jossp

早上七點半來到會場
就座之後，先來份韓式早餐

（當然是泡菜...）

八點之後開始大講堂演講：treatment for OAB
趁著休息時間
就是貼海報和拿紀念品的時候
(其實剛結束台北的醫學會，對於拿紀念品有些厭倦了)


第一個synposium是difficult problem un LUTS management
勉強接受日本腔和韓國腔

endoscopic engeman-sundgurg procedure

voiding dysfunction in the patients with Parkinsob’s disease
pseudo-DSD because supra-pontine lesion should not cause DSD
DESD
Apomorphine and levodopa
management of voiding dysfunction in IPD
dry mouth in M1 and M3, tachycardia in M2, CNS in M1 for cognitive oroblem

M3 selective muscarinics or Tropium is better selection



十一點之後是podium presentation
真是砲火猛烈的殘酷舞台

一位日本住院醫師報告OAB due to supra-pontine lesion
no difference in urine substance P
PGE2/Cr is factor to IBS, OAB dry, OAB wet
PGE2 change after treatment: told by Korean doctor

另一位韓國美少年報告storage symptoms was positive associated with urinary NGF level, decreased after treated with anti-cholinergic drug被問到問題之後就手足無措，指導老師就上來回答問題，窘。。。
(後來又有一次相同的情形，同一位指導老師)


慈濟的博士班學生來報告IC/PBS。
long term inflammation of UB and urothelail dysfuction
Tryptase, E-cadi, apoptosis-related protein.
cytokine array and western plot were peformed

接下來就是林志杰學長的口頭報告...我負責照相


中餐時間是lunch symposam
Yamakuchi教授演講reconsidering BPH and LUTS
LUTS in man due to BOO and DO
3 generations of alpla AR blocker
non selective: Terazosin, Doxazosin, Alfuzosin
alpha 1a: Tamsulosin
alpha 1d: Neftopidil
role of alpha 1 a AR blocker, take 85% in prostate

下午繼續symposium
討論bipolar TURP，HoLEP(300 cases in one surgeon)或是Thulium Laser vaporization去處理BPE

Takahashi介紹Management of LUTS in patients whith pelvic organ prolapse
POP 339 patients
risk factors: POP-Q > 3, cystolcel, aoical prolapse
7 patients of them has the past history of urine retention
TVM(tension free vaginal mesh) showed anatomical cure rate 92.3% in one year
de novo SUI happened 30% after POP surgery


最後部分是moderate poster
(大家都有點累了，發問也是意興闌珊)
東京大學報告intravesical Lidocaine instillation
795 relief one month after treatment
repeat treatment induced more effective
國軍台中醫院報告tight junction protein (ZO-q, occludin) change in IC patient
31 IC patients and control group undewent TUR-Bt
confocal microscopy was used
decreased expression of tight junction protein in IC patients
中國醫藥大學報告cyclophosamide induced cystitis
Nerve Growth Factor is a good indicator
韓國Dr. Oh報告Holmium Laser Enucleation的learning curve
2008/8~2020/7
first 20 patients , last 140 patients
enucleation ratio efficacy showed pleatu at the 20th patient
韓國Dr. Kim報告2 year experience in TVA and TOA
15% patients need re-adjustment

16:25終於是閉幕式
由下屆的主辦人...頂好大醫院林主任致辭

嗯.......明年請大家來北投泡溫泉

晚餐之後
問過櫃檯
當計程車去shopping
結果被送到像是家樂福這樣的賣場
發現某醫院主任一行人也在這裡（代表真的沒有地方可以逛了）

回程的時候有韓國人幫我們攬計程車
車費就有差別了（12000和8200，差粉多）