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Quantification of voiding dysfunction in patients awaiting transurethral prostatectomy.
J Urol. 1996 Sep; 156(3):1014-8; discussion 1018-9.JU

Abstract

PURPOSE

We investigated the role of advanced urodynamic analysis in the diagnostic evaluation for transurethral resection of the prostate.

MATERIALS AND METHODS

A total of 62 consecutive patients awaiting transurethral resection of the prostate with the American Urological Association symptom score of more than 12, peak flow rate less than 13 ml. per second and significant residual urine underwent routine video pressureflow studies with advanced urodynamic analysis to quantify outflow function. Postoperative outcome was assessed at 3 months by symptom scores, uroflowmetry and ultrasonography (residual urine).

RESULTS

The parameters used in the diagnostic evaluation for transurethral resection of the prostate did not correlate with urodynamic diagnosis of unequivocal obstruction. Weak detrusor contractility (without significant obstruction) accounted for voiding dysfunction in 50% of the patients. The results of transurethral resection of the prostate were significantly better in patients with unequivocal compared to equivocal obstruction. Furthermore, patients with unequivocal obstruction but weak detrusor contractility had a significantly poorer treatment outcome.

CONCLUSIONS

Advanced urodynamic analysis in the diagnostic evaluation of patients with symptomatic benign prostatic hyperplasia can predict treatment outcome and, therefore, allows the urologist to choose the most appropriate therapeutic option for individuals.

Authors+Show Affiliations

Department of Urology, Royal Liverpool University Hospital, United Kingdom.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8709299

Citation

Javlé, P, et al. "Quantification of Voiding Dysfunction in Patients Awaiting Transurethral Prostatectomy." The Journal of Urology, vol. 156, no. 3, 1996, pp. 1014-8; discussion 1018-9.
Javlé P, Jenkins SA, West C, et al. Quantification of voiding dysfunction in patients awaiting transurethral prostatectomy. J Urol. 1996;156(3):1014-8; discussion 1018-9.
Javlé, P., Jenkins, S. A., West, C., & Parsons, K. F. (1996). Quantification of voiding dysfunction in patients awaiting transurethral prostatectomy. The Journal of Urology, 156(3), 1014-8; discussion 1018-9.
Javlé P, et al. Quantification of Voiding Dysfunction in Patients Awaiting Transurethral Prostatectomy. J Urol. 1996;156(3):1014-8; discussion 1018-9. PubMed PMID: 8709299.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quantification of voiding dysfunction in patients awaiting transurethral prostatectomy. AU - Javlé,P, AU - Jenkins,S A, AU - West,C, AU - Parsons,K F, PY - 1996/9/1/pubmed PY - 1996/9/1/medline PY - 1996/9/1/entrez SP - 1014-8; discussion 1018-9 JF - The Journal of urology JO - J Urol VL - 156 IS - 3 N2 - PURPOSE: We investigated the role of advanced urodynamic analysis in the diagnostic evaluation for transurethral resection of the prostate. MATERIALS AND METHODS: A total of 62 consecutive patients awaiting transurethral resection of the prostate with the American Urological Association symptom score of more than 12, peak flow rate less than 13 ml. per second and significant residual urine underwent routine video pressureflow studies with advanced urodynamic analysis to quantify outflow function. Postoperative outcome was assessed at 3 months by symptom scores, uroflowmetry and ultrasonography (residual urine). RESULTS: The parameters used in the diagnostic evaluation for transurethral resection of the prostate did not correlate with urodynamic diagnosis of unequivocal obstruction. Weak detrusor contractility (without significant obstruction) accounted for voiding dysfunction in 50% of the patients. The results of transurethral resection of the prostate were significantly better in patients with unequivocal compared to equivocal obstruction. Furthermore, patients with unequivocal obstruction but weak detrusor contractility had a significantly poorer treatment outcome. CONCLUSIONS: Advanced urodynamic analysis in the diagnostic evaluation of patients with symptomatic benign prostatic hyperplasia can predict treatment outcome and, therefore, allows the urologist to choose the most appropriate therapeutic option for individuals. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/8709299/Quantification_of_voiding_dysfunction_in_patients_awaiting_transurethral_prostatectomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)65689-1 DB - PRIME DP - Unbound Medicine ER -