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Analysis of TURP efficacy in BOO/BPH with detrusor underactivity
Author(s): QIU Zhi, WU Liyang, ZHOU Xiaoguang, WU Zhijin, FAN Lixin, GENG Yibo, XIAO Jiazuo, ZHANG Xiaodong
Pages: 511-
514
Year: 2016
Issue:
7
Journal: Chinese Journal of Urology
Keyword: Transurethral resection of the prostate; Benign prostatic hyperplasia; Detrusor underactivity; Bladder outlet obstruction;
Abstract: Objective To investigate the factors influencing the TURP's therapeutic effeciency on the benign prostatic hyperplasia (BPH) patients with bladder outlet obstruction (BOO) and detrusor underactivity (DU).Methods 90 BPH patients with BOO treated by TURP in our hospital (2012.1-2014.12) were included in this study.All the patients were divided into three groups according to their outcome:Group A,the patients with BPH,BOO,DU and inability to urinate after surgical operation.Group B,those with BPH,BOO,DU and self-urination after TURP.Group C,those who only presented BPH with BOO and self-urination after TURP.The pre-and postoperative data of three groups were statistically analyzed.Results In group A and group B,9 cases (Group A) presented inability to urinate after TURP 20.5%,9/44).Among them,detrusor compliance and preoperative prostate volume in group A were significantly lower than in group B,and the residual urine volume was significantly higher than that in group B (all P < 0.05).With multivariate logistic regression analysis,we found that preoperative prostate volume (OR =0.919,P =0.025) and preoperative residual urine volume (OR =1.012,P =0.033) were significant predictors of TURP's efficiency in treating BOO/DU patients.There was no statistical difference in Q PVR,IPSS score and QOL score between the group B and group C.Conclusion The results of our study confirmed that TURP is an effective treatment for BPH patients associated with BOO and DU.Preoperative prostate volume and preoperative residual urine volume might be the indicators to influence the occurrence of inability to urinate after TURP in BOO/DU patients.Compared to the patients of BPH without detrusor underactivity,the TURP on the patients with BPH associated with BOO and DU only extended the placement of the urine tube,but no improvement in the Micturition function or the QOL.
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