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[Dysuric symptoms following prostatectomy (author's transl)]
Der Urologe. Ausg. A
|January 1, 1980
Summary
Persistent lower urinary tract symptoms after benign prostatic hypertrophy surgery are often due to abnormal detrusor function. Urodynamic assessment is crucial for diagnosis and guiding treatment in these patients.
Area of Science:
- Urology
- Nephrology
- Surgical Science
Context:
- Post-transurethral resection (TUR) for benign prostatic hypertrophy (BPH), some patients experience persistent lower urinary tract symptoms (LUTS).
- These symptoms can significantly impact quality of life, necessitating further investigation beyond routine checks for obstruction or infection.
Purpose:
- To investigate the urodynamic findings in patients with persisting symptoms after TUR for BPH.
- To identify potential causes of persistent LUTS and evaluate the utility of urodynamic assessment in managing these cases.
Summary:
- A study of 22 patients with post-TUR BPH symptoms revealed no obstruction or infection. Urodynamic assessment showed detrusor dysfunction in most, including detrusor instability (5 patients) and hypotonic/atonic detrusors (12 patients). 5 patients had normal bladder function.
- Findings suggest detrusor dysfunction is a key factor in persistent symptoms, highlighting the need for urodynamic evaluation.
Impact:
- Emphasizes the importance of preoperative urodynamic assessment in patients with normal flow rates to prevent unnecessary prostatectomy.
- Recommends postoperative urodynamic assessment for patients with persistent symptoms to guide appropriate therapeutic strategies and improve patient outcomes.