Long‐term predictive role of urodynamics: an 8‐year follow‐up of prostatic surgery for lower urinary tract symptoms

Abstract

Uroflowmetry and pressure-flow studies can predict to some degree the long-term result after prostatic surgery. There was a durable effect on symptom scores and maximum flow rates after the operation. The annual rate of repeat resection (1.8%) was relatively low.

Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

“…6 Eight years after undergoing TURP, 12.0% to 15.5% of patients need re-intervention. 7 Minimally invasive treatments, such as PVP, TUNA and transurethral microwave treatment (TUMT), have reoperation rates of 11%, 8%, and 7%, respectively, after 1 year.…”

Is obstruction predictable by clinical evaluation in patients with lower urinary tract symptoms?

“…It has been shown repeatedly that patients with urodynamically confirmed obstruction profit more from prostatectomy than do those without [12,18,[20][21][22][23]. Ball et al studied the long-term outcome 5 years after prostatectomy in 83 patients and correlated post-operative results with the pre-operative urodynamics [20].…”

“…reported by others and by a recent update from Jensen et al [18,23]. Consequently, it has been speculated that Pressure flow studies have shown that 20-30% of all patients undergoing prostatectomy are urodynamically the consistent post-prostatectomy failure rate of about 20% in most published series is caused by the inclusion not obstructed [10,12,18,19].…”

Long–Term Outcome of Transrectal High– Intensity Focused Ultrasound Therapy for Benign Prostatic Hyperplasia

“…In Roos’ et al [3]multicenter study of 39,077 patients undergoing TURP in Denmark (n = 27,911), England (n = 2,171) and Canada (n = 8,995), the rate of reintervention after TURP increased from 2.34.3% within 12 months to 8.9–9.7 and 12.0–15.5% 5 and 8 years after surgery, respectively. Jensen et al [4]calculated a repeat resection rate of 1.8% per year after TURP. In a contemporary large–scale monocenter study, 0.9 and 2.5% of patients had to undergo repeat resection within 12 and 36 months after initial TURP [5].…”