Comparative Study of Uroflowmetric Parameters Pre and Post-TURP in Benign Prostatic Hyperplasia (original) (raw)
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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.
IOSR Journal of Dental and Medical Sciences
Aims: To study the correlation between IPSS and uroflowmetry in patients with symptomatic benign prostatic hyperplasia Material and methods: This is prospective study done from june 2015 to may 2016 in department of urosurgery BPKIHS, Dharan, Nepal. Total of 100 patients with symptomatic benign prostatic hyperplasia were included in the study. All patients lower urinary tract symptoms and their urofowmetry parameters were entered in preform profoma. Conclusion: Of the 100 patients that presented with BPH, most of the patients (47.5%) were in the age group of 60-69 years. It was found that prostate size had moderately positive correlation with LUTS while PVRU was found to have a weakly positive correlation with severity of urinary symptoms. Among the parameters which were obtained by uroflowmetry, Peak flow rate (Qmax) was found to be the most representative of the symptom severity of the patient. Average flow rate (Qavg) and voided volume showed no correlation with the symptoms of the patients. Through our study, we concluded that uroflowmetry is a valuable tool for the diagnosis of patients presenting with Lower Urinary Tract Symptoms. We can also assess the efficacy of our treatment by performing pre operative and post operative uroflowmetry.
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...
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...
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.
Paripex Indian Journal Of Research, 2020
AIMS: To Objectively Assess The Symptomatic Improvement In A Subgroup Of Patients With Bladder Outlet Obstruction Due to Benign Prostatic Hyperplasia; Following Transuretheral Resection of Prostate (TURP)Using Uroflowmetry(UFM). MATERIAL AND METHODS: Our study of 50 patients with Bladder outlet obstruction due to Benign Prostatic Hypertrophy were subjected to uroflowmetry and IPSS Questionnaire ; pre and post Transuretheral resection of Prostate. RESULTS: Mean voided volume before prostatectomy was 186.02±71.47 mL with a mean maximum flow rate of 10.44 ± 2.83 mL/s ,mean average flow rate of 4.37 ± 1.03 mL/s and mean voiding time was 63.42±24.25 sec and preoperative IPSS score of 21.4± 5.6. After transuretheral prostatectomy mean voided volume was 194.56 ±75.69 mL, mean maximum flow rate was 21.39 ± 3.39 mL/s , mean average flow rate was 13.65 ± 2.22 mL/s and mean voiding time was 20.68 ±8.5 sec and postoperative IPSS score of 6.8 ±4.2. CONCLUSION: It is concluded that post TURP, the objectively assessed uroflowmetry parameters are correlating with subjectively assessed IPSS score. Hence , uroflowmetry is an easy and office based useful assessment tool for objectively assessing the symptopmatic improvement in BOO post TURP. INDEX TERMS-Uroflowmetry, Benign Prostatic Hyperplasia and Transuretheral resection of Prostate.
Jurnal Kedokteran dan Kesehatan Indonesia
Background: Benign prostatic hyperplasia (BPH) is a pathologic process that cause of lower urinary tract symptoms (LUTS) in aging men. Transurethral resection of the prostate (TURP) is still the current gold standard of BPH treatment. International Prostate Symptoms Score (IPSS) and the quality of life (QoL) index are used for assessing the TURP results.Objective: This study would like to show the benefits outcome of TURP in patients with BPH evaluated with IPSS score and QoL index in Medan regional hospital.Methods: This research is a retrospective study of BPH patients that is treated with TURP at Universitas Sumatera Utara Hospital from September 2019 – August 2020. Patients will be divided into 2 groups, group 1 with patients who have a prostate size <80 grams and the second group with a prostate size> 80 grams. All patients who were included in this study were assessed for their complaints using the IPSS and QoL index before and after taking an operation. Statistical anal...
Nepal Medical College journal : NMCJ, 2007
The aim of this study was to determine the improvement in symptoms and quality of life in men with Benign Prostatic Hyperplasia (BPH) after transurethral resection of prostate (TURP). Fifty consecutive patients fit for undergoing TURP for BPH were included in this study. All patients were assessed prior to definitive surgical treatment using standardized questionnaires of international prostate symptom score (IPSS) which includes single disease-specific quality of life (QOL) score. Follow up of these patients was done at three months with same questionnaires. Data was analyzed using the statistical package for social sciences (SPSS) for Windows. The mean age and duration of symptom was 68.3 years and 26.7 months respectively. The average volume of prostate was 46.1 cm3. Preoperative IPSS and QOL score were 23.4 and 5.2 respectively; 56.6% of the score was contributed by obstructive symptoms. At three months follow up, the mean IPSS reduced down to 7.9 and QOL score improved to 1.5. ...
Indonesian Journal of Cancer
Background: Benign Prostatic Hyperplasia (BPH) is the most common pathological condition in man that causes Lower Urinary Tract Syndrome (LUTS). The most popular therapeutic modality for BPH is Transurethral Resection of Prostate (TURP). This study describes the TURP outcome in BPH patient with prostate size > 75 grams compared to < 75 grams in Karawang General Referral Hospital.Methods: We performed a retrospective review of clinical outcome from BPH patient with LUTS who underwent TURP procedure between January 2017 – April 2018. Data was taken through patient medical records and processed descriptively to describe complications, quality of life, and clinical laboratory data. Qualitative data compared with Chi-Square test.Results: During this study, we evaluated 40 patients, 20 patients with prostate size > 75 grams (group 1) and 20 patients with prostate size < 75 grams (group 2). Mean age in group 1 was 65.6 ± 9.9 years and in group 2 was 65.3 ± 10.2 years. Internati...
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.