Preoperative Urinary Retention Increased the Risk of Urinary Retention after Photoselective Vaporization of the Prostate

The World Journal of Men's Health
Sung Yong ChoHwancheol Son

Abstract

The aim of the present study was to evaluate preoperative acute urinary retention (AUR) as a factor affecting the outcomes of patients who underwent photoselective vaporization of the prostate (PVP), both in terms of overall effectiveness and the postoperative incidence of AUR. Baseline prostate characteristics were obtained for patients who underwent PVP, including prostate-specific antigen (PSA) levels, transrectal ultrasound findings, voiding diary parameters, the International Prostate Symptoms Score (IPSS), and uroflowmetry parameters. These parameters were assessed two weeks, one month, three months, six months, and three years postoperatively. Subjects were divided into AUR and non-AUR groups based on the preoperative occurrence of AUR. Of the 476 patients, 91 had at least one episode of preoperative AUR. The AUR group was found to be significantly older and to have significantly higher PSA levels, lower body mass indices, and larger prostates. At one year of follow-up, the total IPSS was 7.6±6.8 in the AUR group and 11.4±8.2 in the non-AUR group, with the AUR group showing a more significant improvement. In the non-AUR group, 17 of the 385 patients (4.4%) experienced postoperative retention, compared to 16 of the 91 pat...Continue Reading

References

Sep 1, 1984·The Journal of Urology·S J BerryL L Ewing
Aug 1, 1997·The Journal of Urology·S J JacobsenM M Lieber
Feb 16, 2005·The Journal of Urology·Andrew D RuleSteven J Jacobsen
Mar 7, 2006·The Journal of Urology·E David CrawfordUNKNOWN MTOPS RESEARCH Group
Nov 28, 2009·The Urologic Clinics of North America·Matthew S Wosnitzer, Matthew P Rutman
Dec 18, 2010·Korean journal of urology·Hwancheol SonJae-Seung Paick

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