Predictive Value of Voiding Efficiency After Active Void Trial in Men Undergoing BPH Surgery

Gaither, Thomas W.; Patel, Parth M.; Rosario, Corinne Del; Baxter, Z. Chad; Pannell, Stephanie C.; Dunn, Matthew D.

doi:10.1016/j.urology.2022.05.035

Cited by 2 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We calculated an OR of 1.026 that can be interpreted that for every percentage of BVE increase, the OR increased by a factor of 1.026. The construct of BVE within urodynamics is well founded but less is known about the predictive power in men undergoing bladder outlet surgery where higher cut‐offs have been proposed 26,27 …”

Section: Discussionmentioning

confidence: 99%

“…The construct of BVE within urodynamics is well founded but less is known about the predictive power in men undergoing bladder outlet surgery where higher cut‐offs have been proposed. 26 , 27 …”

Section: Discussionmentioning

confidence: 99%

“…The construct of BVE within urodynamics is well founded but less is known about the predictive power in men undergoing bladder outlet surgery where higher cut-offs have been proposed. 26,27 This prospective, non-randomized study lacks a comparison against alpha-blockers; however, the real-world evidence of this small cohort establishes a jumping-off point for further comparative studies.…”

Section: Pulsar Outcomesmentioning

confidence: 97%

See 2 more Smart Citations

Prostatic urethral lift for subjects in urinary retention (PULSAR): 12‐Month results of a prospective controlled trial compared with real‐world outcomes

Rochester,

Doherty,

Page

et al. 2023

BJUI Compass

View full text Add to dashboard Cite

ObjectiveTo examine the safety and efficacy of prostatic urethral lift (PUL) in acute urinary retention (AUR) patients within a controlled (PULSAR) and real‐world setting (Real‐World Retrospective study).Materials and methodsPULSAR was a 12‐month prospective study of PUL in AUR patients (n = 51) performed at six centres in the United Kingdom; enrolled BPH patients aged ≥50 years, with prostate volume of ≤100 cc. AUR was defined as being catheter dependent with at least one prior failed trial without catheter (TWOC) while on an alpha‐blocker. RWR consisted of 3226 consecutive PUL patients across 22 international sites treated between July 2017 and March 2020; 469 of whom were in urinary retention (RWRr), that is, catheter‐dependent at the time of their procedure. Symptom response, uroflow and catheter independence rates were compared between PULSAR and RWRr subjects. A logistical regression model was constructed to evaluate patient baseline and dynamic factors predicting success after the procedure.ResultsSeventy‐three percent of PULSAR subjects were catheter independent and free from surgical reintervention at 12 months post‐PUL. Success was associated with higher voiding efficiency during the perioperative period. Slightly higher catheter‐independent rates (80%) were seen in RWRr patients; variables that influenced success included age <70 years, lower baseline prostate‐specific antigen (PSA), lower baseline post‐void residual (PVR) and shorter pre‐procedural catheter duration. Logistic regression of the combined PULSAR and RWRr retention groups revealed that procedural age <70 years and higher bladder voiding efficiency (BVE) were associated with success.ConclusionsLower baseline PSA and PVR, younger age and shorter pre‐procedure catheter durations drove successful outcomes in AUR patients undergoing PUL. Post‐PUL voiding efficiencies may help ascertain long‐term response to treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Pulsar Outcomesmentioning

confidence: 97%

See 1 more Smart Citation