PMID- 17083391
OWN - NLM
STAT- MEDLINE
DCOM- 20070313
LR  - 20220311
IS  - 0919-8172 (Print)
IS  - 0919-8172 (Linking)
VI  - 13
IP  - 11
DP  - 2006 Nov
TI  - Is the short-term outcome of transurethral resection of the prostate affected by 
      preoperative degree of bladder outlet obstruction, status of detrusor 
      contractility or detrusor overactivity?
PG  - 1398-404
AB  - AIM: The aim of this study was to investigate whether the preoperative degree of 
      bladder outlet obstruction (BOO), detrusor underactivity (DUA) or detrusor 
      overactivity (DO) affected the short-term outcome of transurethral resection of 
      the prostate (TURP) for patients with lower urinary tract symptoms suggestive of 
      benign prostatic hyperplasia (LUTS/BPH). METHODS: Ninety-two patients with 
      LUTS/BPH aged 50 years or older who were considered to be appropriate candidates 
      for TURP were included in this study. Pressure-flow study and filling cystometry 
      were performed to determine BOO, DUA and DO before TURP. The efficacy of TURP was 
      determined at 3 months after surgery using the efficacy criteria for treatment of 
      BPH assessed by the International Prostate Symptom Score, QOL index, maximum flow 
      rate and postvoid residual urine volume. RESULTS: On preoperative urodynamics, 
      60%, 40% and 48% of patients showed BOO, DUA and DO, respectively. After TURP, 
      76% showed 'excellent' or 'good' overall efficacy, whereas only 13% fell into the 
      'poor/worse' category. The efficacy was higher as the preoperative degree of BOO 
      worsened. In contrast, neither DO nor DUA influenced the outcome of TURP. 
      However, the surgery likely provided unfavorable efficacy for patients having DO 
      but not BOO. Only 20% of the patients who had both DO and DUA but did not have 
      BOO achieved efficacy. CONCLUSIONS: Transurethral resection of the prostate is an 
      effective surgical procedure for treatment of LUTS/BPH, especially for patients 
      with BOO. DUA may not be a contraindication for TURP. The surgical indication 
      should be circumspect for patients who do not have BOO but have DO.
FAU - Tanaka, Yoshinori
AU  - Tanaka Y
AD  - Department of Urology, Sapporo Medical University School of Medicine, Sapporo, 
      Japan.
FAU - Masumori, Naoya
AU  - Masumori N
FAU - Itoh, Naoki
AU  - Itoh N
FAU - Furuya, Seiji
AU  - Furuya S
FAU - Ogura, Hiroshi
AU  - Ogura H
FAU - Tsukamoto, Taiji
AU  - Tsukamoto T
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Int J Urol
JT  - International journal of urology : official journal of the Japanese Urological 
      Association
JID - 9440237
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prostate/pathology/*surgery
MH  - Prostatic Hyperplasia/pathology/*surgery
MH  - Transurethral Resection of Prostate/*methods
MH  - Treatment Outcome
MH  - Urinary Bladder Neck Obstruction/*pathology/physiopathology/urine
MH  - Urodynamics
EDAT- 2006/11/07 09:00
MHDA- 2007/03/14 09:00
CRDT- 2006/11/07 09:00
PHST- 2006/11/07 09:00 [pubmed]
PHST- 2007/03/14 09:00 [medline]
PHST- 2006/11/07 09:00 [entrez]
AID - IJU1589 [pii]
AID - 10.1111/j.1442-2042.2006.01589.x [doi]
PST - ppublish
SO  - Int J Urol. 2006 Nov;13(11):1398-404. doi: 10.1111/j.1442-2042.2006.01589.x.