Urodynamically diagnosed detrusor hypocontractility: should transurethral resection of the prostate be contraindicated?

Ou, Rubiao; Pan, Chaojie; Chen, Hui; Wu, Suishan; Wei, Xinghua; Deng, Xiaoyi; Tang, Peng; Xie, Keqin

doi:10.1007/s11255-011-0010-2

Cited by 34 publications

(40 citation statements)

References 20 publications

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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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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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“…[6] Detrusor underactivity is considered a poor predictor of outcome after TURP[7] though some authors have reported the beneficial results of TURP in patients with underactive detrusor. [8910] Detrusor failure occurs secondary to long-standing outflow obstruction leading to damage of innervation or the ultrastructure morphology of detrusor muscle. [11]…”

Section: Introductionmentioning

confidence: 99%

Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis

et al. 2017

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Purpose:The purpose of this study was to evaluate the clinical outcome and efficacy of transurethral resection of the prostate in patients of benign prostatic enlargement (BPE) with underactive bladder.Materials and Methods:Retrospective study of 174 patients, who underwent transurethral resection of prostate (TURP) between 2008 and 2015, for lower urinary tract symptoms with BPE with bladder underactivity. Clinical history, physical examination, renal function test, urinalysis, cystourethroscopy, transabdominal or transrectal ultrasonography, and urodynamic study were recorded. Patients having a history of neurologic conditions, spinal trauma or surgery, pelvic trauma or surgery, diabetes mellitus with end organ damage, urethral pathology or surgery, and prostatic cancer were excluded from the study.Results:The mean follow-up period was 22.4 ± 6.2 months. Mean prostate volume was 42.8 ± 6.4 ml and mean serum prostate-specific antigen was 2.3 ± 1.8 ng/ml. The International Prostate Symptom Score changed from 24.6 ± 4.2 preoperatively to 10.8 ± 5.8 postoperatively which was found statistically significant. Quality of life (QOL) score changed from 4.8 ± 1.2 to 2.6 ± 0.4. Twenty-two patients out of 174 remained on a per-urethral catheter or clean intermittent catheterization due to voiding failure after TURP beyond 1 month.Conclusions:TURP should be considered a viable treatment option in men with enlarged prostate with underactive detrusor who had poor response to medical treatment. Preoperative counseling and postoperative follow-up are crucial in the management of such patients.

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“…The authors concluded that TURP should not be a contraindication merely based on the urodynamic finding of DU. The study sample is very small however [45].…”

Section: Benign Prostatic Hyperplasiamentioning

confidence: 99%

Role of Urodynamics in the Evaluation of Elderly Voiding Dysfunction

Mahdy

Ghoniem

2014

Curr Bladder Dysfunct Rep

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Voiding dysfunction is a common condition in the elderly that can affect both men and women. Due to the ageassociated changes in the lower urinary tract, voiding dysfunction in the elderly is usually complex and multifactorial, necessitating more objective testing sometimes. In this chapter, we will focus on the role of urodynamics in the setting of voiding dysfunction in the elderly. The term voiding dysfunction will be used to refer both to storage and obstructive lower urinary tract symptoms.

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Urodynamically diagnosed detrusor hypocontractility: should transurethral resection of the prostate be contraindicated?

Cited by 34 publications

References 20 publications

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

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

Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis

Role of Urodynamics in the Evaluation of Elderly Voiding Dysfunction

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