Uroflowmetry : An Objective Assessment Tool in Bladder Outlet Obstruction Post Transuretheral Resection of Prostate (original) (raw)
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Introduction and Objective: To evaluate the role of immediate uroflowmetry in patients of benign prostatic hyperplasia following transurethral resection of prostate.Methods:100 patients were included in our study who underwent TURP at our centre. Complete preoperative evaluation was done which included usg prostate, uroflometry and IPSS scoring. Uroflometry was done immediately at the time of catheter removal and after one and three month of surgery. Qmax, IPSS scoring were compared before and after TURP. Result: The mean patient age in study was 64.52 years. Mean Qmax, AFR and prostate weight were 8.30 ? 3.26 ml/sec, 4.82 ? 1.72ml/sec and 46.62 ? 31.10 gms respectively. Of the 100 patients, 75% patients were having immediate Qmax >15ml/sec and 25% were having <15 ml/sec. On comparing the mean value of different parameters between these two groups it was found that the difference between parameters were not statistically significant. Sensitivity and specificity of immediate uroflowmetry (Immediate Qmax ) were 91.3% and 61.3 % respectively. Positive predictive value of this test was 84% and the negative predictive value was 76%. Conclusion: Based on our experience, we conclude that immediate uroflowmetry after TURP can be used as a tool to predict the outcome of TURP up to three months after surgery with good accuracy but can these results be reciprocated on longer follow up need to be evaluated and can immediate uroflowmetry be used as a tool to differentiate those patients which are more likely to get re operated in the future need to be studied. For answering these questions further studies in the same direction with longer follow up period needed to be done.
International Journal of Scientific and Research Publications (IJSRP)
Aims: To study uroflowmetric changes before and after Suprapubic Transvesical Prostatectomy in the patients of Benign Prostatic Hyperplasia. Material and methods: This study was carried out at Department of Jarahat, Ajmal Khan Tibbiya College A.M.U Aligarh from year 2015-16. In our study out of 58 BPH patients, 10 patients underwent suprapubic transvesical prostatectomy and uroflowmetric changes were evaluated. Results: Mean voided volume before prostatectomy was 46.1 ± 100.5 mL with a mean maximum flow rate of 2.5 ± 5.3 mL/s and mean average flow rate of 0.8 ± 1.7 mL/s. After suprapubic prostatectomy mean voided volume was 229.9 ± 43.4 mL, mean maximum flow rate was 24.0 ± 8.5 mL/s and mean average flow rate was 8.2 ± 3.5 mL/s. Conclusion: It is concluded that post suprapubic prostatectomy, all uroflowmetry parameters return towards normal levels. There is an excellent improvement in both obstructive and irritative symptoms post operatively.
Comparative Study of Uroflowmetric Parameters Pre and Post-TURP in Benign Prostatic Hyperplasia
Introduction: Benign Prostatic Hyperplasia (BPH) is one of the most common urological conditions affecting men 50 years of age and above. Uroflowmetry is a commonly used modality by urologists to assess parameters of urine flow in patients of BPH. The objective of this study is to objectively evaluate Uroflowmetry effectiveness and compare the difference in the uroflowmetry parameters in patients undergoing Transurethral Resection of Prostate (TURP) for BPH before and after the surgery. Materials and Methods: This prospective study included 54 patients who presented at Father Muller medical college, Mangalore with Lower Urinary Tract Symptoms with BPH (between the age group of 50 to 90 years) and eventually underwent TURP. Duration of the study was from 1 st August 2022 to 31 st October 2022 (3 months). Various uroflowmetric parameters and International Prostatic symptom score (IPSS) were calculated prior to TURP and 2 weeks after TURP. Results: Significant improvement was observed in terms of Q max , Q Average and voiding time in all patients after TURP. There is significant improvement in the IPSS scoring for bothersome symptoms scores post TURP. Conclusion: Post-TURP, the objectively assessed uroflowmetry parameters showed improvement and were correlating with subjectively assessed IPSS score. Hence, Uroflowmetry is an easy office based assessment tool for objectively assessing the symptomatic improvement in Bladder Outlet Obstruction post-TURP.
Journal of Evolution of medical and Dental Sciences, 2015
A comparative study was conducted in the Department of Surgery, Government Medical College, Jammu, from December, 2010 to November, 2011 for a period of one year. Aim of the study was to see the effects of surgeries of benign prostatic hyperplasia (TURP and open prostatectomy) on the urodynamic parameters and to statistically analyze and compare the urodynamic outcome of two surgeries. Patients selected for study were those undergoing either transurethral resection of prostate (TURP) or open prostatectomy for benign prostatic hyperplasia (BPH), whereas those excluded from the study were patients with nervous system disorders, unstable/overactive bladder, obstructive symptoms due to causes other than BPH and those who were not fit for general anaesthesia. Forty patients with prostate >50 grams, who fulfilled the inclusion criteria, were randomly and equally selected to undergo either transurethral resection of prostate (TURP) or open prostatectomy. Preoperative urodynamic study of...
