Symptom Analysis and Uroflowmetry 7 Years After Transurethral Resection of the Prostate

Abstract

The long-term result after transurethral resection of the prostate is not well documented. From 1981 to 1983, 84 consecutive consenting patients completed detailed symptom analysis and urodynamic examination before transurethral resection of the prostate. These studies were repeated 3 and 12 months postoperatively. Of the 84 patients 44 were interviewed at 86 months: 75% reported improvement compared to preoperative symptoms. In addition, 23 patients underwent uroflowmetry at 7 years. For this group the maximum urine flow rate remained virtually unchanged from 1 to 7 years postoperatively). When uroflowmetry results from all patients undergoing testing at the various followup intervals are considered, the maximum urine flow rate was 9.5 ml. per second preoperatively, 17.0 ml. per second at 3 months and 19.6 ml. per second at 1 year. Of the 44 patients 7 (16%) underwent repeat transurethral resection of the prostate.

Patient Reports of Symptoms and Quality of Life following Prostate Surgery

“…Worry about retention before and 12 months after pros tate surgery report any particular symptom before surgery are likely to say it seldom or never occurs after surgery. These results correspond with comparable reports in the literature [11,12].…”

“…As we have seen, nearly 90% of those who reported symptom frequency alone. Studies of the rela tionship between the physiology of the prostate and blad der and symptoms observed by patients do not indicate strong correlations [12]. Our data show major differences among patients in how particular symptoms affect their quality of life.…”

Interstitial laser coagulation for management of benign prostatic hyperplasia: Long‐term follow‐up

“…reported long-term results after transurethral resection of the prostate in 84 patients. 11 In their study, symptom scores changed from 16 at baseline to 4 at 3 months and 4 at 7 years. Maximum urine flow rate also changed from 9.5 mL/s at baseline to 17.0 mL/ s at 3 months and 12.2 mL/s at 7 years.…”

The Urodynamic Impact of Transrectal High-Intensity Focused Ultrasound on Bladder Outflow Obstruction

“…In this rather small series, TUR/P and VLAP led to compa rable results [28], De Wildt et al [29] determined the uro dynamic effect of 3 different laser devices 6 months after therapy. For all three devices significant improvements of weight after TUR/P can be generated, particularly as we have excluded large glands [32,33], This raises the issue, why the clinical results are not closer to TUR/P and two explanations are possible. Postoperative endoscopies demonstrated that obstructive tissue was often present at the bladder neck, while cavities were frequently identified in the prostatic urethra.…”