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Related Experiment Videos

Voiding dysfunction in institutionalized elderly men: the influence of previous prostatectomy.

M Barkin, D Dolfin, S Herschorn

    The Journal of Urology
    |August 1, 1983
    PubMed
    Summary

    Elderly patients in institutions frequently experience urinary retention or incontinence. Prior transurethral prostatectomy increases vulnerability to voiding dysfunction, even after obstruction removal.

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    Reply by Authors.

    The Journal of urology·2020

    Area of Science:

    • Geriatrics
    • Urology
    • Nephrology

    Background:

    • Voiding dysfunction, including urinary retention and incontinence, is prevalent in institutionalized elderly individuals.
    • Impaired cerebral function is a primary cause of voiding issues in this population.
    • The impact of prior transurethral prostatectomy on subsequent voiding dysfunction requires further investigation.

    Purpose of the Study:

    • To assess the association between prior transurethral prostatectomy and the incidence of voiding problems in institutionalized elderly patients.
    • To evaluate the effect of prostatectomy-induced obstruction relief on urinary management strategies.

    Main Methods:

    • Retrospective analysis of institutionalized elderly patients.
    • Comparison of voiding dysfunction prevalence between patients with and without a history of transurethral prostatectomy.

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  • Assessment of changes in catheterization versus condom drainage methods post-prostatectomy.

    • Main Results:

    • Patients with a history of transurethral prostatectomy demonstrated increased vulnerability to developing voiding dysfunction.
    • Obstruction elimination via prostatectomy did not lead to a reduction in indwelling catheterization.
    • A significant proportion of patients still required indwelling catheters despite prior prostatectomy.

    Conclusions:

    • Prior transurethral prostatectomy is a risk factor for voiding dysfunction in institutionalized elderly patients.
    • Prostatectomy does not eliminate the need for urinary management interventions like catheterization in all cases.
    • Further research is needed to optimize management strategies for voiding dysfunction in this demographic.