Prostatectomy in Vesical Neurological Disturbances

Cass, Alexander S.

doi:10.1007/978-1-4612-5476-8_82

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…parkinsonism and cerebrovascular disor ders, also present a diagnostic and therapeutic challenge. Generally, although these patients undergo comprehen sive urodynamic testing prior to treatment, their post operative outcome is less favorable than that of patients with normal detrusor function [28]. The future manage ment of this patient group also awaits further research.…”

Section: Future Researchmentioning

confidence: 99%

Benign Prostatic Hyperplasia: Symptoms and Objective Interpretation

Andersen

1991

Eur Urol

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Section: Future Researchmentioning

confidence: 99%

Benign Prostatic Hyperplasia: Symptoms and Objective Interpretation

Andersen

1991

Eur Urol

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Clinical evaluation of routine urodynamic investigations in prostatism

Jensen

1989

Neurourology and Urodynamics

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The present survey is based on the following papers: I. Jensen KM-E, Jorgensen JB, Mogensen P (1985): Reproducibility of uroflowmetry variables in elderly males. Urol Res 13:237-239. 11. Jorgensen JB, Jensen KM-E, Bille-Brahe NE, Mogensen P (1986): Uroflowmetry in asymptomatic elderly males. Br J Urol 58:390-395. 111. Jensen KM-E, Jorgensen JB, Mogensen P, Bille-Brahe NE (1986): Some clinical aspects of uroflowmetry in elderly males. A population survey. Scand J Urol Nephrol 20:93-99. IV. Jensen KM-E, Jorgensen JB, Mogensen P (1987): Relationship between urinary flow curve patterns and symptomatology in elderly males. Scand J Urol Nephrol Suppl 104:69-71. V. Jensen KM-E, Jorgensen JB, Mogensen P (1988): Urodynamics in prostatism. I. Prognostic value of uroflowmetry. Scand J Urol Nephrol 22:109-117 and [Suppl] 114:63-71. VI. Jensen KM-E, Jorgensen JB, Mogensen P (1988): Urodynamics in prostatism. 11. Prognostic value of pressure-flow study combined with stop-flow test. Scand J Urol Nephrol Suppl 114:72-77. VII. Jensen KM-E, Jfirgensen JB, Mogensen P (1988): Urodynamics in prostatism. 111. Prognostic value of medium-fill water cystometry. Scand J Urol Nephrol [Suppl] 114:78-83. VIII. Jensen KM-E, Jorgensen JB, Mogensen P (1988): Urodynamics in prostatism. IV. Search for prognostic patterns as evaluated by linear discriminant analysis. Scand J Urol Nephrol [Supplj 114:84-86.

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Urodynamics in Prostatism: I. Prognostic Value of Uroflowmetry

Jensen

Jørgensen

Mogensen

1988

Scandinavian Journal of Urology and Nephrology

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A prospective study was undertaken to examine the prognostic value for the symptomatic outcome of prostatic surgery of preoperative urodynamic testing in patients with prostatism. The study design included selection of patients for prostatic surgery by means of classic non-urodynamic urologic investigations such as history, residual urine, serum creatinine, cystoscopy and possibly intravenous urography. In addition an extensive urodynamic work-up (uroflowmetry, cystometry and pressure-flow study with stop-test) was included. The results of the urodynamic studies were unknown to the surgeon selecting the patients for operation. This evaluation was repeated 6 months postoperatively. Totally 139 patients entered the study. The patients were classified according to the preoperative maximum flow rate (Qmax) and in spite of preoperative differences in uroflow, pressure-flow variables and symptom scores, no differences of clinical significance were noted postoperatively among the groups. However, the high-flow group (preoperative Qmax greater than or equal to 15 ml/sec) had a statistically significant lower success rate as judged by the patients subjective evaluation of the outcome of surgery. An analysis of diagnostic sensitivity and specificity indicated Qmax = 15 ml/sec as a relevant cut-off value regarding preoperative identification of patients at risk of a less favourable outcome of surgery. This group of patients was characterized by a higher incidence of persistent uninhibited detrusor contractions at follow-up and a lower incidence of preoperative infravesical obstruction. In conclusion we recommend uroflowmetry in the preoperative evaluation of patients with prostatism.

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Prostatectomy in Vesical Neurological Disturbances

Cited by 3 publications

References 15 publications

Benign Prostatic Hyperplasia: Symptoms and Objective Interpretation

Benign Prostatic Hyperplasia: Symptoms and Objective Interpretation

Clinical evaluation of routine urodynamic investigations in prostatism

Urodynamics in Prostatism: I. Prognostic Value of Uroflowmetry

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