PMID: 9170570Nov 1, 1996Paper

Bladder dysfunction in patients with benign prostatic hyperplasia: relevance of cystometry as prognostic indicator of the outcome after prostatectomy

International Journal of Urology : Official Journal of the Japanese Urological Association
H AkinoK Okada

Abstract

We correlated cystometric findings to the clinical features of benign prostatic hyperplasia (BPH) and compared them in terms of outcome after prostatectomy. Cystometric findings obtained from 78 patients who underwent prostatectomy were correlated with clinical features in BPH patients. In 41 consecutive patients of this group, prospective periodical cystometry was also performed. Low bladder compliance correlated significantly with an increase in age and prostate volume, detrusor instability and impaired contractility. Low compliance also correlated with irritative symptoms, decreased maximum flow rate, increased post-void residual urine and an increase in the American Urological Association symptom score. Postoperative persistent incontinence was associated with low bladder compliance and detrusor instability. In a prospective study, bladder dysfunction was not completely restored in 53% of patients examined at a mean interval of 7.7 months after prostatectomy. Among the cystometric parameters investigated, low compliance was the most relevant to the clinical features of BPH and had some predictive value for the outcome after prostatectomy. In about half of the BPH patients with bladder dysfunction preoperatively, this condit...Continue Reading

References

May 1, 1979·The Journal of Urology·P H AbramsR C Feneley
Jan 1, 1979·Scandinavian Journal of Urology and Nephrology·J T AndersenS Walter
Dec 1, 1992·The Journal of Urology·R Van Mastrigt, H J Rollema
Jun 12, 1987·JAMA : the Journal of the American Medical Association·N M Resnick, S V Yalla
Nov 1, 1995·The Journal of Urology·M P SullivanS V Yalla

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Citations

Mar 5, 2009·Neurourology and Urodynamics·Sung-Yong ChoSeung-June Oh
Jun 9, 2017·American Journal of Physiology. Renal Physiology·Francis M HughesJ Todd Purves
Dec 18, 2001·The Journal of Urology·Stephen A KoffVenkata R Jayanthi

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