Changes in Nocturia and Lower Urinary Tract Symptoms after Radical Prostatectomy

The World Journal of Men's Health
Kyung Jae HurSae Woong Kim

Abstract

The goal of this study was to evaluate changes in nocturia and other lower urinary tract symptoms (LUTS) after laparoscopic radical prostatectomy (LRP) and robot-assisted laparoscopic radical prostatectomy (RALP). We reviewed the medical records of 96 patients who underwent LRP or RALP for clinically localized prostate cancer and completed the International Prostate Symptom Score (IPSS) questionnaire, which provided a basis for assessing their symptoms. We also evaluated maximal flow rate and post-void residual urine volume over a follow-up period of at least 24 months. We divided the patients into three groups according to postoperative changes in the frequency of nocturia. Voiding symptoms significantly improved over the course of 24 months in patients who underwent LRP or RALP. However, most patients showed persistent or increased nocturia after LRP or RALP. Moreover, more than one third of the patients (33/96) presented with exacerbated nocturia (1.0±0.9 episodes of preoperative nocturia vs. 3.0±1.3 episodes of postoperative nocturia). Multiple regression analysis showed that preoperative IPSS storage sub-score had negative association with the nocturia after radical prostatectomy (p=0.005). However, patients' age, body mas...Continue Reading

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Apr 18, 2015·Urology·Stephen D MarshallUNKNOWN International Consultations on Urological Diseases

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Citations

Aug 20, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Yoshifumi Kadono
Mar 8, 2017·Current Opinion in Urology·Suzanne BiersNikesh Thiruchelvam
Jun 15, 2021·The Prostate·Oscar MartinezRonney Abaza

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