Radical Transurethral Resection of the Prostate in Male Paraplegics Revisited: Further Clinical Experience and Urodynamic Considerations for its Effectiveness

Koyanagi, Tomohiko; Morita, Hajime; Takamatsu, Tsuneo; Taniguchi, Kouichi; Shinno, Yuki

doi:10.1016/s0022-5347(17)43876-6

Cited by 20 publications

(12 citation statements)

References 16 publications

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“…For DSD, 70% of respondents considered sphincterotomy in the US, while a half of Japanese responders indicated surgical procedure including radical TUR-P. 8 Very few Japanese urologists (0.3%) chose the surgery as a first-choice approach. In Japan, a-blocker 9 was indicated as a first-choice therapy (69.2%).…”

Section: Discussionmentioning

confidence: 99%

Practice patterns of Japanese physicians in urologic surveillance and management of spinal cord injury patients

et al. 2005

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Study design: Analysis of answers to a new questionnaire. Objective: To examine current practice patterns of physicians in the urological surveillance and management of spinal cord injury (SCI) patients in Japan. Setting: Nationwide questionnaire survey to physicians in Japan. Methods: A Japanese version of the 14-item questionnaire survey carried out in US was mailed to 770 members of the Japanese Neurogenic Bladder Society (JNBS). Results: We received answers to our questionnaire from 333 (43.2%) members of JNBS. The responders were all urologists. The management of lower urinary tract (LUT) disorders is very important in order to prevent serious complications that may result in upper urinary tract (UUT) disorders such as hydronephrosis. There have been arguments as to the strategy of observation and therapeutic approaches in SCI patients. For improvement in life expectancy and quality, research and evidenced-based practices related to urinary tract dysfunction are requisite. Recently, results of questionnaires on the current practice patterns in urological surveillance and management of SCI patients were reported in the United States (US) and United Kingdom (UK).3,4 The present inquiry by questionnaire was performed on the current practice patterns of the physician (urologist) in urological management of SCI patients in Japan. Spinal Cord (2006) 44, 362-368 & 2006 International Spinal Cord Society All rights reserved 1362-4393/06 $30.00 www.nature.com/sc MethodsA Japanese version of the 14-item questionnaire (see Appendix A) with which a survey was carried out recently in the US 3 was mailed to 770 members of the Japanese Neurogenic Bladder Society (JNBS) in January 2004. The society consists of urologists, neurologists, pharmacologists, and others. More than 90% of the members of the society are urologists. The number of urologists of JNBS is approximately 10% of the total members of the Japan Urological Association (JUA), which is the only official society of urologists in Japan. We thought that almost all of the members of JNBS were engaged more routinely in urologic management of patients with SCI than those of any other nationwide academic medical society. Answers to the questionnaire returned to us by the deadline (within 1 month) were analyzed in this study. The first eight questions concern surveillance of the neuropathic bladder and bladder cancer due to spinal cord lesions, and the remaining questions deal with treatment modality and background of the respondents. The US and Japanese questionnaires were not identical, because Razden et al 3 did not publish details of their questionnaire. ResultsWe received a response to our questionnaire from 388 (50.3%) members of JNBS. In all, 55 members declined to answer our questions because they were not engaged in urological management of SCI patients. A total of 333 (43.2%) urologists out of the JNBS members replied to our questions. Some of them did not answer all questions in the questionnaire because of unknown reasons. In total, 314 (40.8%) urologists a...

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Section: Discussionmentioning

confidence: 99%

Practice patterns of Japanese physicians in urologic surveillance and management of spinal cord injury patients

et al. 2005

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“…Twelve males were subjected to radical transurethral resection of the prostate as reported elsewhere [16], Nine were managed conservatively with a combination of ablockade and clean intermittent self-catheterization, and 1 was watchfully observed.…”

Section: Managementmentioning

confidence: 99%

“…2B). As marked orthostatic hypotension precluded the use of an a-adrener gic agent for voiding disorders, he was subjected to radical transure thral resection of the prostate [16]. The response was remarkable initially, although with the progression of multisystem atrophy there was a gradual resurgence of voiding difficulties.…”

Section: Case 1 (Hu No 58-272)mentioning

confidence: 99%

“…The first is an attractive hypothesis in that Petito and Black [23] studied the sympathetic gan glia of idiopathic orthostatic hypotension and noted ultrastructural and biochemical evidence for the primary rather than transsynaptic degeneration of these ganglion cells. Whether the peripheral short adrenergics are pri marily affected in the multisystem atrophy disease must be verified by a currently ongoing electron microscopic study of the specimen obtained at transurethral resection [16]. The second concept of sympathetic motor nerve cells in the sacral cord is daring, and yet this was sug gested by Lamelle [24] a long time before.…”

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confidence: 99%

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Neurogenic Urethra: Clinical Relevance of Isolated Neuropathic Dysfunction of the Urethra, and the Denervation Supersensitivity of the Urethra Revisited

Koyanagi

Morita²,

Taniguchi³

et al. 1988

Eur Urol

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“…We have reconfirmed the effectiveness of this operation in relieving voiding difficulty a n d preserving continence, and some urodynamic considerations for its effectiveness have been given. 4 Urinary continence was not only preserved in continent patients, but an improvement was noted even in incontinent ones, which led us to investigate the urinary control in these patients and correlate it with urodynamic changes after the operation.…”

Section: Introductionmentioning

confidence: 99%

Urinary Control After Radical Transurethral Resection of the Prostate in Male Paraplegics: Urodynamic Evaluation of Its Effectiveness in Relieving Incontinence

et al. 1994

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We report our investigation of urinary incontinence in 51 male paraplegics with radical transurethral resection of the prostate. Pre-operatively, 28 cases (55.9%) had moderate or severe incontinence, which persisted post-operatively only in 21 cases (41.2%) and was less severe. Post-operatively, bladder compliance was improved from 22.1 f 22.6 ml/cmH20 to 36.4 f 38.5 ml/cmH20, and the maximum pressure of uninhibited detrusor contraction was reduced from 40.2 f 21.5 cmH20 to 18.3 f 19.0 cmH20. These significant improvements are thought to contribute to the relief of urinary incontinence, regardless of the reduction in maximum urethral closure pressure.Int J Urol 1994;1:78-84

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Radical Transurethral Resection of the Prostate in Male Paraplegics Revisited: Further Clinical Experience and Urodynamic Considerations for its Effectiveness

Cited by 20 publications

References 16 publications

Practice patterns of Japanese physicians in urologic surveillance and management of spinal cord injury patients

Practice patterns of Japanese physicians in urologic surveillance and management of spinal cord injury patients

Neurogenic Urethra: Clinical Relevance of Isolated Neuropathic Dysfunction of the Urethra, and the Denervation Supersensitivity of the Urethra Revisited

Urinary Control After Radical Transurethral Resection of the Prostate in Male Paraplegics: Urodynamic Evaluation of Its Effectiveness in Relieving Incontinence

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