The Efficacy of Transurethral Resection of the Prostate in the Patients with Weak Bladder Contractility Index

Han, Deok Hyun; Jeong, Yoong Ki; Choo, Myung‐Soo; Lee, Kyu‐Sung

doi:10.1016/j.urology.2007.11.109

Cited by 70 publications

(72 citation statements)

References 17 publications

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“…100) is correlated with poor symptomatic outcome (IPSS 6 20). Similar to our findings, it has also recently been reported that symptomatic patients with weak bladder contractility might benefit from TURP [23] . The only preoperative urodynamic parameter that correlated with symptomatic outcome in our study was preoperative bladder compliance: the higher the preoperative bladder compliance, the higher the IPSS value at follow-up.…”

Section: Discussionsupporting

confidence: 93%

Urodynamic Impact of Acute Urinary Retention in Patients with Benign Prostatic Hyperplasia: A 2-Year Follow-Up after Transurethral Resection of the Prostate

Wagenlehner

Bescherer²,

Wagenlehner³

et al. 2010

Urol Int

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Introduction: Benign prostatic hyperplasia (BPH) may ultimately result in acute urinary retention (AUR). This study was performed to assess the impact of transurethral resection of the prostate (TURP) on urodynamic parameters in patients with BPH using pre- and postoperative pressure-flow studies (PFS) and compare those between patients with and without preoperative AUR. Patients and Methods: 78 patients underwent TURP because of symptoms due to BPH and were evaluated preoperatively and at follow-up after a mean ± SD of 27 ± 11.5 months by the International Prostate Symptom Score and PFS. Results: 32% of patients were admitted with AUR. The clinical and principal urodynamic parameters exhibited statistically significant improvement reaching normal values after TURP in most patients. Comparing patients with and without AUR, the bladder compliance significantly increased (p = 0.0013) from the preoperative period to follow-up only in patients with preoperative AUR. The minimal opening pressure decreased significantly more (p = 0.0077) from the preoperative period to follow-up in the non-AUR group. Patients older than 80 years and younger patients showed comparable results. Conclusions: TURP leads to a sustained and age-independent improvement of clinically relevant PFS parameters in patients with BPH. Patients with preoperative AUR had comparable symptomatic, but an impaired urodynamic outcome compared to patients without AUR.

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Section: Discussionsupporting

confidence: 93%

Urodynamic Impact of Acute Urinary Retention in Patients with Benign Prostatic Hyperplasia: A 2-Year Follow-Up after Transurethral Resection of the Prostate

Wagenlehner

Bescherer²,

Wagenlehner³

et al. 2010

Urol Int

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“…Previous studies also suggested that men with DU have significantly improved Q max and PVR after transurethral resection of the prostate. 10,11 Endoscopic incision of the bladder neck for patients with bladder neck dysfunction was first reported by TurnerWarwick et al 12 in 1973. Choudhury 13 also reported on nine women with bladder neck obstruction who received TUI-BN.…”

Section: Discussionmentioning

confidence: 99%

Long-term follow up and predictive factors for successful outcome of transurethral incision of the bladder neck in women with detrusor underactivity

Jhang

Jiang

Lee

2016

Journal of the Formosan Medical Association

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“…Additionally, we found a weak relationship between poor contractile function and improvement of storage symptoms. However, some studies found that, after TURP, patients with obstructed and normal bladder contractility were more satisfied than those with weak bladder contractility [21]. Even with previous reports that document the prognostic value of baseline detrusor contractility for the improvement of overall symptoms, there are limited data regarding the association between the improvement of OAB-related symptoms and the detrusor contractility grade following prostatectomy [22,23].…”

Section: Discussionmentioning

confidence: 99%

Prediction of Persistent Storage Symptoms after Transurethral Resection of the Prostate in Patients with Benign Prostatic Enlargement

et al. 2014

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Objective: To identify the prognostic factors causing persistent storage symptoms following transurethral resection of the prostate in patients with benign prostatic enlargement (BPE). Methods: A total of 116 men with symptomatic BPE requiring surgery were enrolled in the study between January 2011 and December 2012. The patients underwent basic clinical evaluations including transrectal ultrasound, International Prostate Symptom Score and urodynamic study. After 6 months, International Prostate Symptom Score and uroflowmetry were rechecked. The definition of persistent storage symptoms was patients with storage scores >7 points. Logistic regression analysis and receiver operating characteristic analysis were conducted. Results: The 116 patients were divided into a persistent storage symptom-positive group (n = 33) and a storage symptom-negative group (n = 83). Multivariate analysis showed that the degrees of worse initial storage symptoms (odds ratio [OR] = 8.32), small bladder capacity (OR = 4.31), impaired detrusor contractility (OR = 2.96) and age (OR = 1.05) were consistently associated with persistent storage symptoms. Conclusions: This short-term study confirms the positive and consistent correlations between the baseline degree of worse initial storage symptoms, bladder capacity, detrusor contractility and age and the improvement in storage symptoms.

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The Efficacy of Transurethral Resection of the Prostate in the Patients with Weak Bladder Contractility Index

Cited by 70 publications

References 17 publications

Urodynamic Impact of Acute Urinary Retention in Patients with Benign Prostatic Hyperplasia: A 2-Year Follow-Up after Transurethral Resection of the Prostate

Urodynamic Impact of Acute Urinary Retention in Patients with Benign Prostatic Hyperplasia: A 2-Year Follow-Up after Transurethral Resection of the Prostate

Long-term follow up and predictive factors for successful outcome of transurethral incision of the bladder neck in women with detrusor underactivity

Prediction of Persistent Storage Symptoms after Transurethral Resection of the Prostate in Patients with Benign Prostatic Enlargement

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