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Published on: May 19, 2022
[Non-improvement after different procedures of prostatectomy]
Peng Zhang1, Zhi-jin Wu, Ju-zhong Gao
1Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China.
Objective:
To analyze the causes of non-improvement after different procedures of prostatectomy.
Methods:
Using the urodynamics and other techniques, we examined 84 non-improved patients who had undergone different procedures of prostatectomy.
Results:
In the TURP group, the main causes of non-improvement included bladder outlet obstruction (84.9%), weak contractility of the detrusor (30.4%), and detrusor instability (DI) (18.2%). In the open group, however, the main causes of non-improvement included detrusor weak contractility (52.9%), DI (35.2%), and bladder outlet obstruction (33.3%). There was significant difference between the two groups according to the Pearson Chi-square test (P = 0.000). The re-obstruction rate in the TURP group was much higher than that in the open group, suggesting that the level of the TURP should be improved.
Conclusions:
Different operative procedures yield different non-improvement after prostatectomy gradually. When BPH patients are diagnosed with detrusor weak contractility and DI, prostatectomy should be carefully considered.
