A New Index of Voiding Dysfunction in Men with Benign Prostatic Hyperplasia Undergoing Transurethral Resection of The Prostate Adds Superior Information to the Traditional Maximum Flow Rate (Qmax)

2011 ◽  
Vol 5 (3) ◽  
pp. 151-157 ◽  
Author(s):  
Francoise A. Valentini ◽  
Alienor Gilchrist ◽  
Pierre P. Nelson ◽  
Philippe E. Zimmern
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Flow Rate ◽  
Transurethral Resection ◽  
Voiding Dysfunction ◽  
Maximum Flow ◽  
Prostatic Hyperplasia ◽  
Maximum Flow Rate

Predictive value of low maximum flow rate in benign prostatic hyperplasia

Urology ◽  
1986 ◽  
Vol 27 (6) ◽  
pp. 569-573 ◽  
Author(s):  
T. Dorflinger ◽  
R. Bruskewitz ◽  
K.M.-E. Jensen ◽  
P. Iversen ◽  
P.O. Madsen
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Flow Rate ◽  
Predictive Value ◽  
Maximum Flow ◽  
Prostatic Hyperplasia ◽  
Maximum Flow Rate

Elettrovaporizzazione endoscopica della prostata (TVP): Esperienza su 112 casi

1997 ◽  
Vol 64 (1_suppl) ◽  
pp. 85-89
Author(s):  
G.L. Berti ◽  
G.L Leidi ◽  
A. Raimoldi ◽  
L. Veneroni ◽  
V. Giola ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Surgical Technique ◽  
Flow Rate ◽  
Maximum Flow ◽  
Prostatic Hyperplasia ◽  
Maximum Flow Rate ◽  
Urine Retention ◽  
Post Operation ◽  
Mean Time ◽  
Actual Method

Transurethral electrovaporisation of the prostate (TVP) is one of the most recent techniques utilised as an alternative to TURP for the treatment of benign prostatic hyperplasia (BPH). This study reports our experience with TVP on 112 patients affected by BPH. All the patients had an adenoma equal or less than 40 grams in weight, maximum flow rate less than 10 ml per second or urine retention and PSA less than 4 mcg per litre. In all cases TVP was carried out without any complications during the operation (mean time 32 minutes) with no bleeding. 102 patients had the catheter removed after two days and 10 after 4 days. The maximum flow rate increased from 6.7 ml per second before the operation to 25.1 ml per second post operation. In 7 patients (6.2%) with unsatisfactory flow and/or with adenoma residue, it was necessary to perform a second TVP. 8 patients had temporary stress incontinence for 3 months after the operation, while one patient had permanent orthostatic incontinence. We can conclude that TVP is an easy technique to learn and has given the same clinical and urodynamic results as TURP, with negligible bleeding. The complication of temporary post operative incontinence in 7 patients and permanent incontinence in one patient, requires further studies to understand whether this is due to the surgical technique or to the actual method.

scholarly journals Clinical Significance of Intravesical Prostatic Protrusion in Patients with Benign Prostatic Hyperplasia

2015 ◽  
Vol 3 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Ghanshyam Sigdel ◽  
WK Belokar
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Symptom Score ◽  
Flow Rate ◽  
International Prostate Symptom Score ◽  
Prostate Volume ◽  
Maximum Flow ◽  
Prostatic Hyperplasia ◽  
Medical Sciences ◽  
Residual Urine ◽  
Intravesical Prostatic Protrusion