Journal of Nephropathology, 2019
Benign prostate hyperplasia, pathophysiology contributes to bladder outlet obstruction due to functional obstruction caused by gland size enlargement resulting in the lower urinary tract symptoms (LUTS). Objectives: To determine the correlation of the prostate volume with surgical outcomes and postoperative LUTS in patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP). Patients and Methods: Patients with BPH who were refractory for medical treatment enrolled in the study. Patients divided into three groups with attention to their prostate volume conducted by transabdominal ultrasonography. To evaluate patients' LUTS, the International Prostate Symptom Score (IPSS) questionnaire was filled for all patients preoperatively and during the first and third months follow up sessions. Results: In the current study, mean age of the patients was 66.92 ± 1.08 years. Of 111 patients, eight patients (7.2%) had prostate volume less than 30 cc, 59 patients (53.2%) had prostate volume between 30-60 cc, and 44 patients (39.6%) had prostate volume more than 60 cc. During first month postoperative, mean decrease in IPSS scores in patients with prostate volume less than 30 cc, prostate volume between 30-60 cc and prostate volume more than 30 cc were 27.72 ± 3.53, 27.32 ± 3.37 and 27.45 ± 2.87, respectively. The ANOVA test showed no significant difference between the groups (P= 0.93). Mean decrease in IPSS score during third month postoperative, had no significant difference between the three groups, too (P=0.71). Symptoms alleviation observed in 94.6% and 95.5% of the patients, during first and third months follow-up, respectively. Conclusion: There was no correlation between the IPSS scores decrease and patients' symptoms recovery and preoperative prostate volume in patients with BPH who underwent TRUP.
The Journal of Urology, 2008
Objective: To assess the impact of the percent of resected tissue on the improvement of urinary symptoms. Materials and Methods: The study included a prospective analysis of 88 men with benign prostatic hyperplasia. Patients were divided in three groups according to the percent of resected tissue: Group 1 < 30%; Group 2, 30% to 50%; and Group 3, > 50%. Each patient was re-evaluated 3 months after surgery. We assessed the international prostatic symptom score, nocturia and serum prostate specific antigen levels. Results: All patients presented a significant decrease on mean International Prostate System Score (IPSS) (23 to 5.9), Quality of Life (QoL) (4.9 to 1.0) and nocturia (3.2 to 1.9). Variation in the IPSS was 16.7, 16.6 and 18.4 for patients from Group 1, 2 and 3 respectively (P = 0.504). Although the three groups presented a significant decrease in QoL, patients in Group 3 presented a significantly greater decrease when compared to Group 1. Variation in QoL was 3.1, 3.9 and 4.2 for patients from Group 1, 2 and 3 respectively (p = 0.046). There was no significant difference in nocturia variation according to the percent of resected tissue (p = 0.504). Median pre and postoperative PSA value was 3.7 and 1.9 ng/mL respectively. Patients from Group 1 did not show a significant variation (p = 0.694). Blood transfusions were not required in any group. Conclusions: Resection of less than 30% of prostatic tissue seems to be sufficient to alleviate lower urinary tract symptoms related to benign prostate hyperplasia. However, these patients may not show a significant decrease in serum PSA level.
Bangladesh Journal of Urology, 2020
Objective: T0 compare the outcome of Transurethral Resecton of Prostate between Patients with Preoperative Low or Normal and High Voiding Pressure. Methods: This hospital based prospective observational study was conducted in the Department of Urology of Dhaka Medical college Hospital from July 2008 to June 2010 on male patients aging >59 years having Lower urinary tract symptoms (LUTS) attending to urology OPD& IPD were evaluated by history, physical examination including DRE and necessary investigations like USG of KUB and prostate with MCC & PVR, Q max, IPSS score to identify the potential candidates for TURP. Potential participants were counseled for urodynamic study. Who fulfilled the selection criteria included in this study in outpatient basis or admitted in the urology ward and numbered chronologically and performed urodynamic study and then patients underwent TURP, after 12 weeks of completion of TURP again a follow-up urodynamic study performed in all patients to compar...
Jurnal Kedokteran Brawijaya
Benign prostatic hyperplasia (BPH) is one of the most common diseases affecting the elderly, and Transurethral Resection of the Prostate (TURP) is a gold standard surgical procedure in BPH patients. Although the TURP rate is high, the publication of TURP profile data in Indonesia is still limited. This study aimed at determining the characteristics of BPH patients who underwent TURP at Saiful Anwar General Hospital. This study is a descriptive study by collecting data of 162 BPH patients who underwent TURP from January 2015 to August 2017. TURP is primarily performed in patients aged 61-70 years (39.5%). Recurrent urinary retention was the most common indication for the procedure (54.9%) followed by bladder stone (21%), pharmacological therapy failure (10.5%), inguinal hernia (8%), severe Lower Urinary Tract Symptoms (LUTS) (3.7%), and renal insufficiency (1.9%). As many as 58% of patients who underwent TURP had a prostate volume higher than 50 ml. Urinary retention is the most comm...