Vesicoureteral reflux in patients with obstructive prostatic disease

Area of Science:

• Urology
• Nephrology

Background:

• Vesicoureteral reflux (VUR) can coexist with obstructive prostatic disease, complicating patient management.
• Obstructive prostatic conditions, including benign prostatic hyperplasia and prostate cancer, affect a significant number of aging men.

Observation:

• This study reviewed 53 patients with VUR and obstructive prostatic disease over 22 years.
• The cohort included 45 patients with benign prostatic hyperplasia and 8 with prostate cancer.

Findings:

• Following prostatectomy, 34 patients achieved successful urinary infection control with medical management.
• Surgical intervention for VUR was required in 19 patients.
• All patients were monitored for at least one year post-treatment.

Implications:

• Medical management is effective for controlling urinary infections in many patients with VUR and obstructive prostatic disease post-prostatectomy.
• A tailored approach combining prostatectomy, medical management, and selective surgical intervention for VUR is crucial for optimal outcomes.