[Non-improvement after different procedures of prostatectomy]

Area of Science:

• Urology
• Surgical Outcomes

Background:

• Prostatectomy is a common treatment for benign prostatic hyperplasia (BPH).
• Patient outcomes after prostatectomy can vary, with some experiencing persistent symptoms or complications.

Purpose of the Study:

• To investigate the reasons for non-improvement in patients following different prostatectomy procedures.
• To compare the causes of post-prostatectomy non-improvement between Transurethral Resection of the Prostate (TURP) and open prostatectomy.

Main Methods:

• Urodynamic evaluation and other techniques were used to assess 84 patients with non-improvement after prostatectomy.
• Patients were categorized based on their surgical procedure: TURP or open prostatectomy.

Main Results:

• In the TURP group, primary causes of non-improvement were bladder outlet obstruction (84.9%), detrusor weak contractility (30.4%), and detrusor instability (DI) (18.2%).
• In the open prostatectomy group, main causes included detrusor weak contractility (52.9%), DI (35.2%), and bladder outlet obstruction (33.3%).
• A statistically significant difference (P = 0.000) was observed between groups, with TURP having a higher re-obstruction rate.

Conclusions:

• The choice of prostatectomy procedure influences the specific causes of post-operative non-improvement.
• Careful consideration of prostatectomy is advised for BPH patients diagnosed with detrusor weak contractility and DI.
• Improvements in TURP techniques are suggested to reduce re-obstruction rates.