Correlation of intravesical prostatic protrusion with bladder outlet obstruction

BJU International - Tập 91 Số 4 - Trang 371-374 - 2003
S.J. Chia1, Chin Tiong Heng1, S P Chan2, Keong Tatt Foo1
1Section of Urology, Department of General Surgery, and
2Clinical Epidemiology Unit, Tan Tock Seng Hospital, and Department of Urology, Singapore General Hospital, Singapore

Tóm tắt

OBJECTIVESTo determine the effect of intravesical protrusion of the prostate (IPP, graded I to III) on lower urinary tract function, by correlating it with the results of a pressure‐flow study.PATIENTS AND METHODSIn a prospective study men (aged> 50 years) with lower urinary tract symptoms were initially evaluated as recommended by the International Consultation on Benign Prostatic Hyperplasia, together with the IPP and prostate volume, as measured by transabdominal ultrasonography. These variables were then correlated with the results from a pressure‐flow study.RESULTSThe IPP was a statistically significant predictor (P < 0.001) of bladder outlet obstruction (BOO) compared with other variables in the initial evaluation. In all, 125 patients had significant BOO, defined as a BOO index of> 40. Of these men, 94 had grade III and 30 had grade I–II IPP. Seventy‐five patients had a BOO index of < 40; 69 had grade I–II and six grade III IPP. In patients with BOO confirmed on the pressure‐flow study, grade III IPP was associated with a higher BOO index than was grade I–II (P < 0.001).CONCLUSIONThe IPP assessed by transabdominal ultrasonography is a better and more reliable predictor of BOO than the other variables assessed.

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BJU International

Tập 91 Số 4

371-374

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