INTRODUCTION: Intravesical prostatic protrusion is a morphological change due to excessive growth of the median and lateral lobes of the prostate into the bladder in benign prostatic hyperplasia. It causes a 'ball-valve' type of obstruction during voiding. It is a useful parameter to assess the severity of the disease process, selection of treatment modality and its possible outcome in benign prostatic hyperplasia.MATERIAL AND METHODS: A prospective, non-randomized, observational study was carried out from January 2014 to June 2014 in the Department of Urology, College of Medical Sciences, Nepal. Total of 50 patients with benign prostatic hyperplasia were evaluated to assess the correlation of intravesical prostatic protrusion with international prostate symptom score, prostate volume, maximum flow rate and post void residual urine. Correlation between parameters of interest was quantified with Pearson correlation test.RESULTS: A positive correlation was demonstrated between intravesical prostatic protrusion, international prostate symptom score, prostate volume and post void residual urine. There was a negative correlation between intravesical prostatic protrusion and maximum flow rate.CONCLUSION: Intravesical prostatic protrusion is correlated with international prostate symptom score, prostate volume, maximum flow rate, and post void residual urine volume and hence can be used to assess the severity of benign prostatic hyperplasia.Journal of Universal College of Medical Sciences Vol. 3, No. 1, 2015: 6-10

scholarly journals THE CORRELATION OF INTERNATIONAL PROSTATE SYMPTOM SCORE (IPSS) WITH QMAX ON UROFLOWMETRY OF BENIGN PROSTATIC HYPERPLASIA (BPH) PATIENTS AT ABDUL WAHAB SJAHRANIE HOSPITAL IN SAMARINDA

2020 ◽  
Vol 7 (2) ◽  
pp. 85-91
Author(s):  
Nia Ramadhanurrosita ◽  
Boyke Soebhali ◽  
Hary Nugroho
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Flow Rate ◽  
Symptom Severity ◽  
Maximum Flow ◽  
Prostatic Hyperplasia ◽  
Benign Tumors ◽  
Cross Sectional ◽  
Urinary Tract Symptoms ◽  
Moderate Negative Correlation ◽  
Observational Design

Background: Benign prostatic hyperplasia (BPH) is one of the most common benign tumors on elderly man. BPH manifests as lower urinary tract symptoms (LUTS). To determine subjectively the symptom severity of LUTS, quantitatively, it was used a diagnostic tool called IPSS. However, IPSS individually is not enough in enforcement of definitive diagnosis man with LUTS. There were some other diagnostics tools used in diagnosing BPH, the other one is uroflowmetry examination that is objective. This research aims are to know the correlation between IPSS and Qmax on uroflowmetry in BPH patients at Abdul Wahab Sjahranie Hospital in Samarinda.Methods: This research is an analytic survey with observational design, cross sectional. The subject of this research is BPH patients with LUTS at Abdul Wahab Sjahranie Hospital in Samarinda on March until May 2019. Data is collected primarily through the IPSS’s questionnaire filled by the patient. Data flow rate obtained through uroflowmetry examination with emphasis on maximum flow rate (Qmax).Results: This research found that BPH is majorly found on group age 60-69 years (45%). IPSS with moderate symptom severity mostly found on patient (60%). Nocturia (90.5%) and incomplete emptying (85%) is the most frequent symptoms found. The analysis results showed that IPSS had a moderate negative correlation with Qmax on uroflowmetry (r = -0,567; p = 0,009).Conclusions: There was correlation between IPSS and Qmax on uroflowmetry of BPH patients at Abdul Wahab Sjahranie Hospital in Samarinda.

scholarly journals Effects of Transurethral Resection of Prostate (TURP) on Quality of Life in Case of Benign Prostatic Hyperplasia

2019 ◽  
Vol 5 (2) ◽  
pp. 143-147
Author(s):  
Md Abul Hossain ◽  
Md Akter Alam ◽  
Md Fazal Naser ◽  
Md Shafiqul Azam
Keyword(s):  
Quality Of Life ◽  
Benign Prostatic Hyperplasia ◽  
Flow Rate ◽  
Transurethral Resection ◽  
Prostatic Hyperplasia ◽  
Urinary Flow Rate ◽  
Transurethral Resection Of Prostate ◽  
Urinary Flow

