Urodynamic interpretation of changing bladder function and voiding pattern after radical prostatectomy: a long-term follow-up

BJU International
Cheryn SongHanjong Ahn

Abstract

To investigate and compare changes in the bladder function after radical prostatectomy (RP) and to correlate changes in subjective voiding symptoms with the observed changes in function. In 72 patients who had RP between 2003 and 2004, we serially evaluated urodynamic studies (UDS) before RP and at 3, 6 and 36 months afterward. The short-form International Continence Society-male symptom questionnaire was also repeated at corresponding periods. Changes in bladder contraction and storage function after RP were compared for changes in subjective symptoms. On serial UDS, there were reductions in maximum cystometric capacity, maximum detrusor pressure and maximum urethral closure pressure (MUCP) at 3 months, after which all remained relatively unchanged. On the questionnaire, the voiding symptom domain score improved (8.04 to 4.82, P < 0.001) while the storage domain score significantly and progressively worsened, beginning from 3 months (2.25 to 3.78, P= 0.04), resulting in an unchanged overall urinary symptom-related quality of life at 3 years. The incidence of detrusor overactivity increased from 37.5% before RP, to 45.8% at 3 months and 51.4% at 3 years. At 3 years, a recurring postvoid residual urine volume was the cause of th...Continue Reading

References

May 1, 1979·The Journal of Urology·P H AbramsR C Feneley
Jan 1, 1978·Scandinavian Journal of Urology and Nephrology·J T AndersenT Hald
Jul 1, 1993·The Journal of Urology·C G ChuteM M Lieber
Jul 1, 1995·The Journal of Urology·R Chao, M E Mayo
Mar 11, 1999·European Urology·B KleinhansH Riedmiller
Nov 4, 2000·The Journal of Urology·J L DonovanW Schäfer
Apr 12, 2002·Neurourology and Urodynamics·Werner SchäferUNKNOWN International Continence Society

❮ Previous
Next ❯

Citations

Jun 17, 2015·Journal of Endourology·Douglas SkareckyThomas E Ahlering
Jul 16, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Nobuhiro HagaYoshiyuki Kojima
Oct 11, 2016·European Urology·John HeesakkersArnulf Stenzl
Jul 28, 2017·Scandinavian Journal of Urology·Maria ErvandianMichael Borre
Jul 28, 2017·Fukushima Journal of Medical Science·Nobuhiro HagaYoshiyuki Kojima
Feb 27, 2018·Current Urology Reports·Maria Arcila-Ruiz, Benjamin M Brucker
Oct 12, 2018·Current Urology Reports·Benoit Peyronnet, Benjamin M Brucker
Jan 22, 2021·Neurourology and Urodynamics·Henry H YaoRichard J Baverstock
Apr 10, 2021·Nature Reviews. Urology·Sean F MungovanManish I Patel
Jul 18, 2020·Current Drug Targets·Vasileios Sakalis, Anastasia Gkotsi
Oct 14, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Koji AmanoYuri Ito

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.