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[New methods for the evaluation of cervico-prostatic obstruction].
F Fanciullacci1, S Sandri, P Politi
1Sezione di Urodinamica, Ospedale di Magenta, Milano.
Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|December 1, 1992
Summary
This study evaluated outflow obstructions in BPH patients using a simplified graph method. Results revealed a significant prevalence of weak detrusor muscles, suggesting they are a key factor in urinary symptoms.
Area of Science:
- Urology
- Medical Diagnostics
- Lower Urinary Tract Symptoms
Background:
- Benign Prostatic Hyperplasia (BPH) is a common condition causing lower urinary tract symptoms.
- Assessing bladder outlet obstruction and detrusor function is crucial for effective BPH management.
- Previous methods for evaluating outflow obstructions can be complex.
Purpose of the Study:
- To evaluate the utility of a simplified graph-based method for assessing outflow obstructions.
- To determine the prevalence of outlet obstruction and detrusor weakness in patients with BPH.
- To investigate the causes of frequency-dysuria syndrome after prostatectomy.
Main Methods:
- Utilized a simplified graph method proposed by Schafer (1989).
- Evaluated 42 patients diagnosed with Benign Prostatic Hyperplasia (BPH).
- Assessed 24 patients presenting with post-prostatectomy frequency-dysuria syndrome.
Main Results:
- In BPH patients, 26% had no outlet obstruction, and a majority (74%) had a weak detrusor.
- In post-prostatectomy patients, only 21% showed outlet obstruction, while 58% exhibited a weak detrusor.
- Detrusor weakness was identified as a significant factor in both BPH and post-prostatectomy symptoms.
Conclusions:
- The simplified graph method effectively identifies detrusor weakness as a common cause of urinary symptoms in BPH.
- Weak detrusor function is a prevalent issue in patients with post-prostatectomy frequency-dysuria syndrome.
- Rethinking the diagnostic approach to focus on detrusor contractility alongside obstruction is warranted.