Differential Diagnosis of Prostatism: a 12-year Retrospective Analysis of Symptoms, Urodynamics and Satisfaction with Therapy

Kaplan, Steven A.; Bowers, David L.; Te, Alexis E.; Olsson, Carl A.

doi:10.1016/s0022-5347(01)66252-9

Cited by 50 publications

(29 citation statements)

References 12 publications

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“…Kaplan et al found that among a subset of 121 patients treated surgically, only 51% had urodynamic evidence of bladder outlet obstruction. 25 However, the degree of patient satisfaction and symptomatic improvement did not correlate with the urodynamic findings. Jensen et al prospectively studied 62 men selected for prostatectomy by physicians who were blinded to the preoperative urodynamic findings.…”

Section: Discussionmentioning

confidence: 93%

Transurethral resection in women with lower urinary tract symptoms

Qiu

Shen

2004

Int J of Urology

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Background : To evaluate the preliminary safety, efficacy and complications of transurethral resection (TUR) in the management of women with lower urinary tract symptoms. Methods : One hundred and eight women (mean age, 57.6 years) with moderate to severe lower urinary tract symptoms underwent TUR between September 1998 and December 2002. At preoperative baseline, 6 months and 24 months postoperatively, all patients underwent clinical evaluations including the standardized American Urological Association symptom score, peak urine flow, postvoid residual urine volume and quality-of-life assessments. Operative time, catheter time, hospital stay and incidence of side-effects were also recorded.Results : The total mean operative time was 19.25 ± 6.70 min. The mean catheter time was 26.2 ± 12.8 h and the mean hospital stay was 2.08 ± 0.84 days. No patient needed a blood transfusion or experienced hyponatremia. The total storage and voiding symptom scores and quality of life score had improved significantly 6 months after the surgical procedure (P < 0.01). There were little changes in peak flow rate and residual urine volume. Complications of the procedure included urinary tract infections (n = 4) and stress incontinence (n = 3). Two patients later underwent bladder neck suspension procedure. Conclusions : In this preliminary study, there was significant clinical improvement maintained at all follow-up intervals and the results were not comparable to TUR of the prosatate in men with clinical benign prostatic hyperplasia. The risks associated with TUR in women, especially of stress incontinence, are significant. A multicenter clinical trial is currently underway to determine the long-term efficacy and safety of TUR in women.

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Section: Discussionmentioning

confidence: 93%

Transurethral resection in women with lower urinary tract symptoms

Qiu

Shen

2004

Int J of Urology

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“…However, a substantial number of these patients have disappointing results and coupled with reluctance to avoid surgery. These patients eventually present as CUR at a later stage thus a advanced age group presentation with CUR is observed [13,[16][17][18][19][20][21][22][23][24][25][26][27]. …”

Section: Discussionmentioning

confidence: 99%

“…This is in agreement with the observations made by Davies JA [17] in their review that the common symptoms of which the patients are aware of are frequency, decrease flow and hesitancy. A retrospective study by SA Kaplan et al [19] concluded that most common symptom of BOO was nocturia followed by increase frequency of urine, decrease flow of urine, hesitancy, dribbling, straining, sensation of incomplete voiding and incontinence.…”

Section: Neurological Diseasementioning

confidence: 99%

Does Temporary Catheter Drainage of Urine Improves Detrusor Function in Chronic Urinary Retention in Patients with Bladder Outlet Obstruction.

Pal¹

2017

UNOAJ

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Chronic urinary retention (CUR) is one of the consequences of bladder outlet obstruction (BOO) that occurs due to impaired functions of detrusor muscles secondary to obstruction related changes in the bladder wall. The effect of catheter drainage (CD) on detrusor function in CUR in animals is well studied but in humans there are very few studies to see its effect in CUR. Material and methods:This is a non-randomized, retrospective study wherein case records of 50 eligible patients attending the Department of Urology during January 2010 to March 2012 were evaluated for CUR. Two UDS, performed 6-12 weeks (average 9 weeks) apart and the parameters which were evaluated were bladder sensation, capacity and voiding detrusor pressure. These parameters were also evaluated against the age of the patient, duration of symptoms and the amount of urine drained on catheterization. Results:The commonest symptoms observed were decrease flows of urine, frequency, straining and incomplete emptying. Bladder function improvement after CD was observed to be maximum in patients with following characteristics: age at presentation in the range of > 60 to < 70 years, duration of lower urinary tract symptoms (LUTS) less than 5 years and amount of urine drained at the time of catheterization being < 500 ml. Conclusion:CUR secondary to BOO is a common problem in elderly males. UDS is the "gold standard" for its evaluation and helps to plan further management. CD of urine is an effective mode of temporary management in patients of CUR secondary to BOO as it provides rest to the detrusor muscle in humans.

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“…Yaklaşık %15-30 hastada obstrüksiyonun cerrahi tedavisine rağmen işeme disfonksiyonunun ve de özel-likle depolama semptomlarının devam ettiği gösterilmiştir [12,13]. Çıkım obstrüksiyonuna mesanenin cevabı süreye, obstrüksiyonun boyutuna ve natürüne bağlı olarak değişiklikler göstermekte olup MÇO ile mesane dekompansasyonu arasındaki direk ilişki henüz kanıtlan-mamıştır [14]. Ancak PAE tedavisinde mesane dekompansasyonunun varlığı hasta seçiminde göz önünde bulundurulmalıdır.…”

Section: Bph Ve Klinik Kavramlarunclassified