Influence of Detrusor Overactivity on Storage Symptoms Following Potassium-titanyl-phosphate Photoselective Vaporization of the Prostate

Cho, Min C.; Kim, Hyung S.; Lee, Chang J.; Ku, Ja Hyeon; Kim, Soo W.; Paick, Jae‐Seung

doi:10.1016/j.urology.2009.09.065

Cited by 18 publications

(18 citation statements)

References 17 publications

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“…The role of these parameters in predicting the improvement of OAB symptoms after TURP is controversial, with prior studies yielding mixed results. [7][8][9][10][11][12][13][14] Lower DC appeared to predict less improvement in storage symptoms after TURP in one study; 14 whereas in another study, 60% of patients with weak DC and no BOO still had significant improvement after TURP. 15 An increasing degree of preoperative BOO has been associated with increased symptomatic efficacy of TURP, 11 although one study found that patients with equivocal BOO did not do significantly worse than those with clear cut BOO.…”

Section: Introductionmentioning

confidence: 84%

“…about the relationship between DO and the improvement of LUTS after TURP. Seki et al 8 found that DO is an independent negative determinant of postoperative symptom improvement, whereas Cho et al 7 reported that patients with DO had significantly greater improvement in IPSS-S after photoselective vaporization of the prostate than patients without DO. However, other studies reported that preoperative DO does not affect the improvement of postoperative storage symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of short‐term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction

et al. 2014

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Abbreviations & Acronyms BOO = bladder outlet obstruction BPE = benign prostatic enlargement BPH = benign prostatic hyperplasia BPO = benign prostatic obstruction DC = detrusor contractility DO = detrusor overactivity fQmax = free maximum flow rate ICS = International Continence Society IPSS = International Prostate Symptom Score IPSS-S = summation of frequency, urgency and nocturia scores of International Prostate Symptom Score IPSS-V = subtotal voiding symptom scores of International Prostate Symptom Score LinPURR = linear passive urethral resistance relation LUTS = lower urinary tract symptoms MCC = maximum cystometric capacity N = normal detrusor contractility OAB = overactive bladder OABSS = overactive bladder symptoms score P+ = statistical comparison between baseline and postoperative. Pdet.Qmax = detrusor pressure at maximum flow rate PDO = phasic detrusor overactivity PFS = pressure-flow study Postop. = postoperative Preop. = preoperative PSA = prostate-specific antigen PV = prostate volume PVR = post-void residual volume Qmax = maximum flow rate QOL = quality of life ST = strong detrusor contractility TDO = terminal detrusor overactivity TURP = transurethral resection of the prostate UDS = urodynamic study W = weak detrusor contractility Objectives: To investigate the correlation of preoperative overactive bladder symptoms and urodynamic parameters to the improvement of overactive bladder symptoms after transurethral resection of the prostate. Methods: A retrospective study was carried out in 128 patients with urodynamically proven benign prostatic obstruction that underwent transurethral resection of the prostate. All patients had preoperative urgency symptoms. The patients were divided into groups according to overactive bladder symptom severity and preoperative urodynamic parameters (presence and type of detrusor overactivity, degree of obstruction, bladder contractility). The 3-month postoperative changes in overactive bladder symptoms were then compared between the groups. Results: Overall, there was a statistically significant improvement in mean overactive bladder symptoms score from 9.6 to 2.7 (P < 0.001). However, patients with preoperative mild overactive bladder symptoms had significantly lower postoperative overactive bladder symptoms scores than those with moderate or severe symptoms (P < 0.05). Patients with preoperative terminal detrusor overactivity had significantly higher overactive bladder symptoms scores compared with patients with phasic and no detrusor overactivity (P < 0.05), and were more likely to have persistent urge incontinence. Preoperative detrusor contractility and severity of obstruction did not affect postoperative overactive bladder symptom improvement. Conclusions: Most patients with benign prostatic obstruction and overactive bladder symptoms experience an improvement in their symptoms after transurethral resection of the prostate. The presence of preoperative terminal detrusor overactivity might be negatively associated with this improvement. The preoperative severi...

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Section: Introductionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Predictors of short‐term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction

et al. 2014

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“…However, cystometry often fails to explain symptoms, 39 and the reproducibility of finding DO in the same patient can vary depending on whether the studies are performed consecutively 40 or on different days. 41 Many studies have attempted to use cystometry to help determine prognosis after various treatments for LUTS in men and women, 42,43 and the findings revealed no apparent trends. Regardless, the Panel believes that there are instances where a particular treatment for LUTS might be chosen or avoided based on the presence of DO and, more importantly, impaired compliance.…”

Section: Uroflow May Be Used By Clinicians In the Initial And Ongoingmentioning

confidence: 99%

Urodynamic Studies in Adults: AUA/SUFU Guideline

et al. 2012

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“…Bladder storage symptoms significantly improved after Greenlight laser PVP in men with detrusor overactivity (DO) more than those without DO. 13 However, Dybowski and colleagues recently reported that DO could 3 3 not predict improvement of storage symptoms after PVP unless accompanied by severe urgency. 14 To the best of our knowledge, data on postoperative storage symptoms after one year is lacking particularly following different laser prostatectomy procedures.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Lower Urinary Tract Storage Symptoms: Does Prostate Enucleation Differ from Prostate Vaporization for Treatment of Symptomatic Benign Prostatic Hyperplasia?

Elkoushy

Elshal

Elhilali

2015

Journal of Endourology

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Storage urinary symptoms significantly improved more after HoLEP compared with PVP, irrespective of the generation of GreenLight laser used. Recovery from bothersome storage urinary symptoms after prostate vaporization is time dependent, and baseline degree of storage symptoms, prolonged operative time, and lower percent of postoperative PSA level reduction negatively predicts postoperative improvement of storage symptoms regardless of the laser procedure.

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Influence of Detrusor Overactivity on Storage Symptoms Following Potassium-titanyl-phosphate Photoselective Vaporization of the Prostate

Cited by 18 publications

References 17 publications

Predictors of short‐term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction

Predictors of short‐term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction

Urodynamic Studies in Adults: AUA/SUFU Guideline

Postoperative Lower Urinary Tract Storage Symptoms: Does Prostate Enucleation Differ from Prostate Vaporization for Treatment of Symptomatic Benign Prostatic Hyperplasia?

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