Evaluation of the lower urinary tract dysfunction at patients with unsatisfactory results operative treatment benign prostatic hyperplasia

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Abstract

The aim of study: to evaluate the reasons of persisting dysuria after operative treatment benign prostatic hyperplasia (BPH). Patients and methods: complex urological evaluation, including urodynamic study, were performed 73 patients (average age 63,4 ± 1,2 years) with persisting lower urinary tract symptoms after operative treatment BPH. Dysuria continued 3,4 ± 0,5 years. Control group consists of 36 BPH patient with absence dysuria after operative treatment BPH. Average age patients of the control group was 64,1 ± 1,2 years. Results: Persisting dysuria after BPH surgery commonly was caused by detrusor pathology: detrusor hyperactivity and impaired contractility. These conditions were diagnosed at 46 (63,0%) and at 26 (35,6%) patients. At 19 (26%) patients based on results urodynamic study were diagnosed this both detrusor hyperactivity and impaired contractility. Infravesical obstruction was less frequent reason for persisting dysuria and was diagnosed at 9 (12,3%) patients. Based on results urodynamic study stress urinary incontinence due to sphincter impairment was diagnosed at 5 incontinent patients and mixed incontinence due to detrusor dysfunction and sphincter impairment was found out at 16 patients. Conclusion: Urodynamic evaluation patients with unsatisfactory results operative treatment BPH allows to find out reason of dysuria, including incontinence. Persisting dysuria was caused by detrusor hyperactivity or/and impaired detrusor contractility at majority patients

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About the authors

Refat Eldarovich Amdiy

St.-Petersburg State I. P. Pavlov Medical University

Email: R.E.Amdiy@mail.ru
doctor of medical science, associate professor, Department of Urology

Timur Georgievich Giorgobiani

St.-Petersburg State I. P. Pavlov Medical University

urologist, Department of Urology

References

  1. Лоран О. Б., Вишневский А. Е., Секамова С. М. Ультраструктурные исследования детрузора у больных с доброкачественной гиперплазией предстательной железы // Урология и нефрология. 1996. № 4. С. 27–31.
  2. Abrams P. Bladder outlet obstruction index, blader contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function // B. J. U. Int. 1999. Vol. 84. P. 745–750.
  3. Abrams P., Cardozo L., Fall M. et al. The standardisation of terminology in lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society // Neurourol. Urodynam. 2002. Vol. 21, № 2. P. 167–178.
  4. Chapple C. R., Smith D. The pathophysiological changes in the bladder obstructed by benign prostatic hyperplasia // B. J. U. 1994. Vol. 73. P. 117–123.
  5. Kuo H. C. Analysis of the pathophysiology of lower urinary tract symptoms in patients after prostatectomy // Urol. Int. 2002. Vol. 68, № 2. P. 99–104.
  6. Parekh A. R., Feng M. I., Kirages D. et al. The role of pelvic floor execises on post-prostatectomy incontinence // J. Urol. 2003. Vol. 170, № 1. P. 130–133.
  7. Shafer W. Basic principles and clinical application of advanced analysis of bladder voiding function // Urol. Clin. North Am. 1990. Vol. 17, № 2. P. 553–566.
  8. Schafer W, Abrams P, Liao L. et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies // Neurourol. Urodyn. 2002. Vol. 21, № 1. P. 261–274.
  9. Shaheen A., Quinlan D. Feasibility of open simple prostatectomy with early vascular control // B. J. U. Int. 2004. Vol. 93, № 3. P. 349–352.
  10. Tanaka Y., Masumori N., Itoh N. et al. Symptomatic and urodynamic improvement by oral distigmine bromide in poor voiders after transurethral resection of the prostate // Urology. 2001. Vol. 57, № 2. P. 270–274.
  11. Teunissen T. A. M., de Jonge A., van Weel C. et al. Treating urinary incontinence in the elderly — conservatives measures that work: a systematic review // J. Fam. Pract. 2004. Vol. 53, № 1. P. 21–28.
  12. Zhang P., Gao J., Wu Z. Urodynamic analysis of non-improvement after prostatectomy // Chin. Med. J. 2002. Vol. 115, № 7. P. 1093–1095.

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Copyright (c) 2012 Amdiy R.E., Giorgobiani T.G.

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