed between acid and HHP treatments. In the case of functional properties, the puffing treatment showed a significant increase in TFC (29.6%), TPC (1072%), and DPPH radical scavenging capacity (2132.9%) compared to the control, while acid and HHP combined treatments did not significantly increase; therefore, the synergistic effects of HHP/puffing and acid/puffing treatments were observed in crude saponin content and ginsenoside conversion, respectively. Consequently, puffing combined with acid or HHP treatments may provide new ways to produce high-value-added MCPG with a higher content of Rg3 and compound K or crude saponin compared to untreated MCPG.
    Keywords Panax ginseng ; acid treatment ; antioxidant activity ; ginsenosides ; high pressure treatment ; synergism
    Language English
    Dates of publication 2023-0528
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article ; Online
    ZDB-ID 2704223-6
    ISSN 2304-8158
    ISSN 2304-8158
    DOI 10.3390/foods12112174
    Database NAL-Catalogue (AGRICOLA)

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  7. Article: Urogynecology and Reconstructive Pelvic Surgery. 4th ed.

    Kim, Jang Hwan

    International neurourology journal

    2015  Volume 19, Issue 1, Page(s) 51

    Language English
    Publishing date 2015-03-26
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2584447-7
    ISSN 2093-6931 ; 2093-4777
    ISSN (online) 2093-6931
    ISSN 2093-4777
    DOI 10.5213/inj.2015.19.1.51
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Advanced Male Urethral and Genital Reconstructive Surgery. 2nd ed.

    Kim, Jang Hwan

    International neurourology journal

    2015  Volume 19, Issue 2, Page(s) 130

    Language English
    Publishing date 2015-06-29
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2584447-7
    ISSN 2093-6931 ; 2093-4777
    ISSN (online) 2093-6931
    ISSN 2093-4777
    DOI 10.5213/inj.2015.19.2.130
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Textbook of the Neurogenic Bladder. 3rd ed.

    Kim, Jang Hwan

    International neurourology journal

    2015  Volume 19, Issue 4, Page(s) 295

    Language English
    Publishing date 2015-12-28
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2584447-7
    ISSN 2093-6931 ; 2093-4777
    ISSN (online) 2093-6931
    ISSN 2093-4777
    DOI 10.5213/inj.2015.19.4.295
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Effects of Puffing, Acid, and High Hydrostatic Pressure Treatments on Ginsenoside Profile and Antioxidant Capacity of Mountain-Cultivated

    Kim, Jang-Hwan / Shin, Jae-Sung / Kim, Wooki / Lee, Hyungjae / Baik, Moo-Yeol

    Foods (Basel, Switzerland)

    2023  Volume 12, Issue 11

    Abstract: The purpose of this study was to investigate the effects of puffing, acid, and high hydrostatic pressure (HHP) treatments on the ginsenoside profile and antioxidant capacity of mountain- ... ...

    Abstract The purpose of this study was to investigate the effects of puffing, acid, and high hydrostatic pressure (HHP) treatments on the ginsenoside profile and antioxidant capacity of mountain-cultivated
    Language English
    Publishing date 2023-05-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2704223-6
    ISSN 2304-8158
    ISSN 2304-8158
    DOI 10.3390/foods12112174
    Database MEDical Literature Analysis and Retrieval System OnLINE

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