PMID: 6164801May 1, 1981Paper

Prediction of unusual postoperative results by urodynamic testing in benign prostatic hyperplasia

The Journal of Urology
R J CoteH W Schoenberg

Abstract

A survey of preoperative and postoperative urine flow rates, urodynamic data and symptoms in patients undergoing transurethral prostatectomy for benign prostatic hyperplasia indicates that there are certain findings that can help predict early and late postoperative symptoms. Long-term bladder outlet obstruction often is associated with detrusor hyperreflexia. In our series, although all patients had relief of the obstruction when postoperative urine flow rates were measured (p less than 0.005), 28 per cent of the patients who had a hyperreflexic detrusor response had an exacerbation of the symptoms of obstruction 4 weeks postoperatively, while none of the patients with a normal detrusor response noted any increase in symptoms. At 3 months postoperatively all patients still complaining of symptoms demonstrated detrusor hyperreflexia. Patients with detrusor hyperreflexia preoperatively tended to revert to a normal detrusor response after the relief of bladder obstruction. It is concluded that the preoperative finding of detrusor hyperreflexia should alert the surgeon to the possibility of prolonged postoperative symptoms, although the detrusor response eventually will become normal and symptoms will disappear in almost all of th...Continue Reading

References

Dec 1, 1979·Urology·H W SchoenbergR Cote
Nov 1, 1979·The Journal of Urology·M B SirokyR J Krane
Jul 1, 1979·The Journal of Urology·M E Mayo, J S Ansell
Oct 1, 1977·The Journal of Urology·J T Andersen, W E Bradley
Feb 1, 1972·The Journal of Urology·J E Castro, H J Griffiths
Dec 1, 1973·British Journal of Urology·R T WarwickJ Weir
Sep 1, 1967·Southern Medical Journal·F B ScottT Riles

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Citations

Apr 1, 1990·The Journal of Urology·J B JørgensenP Mogensen
Mar 1, 1990·Journal of General Internal Medicine·J B Stimson, S D Fihn
Dec 1, 1987·British Journal of Urology·D E NealP D Ramsden
Jan 1, 1986·Scandinavian Journal of Urology and Nephrology·K M JensenN E Bille-Brahe
Mar 1, 1989·The Journal of Urology·P H GraversenR C Bruskewitz
Jan 1, 1983·The Journal of Urology·A KondoH Mitsuya
May 1, 1985·The Journal of Urology·T DørflingerP O Madsen
Jan 1, 1994·Neurourology and Urodynamics·K K NielsenT Hald
Oct 30, 2010·Korean journal of urology·Tae Im KimHyun Chul Chung

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