Prognostic Value of Pressure-flow Study and Clinical Parameters in the Outcome Measurement after Transurethral Prostatectomy in Patients with BPH / 대한비뇨기과학회지
Korean Journal of Urology
;
: 1671-1676, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-107739
ABSTRACT
PURPOSE:
We performed this study to elucidate whether patient`s satisfaction and improvement of clinical parameters after transurethral resection of prostate(TURP) correlate with the degree of preoperative obstruction. We investigated the role of urodynamic studies as a predictor of outcome after TURP. MATERIALS ANDMETHODS:
Parameters including pre-operative symptom scores(IPSS), uroflow rate, prostate volume and urodynamic studies, were assessed in 27 patients undergoing TURP due to BPH. Bladder outlet obstruction was assessed by pressure-flow study(PFS). Post-operative evaluation was performed with IPSS and uroflowmetry 3 months after surgery. Post-operative patient`s satisfaction was determined by subjective responses to the questionnaires. The subjective responses, clinical and urodynamic parameters were compared and statistically analyzed.RESULTS:
Eighteen patients(67%) had preoperative bladder outlet obstruction(BOO; defined as L-PURR> or =3), while 14(52%) demonstrated associated detrusor instability(DI). Significant improvements in IPSS, quality of life, peak flow rate and residual urine were noted in all patients post-operatively(p or =3) and 91%(L-PURR<3).CONCLUSIONS:
No differences in the improvements of clinical parameters except voiding symptom scores were noted between obstructive and non-obstructive BPH. However, patient`s satisfaction after surgery was higher for patients in whom preoperative pressure-flow study confirmed obstruction. Also, obstructive parameters such as L-PURR or URA may be useful in predicting postoperative results.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Próstata
/
Qualidade de Vida
/
Urodinâmica
/
Bexiga Urinária
/
Obstrução do Colo da Bexiga Urinária
/
Inquéritos e Questionários
/
Ressecção Transuretral da Próstata
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Urology
Ano de publicação:
1999
Tipo de documento:
Artigo
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