PMID- 22157984
OWN - NLM
STAT- MEDLINE
DCOM- 20121221
LR  - 20220311
IS  - 1745-7262 (Electronic)
IS  - 1008-682X (Print)
IS  - 1008-682X (Linking)
VI  - 14
IP  - 4
DP  - 2012 Jul
TI  - Is there a correlation between the outcome of transurethral resection of prostate 
      and preoperative degree of bladder outlet obstruction?
PG  - 556-9
LID - 10.1038/aja.2011.157 [doi]
AB  - To compare the impact of transurethral resection of prostate (TURP) on symptom 
      scores and maximal flow rates (Qmax) in patients with equivocal bladder outlet 
      obstruction (BOO) and definite BOO and to assess the relationship between the 
      surgical outcomes and degree of preoperative BOO, we prospectively evaluated men 
      with lower urinary tract symptoms and bladder outlet obstruction index (BOOI) 
      greater than 20, who were refractory to conventional medical treatment and 
      underwent TURP. Urodynamic evaluation, International Prostate Symptom Score 
      (IPSS), uroflowmetry, post-void residual volume (PVR) check and transrectal 
      ultrasound were performed. 20<BOOI<40 was defined as equivocal BOO and BOOI>/=40 as 
      definite BOO. Changes of IPSS, Qmax, PVR and correlation analysis was performed 
      between the degree of improvement of Qmax, subdomains of IPSS and BOOI. 
      Fifty-four patients showed equivocal BOO and 80 patients showed definite BOO. 
      Preoperatively equivocal BOO group and definite BOO group showed significant 
      differences in maximal bladder capacity and prevalence of detrusor overactivity, 
      whereas no difference was noted in prostate volume. Postoperatively both groups 
      showed improvements in Qmax, obstructive (IPSSO) and irritative (IPSSI) subdomain 
      of IPSS, but the degree of improvement in Qmax and IPSSI subdomain was 
      statistically significantly greater in definite BOO group. The degree of 
      improvement of Qmax and IPSSI showed weak correlation with preoperative BOOI. As 
      a weak correlation was identified between preoperative degree of BOO and outcome 
      of TURP, other factors other than BOOI such as severity of patients' symptoms 
      should be considered in deciding treatment modality.
FAU - Oh, Mi Mi
AU  - Oh MM
AD  - Department of Urology, Korea University Medical Center, Seoul 435-766, Korea.
FAU - Kim, Jin Wook
AU  - Kim JW
FAU - Kim, Je Jong
AU  - Kim JJ
FAU - Moon, Du Geon
AU  - Moon du G
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20111212
PL  - China
TA  - Asian J Androl
JT  - Asian journal of andrology
JID - 100942132
SB  - IM
MH  - Aged
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Organ Size
MH  - Preoperative Period
MH  - Prostatic Hyperplasia/complications/*pathology/*surgery
MH  - Prostatism/etiology
MH  - Severity of Illness Index
MH  - *Transurethral Resection of Prostate
MH  - Treatment Outcome
MH  - Urinary Bladder Neck Obstruction/etiology/*pathology
MH  - Urinary Bladder, Overactive/etiology
MH  - Urodynamics
PMC - PMC3720082
EDAT- 2011/12/14 06:00
MHDA- 2012/12/22 06:00
PMCR- 2012/07/01
CRDT- 2011/12/14 06:00
PHST- 2011/12/14 06:00 [entrez]
PHST- 2011/12/14 06:00 [pubmed]
PHST- 2012/12/22 06:00 [medline]
PHST- 2012/07/01 00:00 [pmc-release]
AID - aja2011157 [pii]
AID - 10.1038/aja.2011.157 [doi]
PST - ppublish
SO  - Asian J Androl. 2012 Jul;14(4):556-9. doi: 10.1038/aja.2011.157. Epub 2011 Dec 
      12.