Transurethral prostate resection for urinary retention: does age affect outcome?

Losco, Giuseppe; Mark, Stephen; Jowitt, Sharryn

doi:10.1111/ans.12014

Cited by 19 publications

(10 citation statements)

References 20 publications

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“…In contrast to a previous study , we found no correlation between patient age and reduction in symptoms after PAE. While in the TURP group in the trial, younger patients (<70 vs ≥70 years) had a more distinct improvement in IPSS, which is in line with previous studies on transurethral surgical techniques , this correlation was not found after PAE.…”

Section: Discussionsupporting

confidence: 89%

Outcome prediction of prostatic artery embolization: post hoc analysis of a randomized, open‐label, non‐inferiority trial

et al. 2018

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contributed equally to this work. ConclusionBaseline and peri-operative findings might help to guide patient selection and outcome prediction for PAE. Patients with larger prostates have a higher chance of success with PAE. Larger-scale clinical trials including a longer follow-up are warranted to further elucidate the most suitable patients for PAE. Keywordsprostatic artery embolization, benign prostatic hyperplasia, prostate, minimally invasive, lower urinary tract symptoms, treatment effect, #UroBPH, #PAE, #LUTS

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Section: Discussionsupporting

confidence: 89%

Outcome prediction of prostatic artery embolization: post hoc analysis of a randomized, open‐label, non‐inferiority trial

et al. 2018

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“…The mean percentage volume reduction observed in our PVP group (40%) was also slightly lower compared with the published results of BPH patients who underwent PVP with similar prostate volumes (43-72%) [18,19]. Our results revealed similar stress UI rates in both TURP (5.5%) and PVP (5.2%) in CaP patients compared with the literature data of BPH patients (1-5%) [22,23]. …”

Section: Discussionsupporting

confidence: 48%

A Comparison of 120 W Laser Photoselective Vaporization versus Transurethral Resection of the Prostate for Bladder Outlet Obstruction by Prostate Cancer

Altay¹,

Erkurt²,

Kiremit³

et al. 2015

Urol Int

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Objective: To compare the mid-term outcomes of photoselective vaporization of prostate (PVP) with GreenLight HPS 120 W laser and transurethral resection of the prostate (TURP) for obstructive lower urinary tract symptoms (LUTS) in men with prostate cancer (CaP). Patients and Methods: Seventy four patients with locally advanced (T3/T4) CaP with severe LUTS or acute urinary retention (AUR) were allocated to TURP (n = 36) or PVP (n = 38). International Prostate Symptom Scores (IPSS), maximum flow rates (Qmax) and post-void residual volumes (Vres), PSA levels, prostate volumes, complications, catheter removal and hospitalization periods were recorded. Patients were reassessed at 3, 6, and 12 months. Results: The catheter removal time was significantly longer in the TURP group (3.8 ± 1.1 vs. 1.2 ± 0.7 days, p = 0.02), whereas failure of initial voiding trial was higher in PVP (2.7 vs. 13.1%, p = 0.01). No significant difference in IPSS, Qmax and Vres values was observed within the follow-up period between two groups. A significant difference in urethral stricture rate (8.3 vs. 0%), catheter removal time (3.8 ± 11 vs. 1.2 ± 0.7 days) and hospital stay (2.9 ± 0.6 vs. 1.1 ± 0.5 days) was observed in favor of PVP. Conclusions: Palliative PVP is very safe and effective by means of symptomatic relief in patients with locally advanced CaP.

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“…Further, persistence of storage symptoms following TURP has been reported more frequently in men >80 years of age [3]. In another study of 100 consecutive patients who underwent TURP, a high proportion of patients reported increasing urine leakage with increasing age [9]. Knutson et al [10] reported that high age was an independent risk factor for coexisting detrusor overactivity in BPE.…”

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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Transurethral prostate resection for urinary retention: does age affect outcome?

Cited by 19 publications

References 20 publications

Outcome prediction of prostatic artery embolization: post hoc analysis of a randomized, open‐label, non‐inferiority trial

Outcome prediction of prostatic artery embolization: post hoc analysis of a randomized, open‐label, non‐inferiority trial

A Comparison of 120 W Laser Photoselective Vaporization versus Transurethral Resection of the Prostate for Bladder Outlet Obstruction by Prostate Cancer

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

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