New method to quantify the urodynamic improvement when treating bladder outlet obstruction: The efficacy of transurethral resection in benign prostatic hypertrophy

1995 ◽  
Vol 14 (4) ◽  
pp. 325-335 ◽  
Author(s):  
Anders Spángberg ◽  
Bengt Folkestad ◽  
Baldvin Kristjánsson ◽  
Per Ask
1992 ◽  
Vol 147 (6) ◽  
pp. 1566-1573 ◽  
Author(s):  
H.A. Doll ◽  
N.A. Black ◽  
K. McPherson ◽  
A.B. Flood ◽  
G.B. Williams ◽  
...  

2021 ◽  
Author(s):  
Hongming Liu ◽  
Ye Tian ◽  
Guangheng Luo ◽  
Zhiyong Su ◽  
Yong Ban ◽  
...  

Abstract Background:The correlation between modified bladder outlet obstruction index (MBOOI) and surgical efficacy still remains unknown. The purpose of the study was to investigate the clinical value of the MBOOI and its use in predicting surgical efficacy in men receiving transurethral resection of the prostate (TURP).Methods :A total of 403 patients with benign prostate hyperplasia (BPH) were included in this study. The International Prostate Symptom Score (IPSS), quality of life (QoL) index, transrectal ultrasonography, and pressure flow study (PFS) were conducted for all patients. The bladder outlet obstruction index (BOOI) (PdetQmax -2Qmax) and MBOOI (Pves-2Qmax) were calculated. All patients underwent TURP, and surgical efficacy was accessed by the improvements in IPSS, QoL, and Qmax 6 months after surgery. The association between surgical efficacy and baseline factors was statistically analyzed.Results:A comparison of effective and ineffective groups based on the overall efficacy showed that significant differences were observed in PSA, Pves, PdetQmax, Pabd, BOOI, MBOOI, TZV, TZI, IPSS-t, IPSS-v, IPSS-s, Qmax, and PVR at baseline (P<0.05). Compared with BOOI, the results of Pearson’s correlation analysis showed that there was a more optimal correlation of MBOOI with preoperative variables, as well as with the changes postoperative(P<0.05). Binary logistic regression analysis suggested that MBOOI was the only baseline parameter correlated with the improvements in IPSS, QoL, Qmax, and the overall efficacy. Additionally, the ROC analysis further verified that MBOOI was more optimal than BOOI, TZV and TZI in predicting the surgical efficacy.Conclusion:Compared to BOOI, MBOOI may be a more useful factor that can be used to predict the surgical efficacy of TURP.Trial registration: retrospectively registered.


1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 87-89
Author(s):  
G. Pitrolo ◽  
A. Alborghetti ◽  
V. Bano

In consideration of surgical case histories in their hospital and the transfusion risks to which patients operated for Benign Prostatic Hypertrophy are exposed, the authors decided to verify the possibility of applying intraoperative recovery of blood in patients undergoing transurethral resection of the prostate (TURP). The preliminary study of 31 cases provided data which were encouraging with regard to the possibility of using this method and the reinfusion of the red cells recovered. The second phase involved the successful treatment of 53 patients who thus received the blood they had lost during surgery.


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