Long‐term symptomatic outcome after transurethral resection of the prostate: A urodynamics‐based assessment
Objectives To examine the long‐term outcomes of transurethral resection of the prostate. Methods We retrospectively collected the data of patients who had undergone transurethral resection of the prostate before December 2010. Patients had been evaluated by urodynamics and the International Prostate...
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| Veröffentlicht in: | International journal of urology 2019-11, Vol.26 (11), p.1071-1075 |
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| container_title | International journal of urology |
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| creator | Wada, Naoki Kikuchi, Daiki Tateoka, Jo Abe, Noriyuki Banjo, Hiroko Tsuchida, Miyu Hori, Junichi Tamaki, Gaku Kita, Masafumi Kakizaki, Hidehiro |
| description | Objectives
To examine the long‐term outcomes of transurethral resection of the prostate.
Methods
We retrospectively collected the data of patients who had undergone transurethral resection of the prostate before December 2010. Patients had been evaluated by urodynamics and the International Prostate Symptom Score preoperatively, and they were re‐evaluated by using the International Prostate Symptom Score at the minimum 7 years after transurethral resection of the prostate. Patients who received any treatments to improve voiding symptoms were defined as having a relapse of voiding dysfunction. The Schäfer nomogram was used to assess the degree of obstruction and detrusor contractility. We assessed the change in International Prostate Symptom Score over time depending on obstruction (Schäfer grade 3–6) versus no obstruction (Schäfer grade 0–2), and normal detrusor contractility (strong and normal) versus detrusor underactivity (weak and very weak). Relapse rates of voiding dysfunction were determined using the Kaplan–Meier method.
Results
A total of 39 patients were included. The mean age at transurethral resection of the prostate was 69.8 years, and the mean observation period after transurethral resection of the prostate was 114 months. During the observation period, eight patients (21%) were categorized as relapse of voiding dysfunction and the mean time to relapse was 4.2 years. Patients categorized as no obstruction or detrusor underactivity had a higher recurrence rate of voiding dysfunction with a statistical significance between those with versus without obstruction. Except for patients with relapse of voiding dysfunction, improvement of the International Prostate Symptom Score was maintained over a period of 10 years after transurethral resection of the prostate.
Conclusions
Favorable long‐term symptomatic outcome after transurethral resection of the prostate is likely in patients with urodynamic obstruction. Patients without urodynamic obstruction are likely to have a relapse of voiding symptoms and require additional treatments in the long term. |
| doi_str_mv | 10.1111/iju.14104 |
| format | Article |
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To examine the long‐term outcomes of transurethral resection of the prostate.
Methods
We retrospectively collected the data of patients who had undergone transurethral resection of the prostate before December 2010. Patients had been evaluated by urodynamics and the International Prostate Symptom Score preoperatively, and they were re‐evaluated by using the International Prostate Symptom Score at the minimum 7 years after transurethral resection of the prostate. Patients who received any treatments to improve voiding symptoms were defined as having a relapse of voiding dysfunction. The Schäfer nomogram was used to assess the degree of obstruction and detrusor contractility. We assessed the change in International Prostate Symptom Score over time depending on obstruction (Schäfer grade 3–6) versus no obstruction (Schäfer grade 0–2), and normal detrusor contractility (strong and normal) versus detrusor underactivity (weak and very weak). Relapse rates of voiding dysfunction were determined using the Kaplan–Meier method.
Results
A total of 39 patients were included. The mean age at transurethral resection of the prostate was 69.8 years, and the mean observation period after transurethral resection of the prostate was 114 months. During the observation period, eight patients (21%) were categorized as relapse of voiding dysfunction and the mean time to relapse was 4.2 years. Patients categorized as no obstruction or detrusor underactivity had a higher recurrence rate of voiding dysfunction with a statistical significance between those with versus without obstruction. Except for patients with relapse of voiding dysfunction, improvement of the International Prostate Symptom Score was maintained over a period of 10 years after transurethral resection of the prostate.
