Urodynamic Assessment in Benign Prostate Hyperplasia Evaluation
Journal Title: Urology, Nephrology and Andrology International - Year 2017, Vol 2, Issue 1
Abstract
Objective: Detrusor Overactivity (DO) was evaluated in patients with lower urinary tract symptoms due to benign prostatic hyperplasia with storage symptoms. Materials and Methods: A total of 258 men with a mean age 60.4±8.4 years who were admitted in our center between August 2013 and September 2015 with Lower Urinary Tract Symptoms (LUTS) having BPH. These patients were divided into two groups. Group1 (n=216) who had predominant obstructive voiding symptoms. Group2 (n=42) had both storage and voiding symptoms. Invasive urodynamics, including filling and voiding cystometry, was done with pressure flow analysis according to the Schäfer nomogram in Group2 patients. The relative contribution of bladder dysfunction to male LUTS, with a particular emphasis to storage symptoms that characterize overactive bladder was noted. Results: Of the 258 patients, 42 (16.3%) had idiopathic or neurogenic detrusor overactivity significantly affect patient symptom score and quality of life. Moreover, bladder dysfunction was significantly affected with the degree of obstruction with both storage and voiding symptoms as measured by the maximum flow rate, postvoid residual urine, and prostate volume and Schäfer grade of obstruction. Conclusion: DO with severe degree of bladder outlet obstruction in patients with storage symptoms is pathophysiologically the same as idiopathic or neurogenic.
Authors and Affiliations
S. V. Krishna Reddy
Keywords
Related Articles
- EP ID EP502615
- DOI -
- Views 69
- Downloads 0
Tunneled Catheter for Hemodialysis: Denovo Insertion vs. Conversion of Uncuffed Catheter
Aims and Objectives: To compare the two techniques of tunneled catheter (TC) insertion for hemodialysis; denovo and conversion of uncuffed catheter. Methods: The patients who underwent tunneled catheter insertion from Au...
Indications and Long Term Outcomes of Plasmapheresis in Neurological Disorders
Background: Plasmapheresis is the treatment of choice in several immune mediated neurological disorders such as Guillain-Barré syndrome and myasthenia gravis. There are only a few studies from India that have looked in t...
Outcomes of Initial Management and Follow-Up Procedure in Urethral Stricture Disease
ackground: Urethral Stricture Disease is a disease affecting middle-aged men. The causes of urethral stricturecan be categorized as congenital, traumatic, inflammatory, malignant, ischaemicand degenerative. The aim of th...
Urodynamic Assessment in Benign Prostate Hyperplasia Evaluation
Objective: Detrusor Overactivity (DO) was evaluated in patients with lower urinary tract symptoms due to benign prostatic hyperplasia with storage symptoms. Materials and Methods: A total of 258 men with a mean age 60.4±...
Jack Stone in the Bladder: Is it Really a Rare Entity in Tropical Countries Like India
Vesical calculus accounts for nearly 5% of urinary system calculus. Of these, jackstone constitutes a rare entity. Jackstones are stones that have a specific appearance resembling child’s toy. They consist of a dense cen...