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Conservative Treatment for Benign Prostatic Hyperplasia in Patients With Bladder Stones

Takashi Yoshida1, Hidefumi Kinoshita1, Takahiro Nakamoto1

  • 1Department of Urology and Andrology, Kansai Medical University, Hirakata Hospital, Hirakata, Japan.

Urology
|August 4, 2015
PubMed

Insights

Conservative management of benign prostatic hyperplasia (BPH) is effective for men with bladder stones, showing significant symptom improvement and low complication rates. This approach offers a viable option for managing BPH alongside bladder stones.

Area of Science:

  • Urology
  • Medical Research

Background:

  • Benign prostatic hyperplasia (BPH) and bladder stones often coexist.
  • Conservative management strategies for BPH are well-established.
  • The efficacy of conservative BPH management in patients with bladder stones requires further investigation.

Purpose of the Study:

  • To evaluate the appropriateness of conservative management for BPH in patients diagnosed with bladder stones.
  • To assess BPH-related complications following endoscopic bladder stone removal and subsequent conservative BPH treatment.

Main Methods:

  • A cohort of 34 men with BPH and bladder stones underwent endoscopic bladder stone removal.
  • Patients received conservative BPH management, including watchful waiting and medical therapy (alpha-blocker ± dutasteride).
  • Outcomes measured included BPH-related complications, International Prostate Symptom Scores, quality of life, and postvoid residual urine volume.

Main Results:

  • 76.5% of patients experienced no BPH-related complications over a mean follow-up of 52.6 months.
  • International Prostate Symptom Scores significantly decreased post-treatment (P = .025).
  • Complications included recurrent infections (2.9%), urinary retention (5.9%), and recurrent bladder stones (17.6%).

Conclusions:

  • Conservative management of BPH is a suitable option for men with bladder stones and mild-to-moderate lower urinary tract symptoms.
  • Prostate volume was identified as a significant preoperative predictor of complications.
  • This approach demonstrates a favorable safety profile and symptom improvement.
Abstract

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