Objective To investigate the value of
urodynamic in treating those
patients with
benign prostatic hyperplasia complicated with
bladder dysfunction.
Methods 130
patients with
benign prostatic hyperplasia were retrospectively reviewed between December 2015 and December 2016.The exclusive criteria included
nervous system diseases,moderate to severe diabetes,moderate to severe
hypertension,
urethral stricture,
bladder stones,
prostate cancer,etc.The
patient's age is ranged 51 to 92,mean 72 years old.The previous
history of
disease ranged from 3 months to 15 years,mean 4 years.All
patients accepted the
urodynamic examination.Different
treatments were considered according to
urodynamic studies.Results According to the
classification of
bladder outlet obstruction,130 cases were classified as
bladder outlet obstruction in 109 cases,
bladder suspicious obstruction in 15 cases,no
bladder obstruction in 6 cases.According to the
classification of
bladder function,130 cases were divided into unstable
bladder in 6 cases,low
compliance bladder in 7 cases,
bladder atony in 15 cases,
bladder without tension in 3 cases,normal
bladder function in 99 cases.3 cases without
bladder tension,including BOO in 2 cases,suspected BOO in 1 case,were accepted the
cystostomy.15 cases with less detrusor contraction,including BOO in 4 cases,suspected BOO in 9 cases,were accepted the
cystostomy and
TURP.
Conservative treatment was performed in other 2 cases without obstruction.In 6 cases with unstable
bladder,2 cases without obstruction accepted the
conservative treatment,4 cases with suspected BOO accepted the
TURP.In 7
patients with low
compliance bladder,2 cases without obstruction accepted the
conservative treatment,5 cases with suspected BOO accepted the
TURP.The duration of following up was 3-6 months.The symptoms of the
patients in this group improved significantly during following up.Conclusion For
patients with
benign prostatic hyperplasia complicated with
bladder dysfunction,the results of
urodynamics can help to choose the right
treatment and improve effect of
treatment.