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Urodynamic studies in the surgical treatment of benign prostatic hyperplasia
Lima, Marcelo L. de; Netto Júnior, N. Rodrigues.
Afiliação
  • Lima, Marcelo L. de; University of Campinas Medical Center. Division of Urology. Campinas. BR
  • Netto Júnior, N. Rodrigues; University of Campinas Medical Center. Division of Urology. Campinas. BR
Int. braz. j. urol ; 29(5): 418-422, Sept.-Oct. 2003.
Artigo em Inglês | LILACS-Express | LILACS | ID: lil-364694
Biblioteca responsável: BR1.1
ABSTRACT

OBJECTIVE:

We compared the clinical and urodynamic outcome of men with lower urinary tract symptoms with and without previous urodynamic evaluation submitted to transurethral resection of the prostate. MATERIALS AND

METHODS:

A prospective and randomized study was performed in 315 patients who underwent transurethral resection of the prostate. In 151 patients (group A) with a mean age of 63 years, transurethral resection of the prostate was performed without a prior urodynamic study, and group B, 164 patients with a mean age of 61 years, underwent a urodynamic study prior to surgical procedure. In group B, only obstructed patients were selected for surgery. All patients had I-PSS higher than 15 and underwent at least 2 uroflowmetry and flow was lower than 10 ml/sec. At 6-month follow up, patients in both groups underwent the I-PSS questionnaire and pressure / flow study.

RESULTS:

The symptomatology and uroflowmetry did not display different behavior between the groups. The mean postoperative score for group A was 8.87 + 3.27 and for group B was 9.32 + 3.14 (p = 0.22). The mean postoperative uroflow for group A was 17.0 + 2.1 mL/s and for group B was 16.6 + 2.2 mL/s (p = 0.15). Postoperative, in group A, 27 patients (17.8 percent) were obstructed and in group B, 16 patients (9.75 percent) were obstructed (p = 0.03).

CONCLUSION:

The study suggests that the previous urodynamic study is not the only factor related to the success of surgical outcome; and therefore, the symptomatology and uroflowmetry associated would be enough during the preoperative routine studies for BPH patients.
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2003 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: University of Campinas Medical Center/BR

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2003 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: University of Campinas Medical Center/BR
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