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Evaluation of the lower urinary tract dysfunction at patients with unsatisfactory results operative treatment benign prostatic hyperplasia
- Authors: Amdiy R.E.1, Giorgobiani T.G.1
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Affiliations:
- St.-Petersburg State I. P. Pavlov Medical University
- Issue: Vol 2, No 2 (2012)
- Pages: 32-37
- Section: Articles
- URL: https://journals.eco-vector.com/uroved/article/view/2532
- DOI: https://doi.org/10.17816/uroved2232-37
- ID: 2532
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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 Universityurologist, Department of Urology
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