Faculty Opinions recommendation of Selective transurethral resection of the prostate combined with transurethral incision of the bladder neck for bladder outlet obstruction in patients with small volume benign prostate hyperplasia (BPH): a prospective randomized study.

Author(s):  
Alexander Roosen
The Prostate ◽  
2016 ◽  
Vol 76 (15) ◽  
pp. 1353-1363 ◽  
Author(s):  
Miguel Silva-Ramos ◽  
Isabel Silva ◽  
José Carlos Oliveira ◽  
Paulo Correia-de-Sá

2020 ◽  
Vol 9 (4) ◽  
pp. 1189
Author(s):  
Kang Sup Kim ◽  
Yong Sun Choi ◽  
Woong Jin Bae ◽  
Hyuk Jin Cho ◽  
Ji Youl Lee ◽  
...  

Background: We compared the utility of the penile cuff test (PCT) and the conventional urodynamic study (UDS) for the preoperative assessment of patients undergoing scheduled photoselective vaporization of the prostate (PVP) for benign prostate hyperplasia (BPH). Methods: Fifty-nine patients with voiding lower urinary tract symptoms (LUTS) underwent a simultaneous PCT and conventional UDS before PVP. The modified International Continence Society (ICS) nomogram was used to confirm bladder outlet obstruction after measuring maximum urinary flow rate and highest pressure at flow interruption. The PCT and UDS results, in terms of modified ICS nomogram predictions, were compared. Their sensitivities, specificities, and positive and negative predictive values were calculated. Results: Thirty-six patients were diagnosed as obstructed and 23 as non-obstructed/equivocal using the modified ICS nomogram during the PCT. All 36 of the first group were confirmed as obstructed by UDS. Of the 23 diagnosed as non-obstructed/equivocal by the PCT, 14 were confirmed to be non-obstructed by UDS, with nine diagnosed as obstructed. The PCT showed a sensitivity of 80% and a specificity of 100%. The positive and negative predictive values were 100% and 60.9%, respectively. Conclusions: In conclusion, despite our small number of patients, the PCT’s high sensitivity and specificity suggest that it may provide diagnostic information about bladder outlet obstruction before PVP for patients with voiding LUTS. Evidently, the PCT has the potential to be used for some patients as a screening alternative to invasive UDS.


2020 ◽  
Vol 25 (1) ◽  
pp. 140-145 ◽  
Author(s):  
recep eryılmaz ◽  
Rahmi Aslan ◽  
Harun Arslan ◽  
Murat Demir ◽  
Saim Türkoğlu ◽  
...  

2019 ◽  
Vol 38 (1) ◽  
pp. 167-173
Author(s):  
Dmitry Enikeev ◽  
Leonid Rapoport ◽  
Magomed Gazimiev ◽  
Sergey Allenov ◽  
Jasur Inoyatov ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Dean Markić ◽  
Maksim Valenčić ◽  
Anton Maričić ◽  
Kristian Krpina ◽  
Dražen Rahelić ◽  
...  

Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o’clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient.


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