Background: BPH is one of the most common cause of LUTS which significantly impairs the quality of life. TURP is minimally invasive surgical procedure for Benign Prostatic hyperplasia which has impact on quality of life. Impact on quality of life can be measured by QoL score and effect of TURP can be evaluated. Objective: The purpose of the present study was to evaluate the impact of transurethral resection of prostate (TURP) on Quality of Life (QoL) score. Methodology: This prospective study was carried out in the Department of Urology, Shaheed Suhrawardy Medical College and Hospital, Dhaka, from July 2015 to June 2016. Total fifty patients between 50 to 72 years attending for the treatment of benign prostatic hypertrophy (BPH) with lower urinary tract symptoms (LUTS) were included for the study according to inclusion & exclusion criteria. All of them were evaluated with baseline international prostate symptoms score (IPSS), QoL score, peak urinary flow rate (Qmax), voided volume, voiding time and PVR and were recorded in a predesigned data sheet. Selected patients underwent Transurethral Resection of Prostate. They were followed after 1 month and 3 months with same parameter and compared with the baseline values. Results: The baseline international prostate symptoms score (IPSS) in this study was 25.18±1.45. At one month and three months follow up visits after TURP, the IPSS was decreased to 15.0±1.07 and 8.14±0.76 respectively. There was significant improvement of peak urinary flow rate (Qmax) in the postoperative period, at the 1st follow up visit after one month of TURP (15.78±1.42, p<0.001) and at the 2nd follow visit after three months of TURP (18.78, p <0.001). The mean QoL score was 5.30±0.46 before TURP. After one month of TURP it was 3.20±0.45 and after 3 months of TURP it was 1.86±0.57. Conclusion: There is a significant improvement of quality of after TURP. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 143-147

Challenging the maximum flow rate: a new index of voiding dysfunction in men with benign prostatic enlargement

2008 ◽  
Vol 101 (8) ◽  
pp. 995-999 ◽  
Author(s):  
Françoise A. Valentini ◽  
Pierre P. Nelson ◽  
Gilbert R. Besson ◽  
Philippe E. Zimmern
Keyword(s):  
Flow Rate ◽  
Voiding Dysfunction ◽  
Maximum Flow ◽  
Maximum Flow Rate ◽  
Benign Prostatic Enlargement ◽  
Prostatic Enlargement

scholarly journals Therapeutic Effects of Botulinum Toxin A, via Urethral Sphincter Injection on Voiding Dysfunction Due to Different Bladder and Urethral Sphincter Dysfunctions

Toxins ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 487 ◽  
Author(s):  
Yu-Khun Lee ◽  
Hann-Chorng Kuo
Keyword(s):  
Treatment Outcome ◽  
Botulinum Toxin ◽  
Treatment Outcomes ◽  
Flow Rate ◽  
Bladder Neck ◽  
Voiding Dysfunction ◽  
Botulinum Toxin A ◽  
Maximum Flow ◽  
Maximum Flow Rate ◽  
Urethral Sphincter

Botulinum toxin A (BoNT-A) urethral sphincter injections have been applied in treating voiding dysfunction but the treatment outcome is not consistent. This study analyzed treatment outcomes between patients with different bladder and urethral sphincter dysfunctions. Patients with refractory voiding dysfunction due to neurogenic or non-neurogenic etiology were treated with urethral sphincter 100 U BoNT-A injections. The treatment outcomes were assessed by a global response assessment one month after treatment. The bladder neck opening and urodynamic parameters in preoperative videourodynamic study were compared between successful and failed treatment groups. A total of 80 non-neurogenic and 75 neurogenic patients were included. A successful outcome was noted in 92 (59.4%) patients and a failed outcome in 63 (40.6%). The treatment outcome was not affected by the gender, voiding dysfunction subtype, bladder dysfunction, or sphincter dysfunction subtypes. Except an open bladder neck and higher maximum flow rate, no significant difference was noted in the other variables between groups. Non-neurogenic patients with successful outcomes had a significantly higher detrusor pressure, and patients with neurogenic voiding dysfunction with successful results had higher maximum flow rates and smaller post-void residuals than those who failed the treatment. However, increased urinary incontinence was reported in 12 (13%) patients. BoNT-A urethral sphincter injection is effective in about 60% of either neurogenic or non-neurogenic patients with voiding dysfunction. An open bladder neck during voiding and a higher maximum flow rate indicate a successful treatment outcome.

Sign in / Sign up

Export Citation Format

Share Document