Intravesical prostatic protrusion predicts clinical progression of benign prostatic enlargement in patients receiving medical treatment

International Journal of Urology : Official Journal of the Japanese Urological Association
Lui Shiong LeeKeong Tatt Foo

Abstract

To assess intravesical prostatic protrusion (IPP) as a novel predictor of clinical progression in patients with benign prostatic enlargement (BPE). All patients attending the outpatient clinic at our institution who were being treated for lower urinary tract symptoms (LUTS) secondary to BPE between January 1997 and December 2003 were recruited into the study. International Prostate Symptom Score (IPSS) scores, uroflowmetry parameters, post-void residual urine volume (PVR), IPP and serum prostate-specific antigen (PSA) were collected. IPP was classified into Grade 1, 2 or 3. Patients were stratified to different treatment options including watchful waiting, alpha blockers or 5-alpha reductase inhibitors. Those who developed high post-void residual urine volume (>100 mL), acute urinary retention or a deterioration of at least 4 points in IPSS score were considered to have disease progression. Using the Grade 1 IPP group as a reference, the odds ratio for clinical progression of Grade 2 and Grade 3 IPP were calculated by using multivariate analysis. A total of 259 patients with a mean age of 63 years (range 50-90 years) and mean follow-up time of 32 months were available for analysis. Fifty-two patients were found to have clinical...Continue Reading

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Citations

Jan 9, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Satyan K ShahBetty Skipper
Mar 29, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·S LebdaiUNKNOWN CTMH
Apr 20, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Altaf MangeraChristopher R Chapple
Mar 29, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Chan Ho Lee, Hong Koo Ha
May 5, 2010·International Journal of Urology : Official Journal of the Japanese Urological Association·Keong Tatt Foo, Lui Shiong Lee
Jun 11, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Tao HuangYu Ping Zhu
Aug 30, 2017·Singapore Medical Journal·UNKNOWN Singapore Urological Association Male Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia Guidelines Committee 2015
Nov 15, 2011·Current Opinion in Urology·Anja LøvvikVictor W Nitti
Nov 10, 2012·Current Opinion in Urology·Hamidreza AbdiShpetim Telegrafi
Nov 26, 2010·International Journal of Urology : Official Journal of the Japanese Urological Association·Keong Tatt Foo
Feb 14, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Keong Tatt Foo
Nov 7, 2015·Cardiovascular and Interventional Radiology·Yen-Ting LinMarc Sapoval
Feb 6, 2020·Topics in Magnetic Resonance Imaging : TMRI·Cassia T S GuimaraesLeonardo K Bittencourt
Jan 21, 2020·Journal of Vascular and Interventional Radiology : JVIR·Samuel Z MaronAaron Fischman
Jun 4, 2021·Lower Urinary Tract Symptoms·Balantine Ugochukwu EzeTimothy Uzoma Mbaeri
Dec 4, 2010·Current Opinion in Urology

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