Your browser doesn't support javascript.
loading
Factors associated with continuing medical therapy after transurethral resection of prostate.
Han, Hyun Ho; Ko, Woo Jin; Yoo, Tag Keun; Oh, Tae Hee; Kim, Duk Yoon; Kwon, Dong Deuk; Byun, Seok-Soo; Kim, Sun Il; Jung, Tae Young.
Afiliação
  • Han HH; Department of Urology, National Health Insurance Service Ilsan Hospital, Yonsei University College of Medicine, Goyang, Korea.
  • Ko WJ; Department of Urology, National Health Insurance Service Ilsan Hospital, Yonsei University College of Medicine, Goyang, Korea. Electronic address: kowj00@hanmail.net.
  • Yoo TK; Department of Urology, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.
  • Oh TH; Department of Urology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
  • Kim DY; Department of Urology, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • Kwon DD; Department of Urology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Gwangju, Korea.
  • Byun SS; Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Kim SI; Department of Urology, Ajou University School of Medicine, Suwon, Korea.
  • Jung TY; Department of Urology, Veterans Health Service Medical Center, Seoul, Korea.
Urology ; 84(3): 675-80, 2014 Sep.
Article em En | MEDLINE | ID: mdl-25059592
OBJECTIVE: To report the clinical characteristics of patients who have persistent lower urinary tract symptoms (LUTS) after surgery for benign prostatic hyperplasia (BPH) and continue their medical therapy postoperatively. MATERIALS AND METHODS: We retrospectively studied 372 patients who underwent transurethral resection of prostate for LUTS/BPH in 8 institutions to determine the differences between patients who continued LUTS/BPH medications for >3 months after surgery and those who did not. Preoperative, intraoperative, and postoperative clinical parameters were assessed. The Student t test and chi square test were used to compare each parameter between patient groups. Multivariate logistic regression analysis was performed to identify risk factors for persistent LUTS and continuing medical therapy after surgery. RESULTS: There were 205 patients (55.1%) who continued their LUTS/BPH medications for >3 months postoperatively. They reported poorer International Prostate Symptom Scores and uroflowmetry results after surgery. Multivariate analysis showed that age >70 years (odds ratio [OR], 2.474; P = .001), history of diabetes (OR, 1.949; P = .040), history of cerebrovascular accident (OR, 5.932; P = .001), any previous LUTS/BPH medication use (OR, 5.384; P = <0.001), and previous antimuscarinic drug use (OR, 2.962; P = .016) were significantly associated with symptom persistency and continuing medical therapy. CONCLUSION: Many patients have persistent voiding dysfunction after surgical treatment for LUTS/BPH. Older age, history of diabetes, history of cerebrovascular accidents, and preoperative antimuscarinic drug uses are possible risk factors.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próstata / Hiperplasia Prostática / Ressecção Transuretral da Próstata / Sintomas do Trato Urinário Inferior Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male / Middle aged Idioma: En Ano de publicação: 2014 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próstata / Hiperplasia Prostática / Ressecção Transuretral da Próstata / Sintomas do Trato Urinário Inferior Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male / Middle aged Idioma: En Ano de publicação: 2014 Tipo de documento: Article