A Possible Condition of Pre-Instability in Prostatic Obstruction

Cucchi, A.

doi:10.1016/s0022-5347(01)67685-7

Journal of Urology

1995

DOI: 10.1016/s0022-5347(01)67685-7

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A Possible Condition of Pre-Instability in Prostatic Obstruction

A. Cucchi

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Cited by 2 publications

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Prediction of unfavourable symptomatic outcome of transurethral prostatectomy in patients with the relative indication for operation

Ignjatović

1997

International Urology and Nephrology

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A total of 48 patients with BPH were studied before and after TURP. Initial diagnostic evaluation consisted of clinical examination, IPSS, uroflowmetry, cystometry, and "pressure-flow" study. Contribution of the important urodynamic measurements for the favourable symptomatic outcome was evaluated. There was significantly better result in patients with severe symptoms preoperatively (p = 0.03), low preoperative Qmax (p = 0.03), and presence of obstruction (p = 0.004), especially in patients with normal or strong detrusor contraction. Preoperative volume of residual urine as well as detrusor instability were not important for the symptomatic outcome. IPSS and uroflowmetry should not be treated as optional diagnostic tests. They improved the percentage of patients with an excellent symptomatic outcome from 62.5% to 90% (p = 0.04). "Pressure-flow" study is the reliable method for the achievement of excellent symptomatic outcome, but not significantly better than uroflowmetry and IPSS together. "Pressure-flow" study should be performed only in inconclusive preoperative cases.

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Prediction of unfavourable symptomatic outcome of transurethral prostatectomy in patients with the relative indication for operation

Ignjatović

1997

International Urology and Nephrology

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Quality-of-Life Assessment in Patients with Benign Prostatic Hyperplasia

et al. 2001

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A literature search was conducted to review quality-of-life (QOL) measurement in patients with benign prostatic hypertrophy (BPH). The different QOL instruments are discussed in relation to their correlation with symptom evaluation in studies of treatment options for BPH. Symptom evaluation of BPH has been standardised internationally with the International Prostatic Symptom Score (IPSS), but there is neither agreement nor data to decide which QOL instrument is preferable. The most widely used QOL instrument is the disease-specific QOL single question added to the IPSS. Other QOL instruments have been used, but none has gained unanimous approval. The results of QOL assessments obtained from comparative clinical studies of treatment options for BPH are discussed. These studies compare treatment options such as watchful waiting, drug treatment and surgery. Disease-specific QOL domains (interference with daily activities) tend to improve more with treatment interventions than general health measures (i.e. general well-being). The use of QOL instruments to evaluate patients with BPH, and their many treatment options, is still open to debate with regard to which instruments are preferred and their importance to the clinical evaluation of the patient. The challenge remains to find an acceptable disease-specific QOL instrument that adds information to currently used disease measures of BPH.

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A Possible Condition of Pre-Instability in Prostatic Obstruction

Cited by 2 publications

References 11 publications

Prediction of unfavourable symptomatic outcome of transurethral prostatectomy in patients with the relative indication for operation

Prediction of unfavourable symptomatic outcome of transurethral prostatectomy in patients with the relative indication for operation

Quality-of-Life Assessment in Patients with Benign Prostatic Hyperplasia

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