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[Transurethral resection of the prostate in the urological management for patients with stroke]
O Natsume1, M Yasukawa, M Yoshii
1Department of Urology, Hoshigaoka Koseinenkin Hospital.
Insights
Transurethral resection of the prostate (TUR-P) effectively treats urinary issues in chronic stroke patients with benign prostatic hypertrophy or bladder neck contracture. Most patients achieved independent urination post-procedure, showing TUR-P as a viable treatment option.
Area of Science:
- Urology
- Neurology
Context:
- Chronic stroke patients often experience refractory urinary disturbances.
- Benign prostatic hypertrophy and bladder neck contracture are common causes of these urinary issues.
Purpose:
- To evaluate the efficacy of transurethral resection of the prostate (TUR-P) in managing urinary disturbances in chronic stroke patients.
Summary:
- Forty patients with chronic stroke and refractory urinary issues underwent TUR-P.
- 92% achieved independent micturition post-surgery, with only transient incontinence.
- One patient required catheterization due to reinfarction; others with mobility or cognitive issues needed assistance.
Impact:
- TUR-P is a recommended surgical intervention for chronic stroke patients suffering from benign prostatic hypertrophy or bladder neck contracture.
- The procedure significantly improves urinary function and quality of life in this patient cohort.
Abstract:
We discuss the transurethral resection of the prostate (TUR-P) on 40 patients in the chronic stage of stroke, all of whom were refractory to conservative managements of urinary disturbance. All patients, between 35 and 89 years old (mean: 52.6 years), had only one episode of stroke and were diagnosed as benign prostatic hypertrophy or bladder neck contracture that appeared to cause urinary disturbance in these patients. At six months after TUR-P, all except for one patient, who needed an indwelling catheter due to a reinfarction, were catheter free. Of these cases 36 (92%) obtained independent micturition and did not develop urinary incontinence except transiently postoperatively. Two cases with impaired mobility and one case with progressive senile dementia required helpmates and/or a commode and so forth postoperatively. It is concluded that in chronic stroke patients TUR-P is recommended for those with benign prostatic hypertrophy or bladder neck contracture.