Conclusions
Favorable long‐term symptomatic outcome after transurethral resection of the prostate is likely in patients with urodynamic obstruction. Patients without urodynamic obstruction are likely to have a relapse of voiding symptoms and require additional treatments in the long term.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.14104</identifier><identifier>PMID: 31512277</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>benign prostatic hyperplasia ; Contractility ; outcome ; Prostate ; transurethral resection ; urodynamics</subject><ispartof>International journal of urology, 2019-11, Vol.26 (11), p.1071-1075</ispartof><rights>2019 The Japanese Urological Association</rights><rights>2019 The Japanese Urological Association.</rights><rights>Copyright © 2019 The Japanese Urological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3774-d546eb6ef1e1bdbc4eaf4144a40472917f52829fb59901f2f8d1200347898d563</citedby><cites>FETCH-LOGICAL-c3774-d546eb6ef1e1bdbc4eaf4144a40472917f52829fb59901f2f8d1200347898d563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiju.14104$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiju.14104$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31512277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wada, Naoki</creatorcontrib><creatorcontrib>Kikuchi, Daiki</creatorcontrib><creatorcontrib>Tateoka, Jo</creatorcontrib><creatorcontrib>Abe, Noriyuki</creatorcontrib><creatorcontrib>Banjo, Hiroko</creatorcontrib><creatorcontrib>Tsuchida, Miyu</creatorcontrib><creatorcontrib>Hori, Junichi</creatorcontrib><creatorcontrib>Tamaki, Gaku</creatorcontrib><creatorcontrib>Kita, Masafumi</creatorcontrib><creatorcontrib>Kakizaki, Hidehiro</creatorcontrib><title>Long‐term symptomatic outcome after transurethral resection of the prostate: A urodynamics‐based assessment</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Objectives
To examine the long‐term outcomes of transurethral resection of the prostate.
Methods
We retrospectively collected the data of patients who had undergone transurethral resection of the prostate before December 2010. Patients had been evaluated by urodynamics and the International Prostate Symptom Score preoperatively, and they were re‐evaluated by using the International Prostate Symptom Score at the minimum 7 years after transurethral resection of the prostate. Patients who received any treatments to improve voiding symptoms were defined as having a relapse of voiding dysfunction. The Schäfer nomogram was used to assess the degree of obstruction and detrusor contractility. We assessed the change in International Prostate Symptom Score over time depending on obstruction (Schäfer grade 3–6) versus no obstruction (Schäfer grade 0–2), and normal detrusor contractility (strong and normal) versus detrusor underactivity (weak and very weak). Relapse rates of voiding dysfunction were determined using the Kaplan–Meier method.
Results
A total of 39 patients were included. The mean age at transurethral resection of the prostate was 69.8 years, and the mean observation period after transurethral resection of the prostate was 114 months. During the observation period, eight patients (21%) were categorized as relapse of voiding dysfunction and the mean time to relapse was 4.2 years. Patients categorized as no obstruction or detrusor underactivity had a higher recurrence rate of voiding dysfunction with a statistical significance between those with versus without obstruction. Except for patients with relapse of voiding dysfunction, improvement of the International Prostate Symptom Score was maintained over a period of 10 years after transurethral resection of the prostate.
Conclusions
Favorable long‐term symptomatic outcome after transurethral resection of the prostate is likely in patients with urodynamic obstruction. Patients without urodynamic obstruction are likely to have a relapse of voiding symptoms and require additional treatments in the long term.</description><subject>benign prostatic hyperplasia</subject><subject>Contractility</subject><subject>outcome</subject><subject>Prostate</subject><subject>transurethral resection</subject><subject>urodynamics</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kbFOHDEQhq0oKBwkBS-ALKUJxYLttc_rdCcECegkGqgt7-447Gm9vni8QtflEfKMeZIYjqSIlGmmmE-fZuYn5ISzc17qYtjM51xyJt-QBZdSVIJJ8ZYsmOGmargWh-QIccMYrwVv3pHDmisuhNYLEtdx-vbrx88MKVDchW2OweWho3HOXQxAnS8jmpObcE6QH5MbaQKELg9xotHT_Ah0myJml-EzXdE5xX43uTB0WLytQ-ipQwTEAFN-Tw68GxE-vPZj8nB9dX_5tVrffbm5XK2rrtZaVr2SS2iX4Dnwtm87Cc7LcpqTTGphuPZKNML4VhnDuBe-6blgrJa6MU2vlvUx-bT3ltW-z4DZhgE7GEc3QZzRCtEYpXWjREE__oNu4pymsp0VNTOqVkvBCnW2p7pyKybwdpuG4NLOcmafU7AlBfuSQmFPX41zG6D_S_55ewEu9sDTMMLu_yZ7c_uwV_4Gu5yTyA</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Wada, Naoki</creator><creator>Kikuchi, Daiki</creator><creator>Tateoka, Jo</creator><creator>Abe, Noriyuki</creator><creator>Banjo, Hiroko</creator><creator>Tsuchida, Miyu</creator><creator>Hori, Junichi</creator><creator>Tamaki, Gaku</creator><creator>Kita, Masafumi</creator><creator>Kakizaki, Hidehiro</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201911</creationdate><title>Long‐term