The Correlation Between Bladder Outlet Obstruction and Lower Urinary Tract Symptoms as Measured by the International Prostate Symptom Score

Din, K. Ezz El; Kiemeney, Lambertus A.; Wildt, M.J.A.M. de; Rosier, Peter; Debruyne, F.M.J.; Rosette, Jean J.M.C.H. de la

doi:10.1097/00005392-199609000-00050

Cited by 24 publications

(32 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some authors, besides, found variability between consecutive flow measurements and circadian changes in various voiding parameters, and particularly in maximum flow rate. 2,3 Therefore, any decision based on a single-flow measurement is questionable, since a natural situation is recommended when using uroflowmetry to depict a patient's normal voiding pattern. Data from a homebased portable flowmeter may accomplish this objective.…”

Section: Introductionmentioning

confidence: 99%

Home and office uroflowmetry for evaluation of LUTS from benign prostatic enlargement

Porru

Scarpa²,

Prezioso³

et al. 2005

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

A group of 107 patients with lower urinary tract symptoms (LUTS) from benign prostatic enlargement (BPE) participated to the HOUSE Study (Home and Office Uroflowmetry Specific Evaluation). Patients received routine investigation, consisting of medical history taking, physical examination including digital rectal examination, prostate-specific antigen (PSA), assessment of symptoms listed both on the International Prostate Symptom Score and on ICS-male questionnaire. We examined the results of uroflowmetry evaluation in this population; data were analysed to observe if any circadian changes of parameters obtained with home uroflowmetry could be detected. We searched a correlation between Q max , Q ave and ICS-benign prostatic hyperplasia symptom score: a significantly inverse correlation was found only for Q max , confirming Q max as a reliable parameter to quantify subjective symptoms. When examining the multiple flow curves recorded in the same patient with home uroflowmetry, voided volume and flow time had usually higher values during night-time: the existence of circadian changes of uroflowmetry parameters in patients with LUTS from BPE was confirmed, and lower values of average and maximum flow rates during sleep hours were recorded in the same patient. In conclusion, when evaluating the natural history or treatment outcome of individual patients or group of patients in clinical trials for evaluation of BPE and LUTS, an assessment including multiple measurements may be useful and of value.

show abstract

Section: Introductionmentioning

confidence: 99%

Home and office uroflowmetry for evaluation of LUTS from benign prostatic enlargement

Porru

Scarpa²,

Prezioso³

et al. 2005

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

show abstract

“…Si como sabemos los síntomas irritativos surgen como respuesta secundaria de la vejiga (inestabilidad del detrusor) al componente obstructivo del proceso, los diferentes cuadros que se presentaron corresponderían a diferentes estadios en el crecimiento de la próstata sin que esto prediga necesariamente el grado de obstrucción como ya ha sido visto (33,37).…”

Section: Discussionunclassified

Influencia del tratamiento quirúrgico de la próstata sobre la función renal en pacientes con insuficiencia renal crónica secundaria a hiperplasia prostática benigna

Castaneda¹,

Isidro²,

Mory³

et al. 2013

Rev Med Hered

View full text Add to dashboard Cite

RESUMENObjetivo: Evaluar la influencia del tratamiento quirúrgico sobre la función renal en pacientes con Insuficiencia Renal Crónica (IRC) causada por Hiperplasia Prostática Benigna (HPB). Material y métodos: Es un estudio descriptivo, retrospectivo y analítico de series de casos; cuya variable resultado principal fue el delta de creatinina (creatinina post cirugía -creatinina pre-cirugía), los deltas de creatinina negativos se categorizaron como mejoría de la función renal y los deltas de creatinina positivos como deterioro de la función renal. Resultados: De 40 casos, 24 cumplían con los criterios de inclusión. La edad promedio fue de 67.2 ± 6.8 años. El síntoma más frecuente fue el chorro urinario delgado presentándose en 20 (83.3%) pacientes. Trece(54.17%) pacientes tuvieron una próstata mediana, quienes con los pacientes de próstata grande refirieron con mayor frecuencia el síntoma de polaquiuria (p=0.03). El tratamiento quirúrgico de pacientes con IRC por HPB produjo una mejoría de la función renal en el 83% de los casos. Solo 4(16.67%) pacientes tuvieron delta de creatinina positivo con disminución de la función renal post-cirugía. Se encontró una correlación directa entre la edad y el delta de creatinina (r=0.55) (p=0.004) traduciendo una asociación del deterioro de la función renal post-cirugía con la edad. Conclusiones: El tratamiento quirúrgico de pacientes con IRC por HPB produjo una mejoría de la función renal en la mayoría de los pacientes evaluados en este estudio. No se identificó factores de riesgo relacionados con un deterioro o mejoría de la función renal post-cirugía. (Rev Med Hered 2002; 13: 99-104).PALABRAS CLAVE: Hiperplasia prostática benigna, insuficiencia renal, cirugía. SUMMARY Objective:To assess the influence of the surgical treatment over the renal function in patients with Chronic Renal Failure (CRF) caused by Benign Prostatic Hyperplasia (BPH). Material

show abstract

“…At present, the most utilized method to confirm infravesical obstruction is the pressure / flow study (12)(13)(14)(15)(16). Urodynamics distinguish low flow secondary to hypoactivity of the detrusor from the low flow caused by obstruction.…”

Section: Discussionmentioning

confidence: 99%

Urodynamic studies in the surgical treatment of benign prostatic hyperplasia

Lima

Netto

2003

Int. braz j urol.

View full text Add to dashboard Cite

Objective: We compared the clinical and urodynamic outcome of men with lower urinary tract symptoms with and without previous urodynamic evaluation submitted to transurethral resection of the prostate.Materials and Methods: A prospective and randomized study was performed in 315 patients who underwent transurethral resection of the prostate. In 151 patients (group A) with a mean age of 63 years, transurethral resection of the prostate was performed without a prior urodynamic study, and group B, 164 patients with a mean age of 61 years, underwent a urodynamic study prior to surgical procedure. In group B, only obstructed patients were selected for surgery. All patients had I-PSS higher than 15 and underwent at least 2 uroflowmetry and flow was lower than 10 ml/sec. At 6-month follow up, patients in both groups underwent the I-PSS questionnaire and pressure / flow study. Results: The symptomatology and uroflowmetry did not display different behavior between the groups. The mean postoperative score for group A was 8.87 + 3.27 and for group B was 9.32 + 3.14 (p = 0.22). The mean postoperative uroflow for group A was 17.0 + 2.1 mL/s and for group B was 16.6 + 2.2 mL/s (p = 0.15).Postoperative, in group A, 27 patients (17.8%) were obstructed and in group B, 16 patients (9.75%) were obstructed (p = 0.03).Conclusion: The study suggests that the previous urodynamic study is not the only factor related to the success of surgical outcome; and therefore, the symptomatology and uroflowmetry associated would be enough during the preoperative routine studies for BPH patients.

show abstract

The Correlation Between Bladder Outlet Obstruction and Lower Urinary Tract Symptoms as Measured by the International Prostate Symptom Score

Cited by 24 publications

References 12 publications

Home and office uroflowmetry for evaluation of LUTS from benign prostatic enlargement

Home and office uroflowmetry for evaluation of LUTS from benign prostatic enlargement

Influencia del tratamiento quirúrgico de la próstata sobre la función renal en pacientes con insuficiencia renal crónica secundaria a hiperplasia prostática benigna

Urodynamic studies in the surgical treatment of benign prostatic hyperplasia

Contact Info

Product

Resources

About