symptomatic outcome after transurethral resection of the prostate: A urodynamics‐based assessment</title><author>Wada, Naoki ; Kikuchi, Daiki ; Tateoka, Jo ; Abe, Noriyuki ; Banjo, Hiroko ; Tsuchida, Miyu ; Hori, Junichi ; Tamaki, Gaku ; Kita, Masafumi ; Kakizaki, Hidehiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3774-d546eb6ef1e1bdbc4eaf4144a40472917f52829fb59901f2f8d1200347898d563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>benign prostatic hyperplasia</topic><topic>Contractility</topic><topic>outcome</topic><topic>Prostate</topic><topic>transurethral resection</topic><topic>urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wada, Naoki</creatorcontrib><creatorcontrib>Kikuchi, Daiki</creatorcontrib><creatorcontrib>Tateoka, Jo</creatorcontrib><creatorcontrib>Abe, Noriyuki</creatorcontrib><creatorcontrib>Banjo, Hiroko</creatorcontrib><creatorcontrib>Tsuchida, Miyu</creatorcontrib><creatorcontrib>Hori, Junichi</creatorcontrib><creatorcontrib>Tamaki, Gaku</creatorcontrib><creatorcontrib>Kita, Masafumi</creatorcontrib><creatorcontrib>Kakizaki, Hidehiro</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wada, Naoki</au><au>Kikuchi, Daiki</au><au>Tateoka, Jo</au><au>Abe, Noriyuki</au><au>Banjo, Hiroko</au><au>Tsuchida, Miyu</au><au>Hori, Junichi</au><au>Tamaki, Gaku</au><au>Kita, Masafumi</au><au>Kakizaki, Hidehiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐term symptomatic outcome after transurethral resection of the prostate: A urodynamics‐based assessment</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2019-11</date><risdate>2019</risdate><volume>26</volume><issue>11</issue><spage>1071</spage><epage>1075</epage><pages>1071-1075</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Objectives
To examine the long‐term outcomes of transurethral resection of the prostate.
Methods
We retrospectively collected the data of patients who had undergone transurethral resection of the prostate before December 2010. Patients had been evaluated by urodynamics and the International Prostate Symptom Score preoperatively, and they were re‐evaluated by using the International Prostate Symptom Score at the minimum 7 years after transurethral resection of the prostate. Patients who received any treatments to improve voiding symptoms were defined as having a relapse of voiding dysfunction. The Schäfer nomogram was used to assess the degree of obstruction and detrusor contractility. We assessed the change in International Prostate Symptom Score over time depending on obstruction (Schäfer grade 3–6) versus no obstruction (Schäfer grade 0–2), and normal detrusor contractility (strong and normal) versus detrusor underactivity (weak and very weak). Relapse rates of voiding dysfunction were determined using the Kaplan–Meier method.
Results
A total of 39 patients were included. The mean age at transurethral resection of the prostate was 69.8 years, and the mean observation period after transurethral resection of the prostate was 114 months. During the observation period, eight patients (21%) were categorized as relapse of voiding dysfunction and the mean time to relapse was 4.2 years. Patients categorized as no obstruction or detrusor underactivity had a higher recurrence rate of voiding dysfunction with a statistical significance between those with versus without obstruction. Except for patients with relapse of voiding dysfunction, improvement of the International Prostate Symptom Score was maintained over a period of 10 years after transurethral resection of the prostate.
Conclusions
Favorable long‐term symptomatic outcome after transurethral resection of the prostate is likely in patients with urodynamic obstruction. Patients without urodynamic obstruction are likely to have a relapse of voiding symptoms and require additional treatments in the long term.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31512277</pmid><doi>10.1111/iju.14104</doi><tpages>5</tpages></addata></record> |
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| ispartof | International journal of urology, 2019-11, Vol.26 (11), p.1071-1075 |
| issn | 0919-8172 1442-2042 |
| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | benign prostatic hyperplasia Contractility outcome Prostate transurethral resection urodynamics |
| title | Long‐term symptomatic outcome after transurethral resection of the prostate: A urodynamics‐based assessment |
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