Persistent storage symptoms after TURP can be predicted with a nomogram derived from the ice water test
| Autor: | André Reitz, Tanja Hüsch, Axel Haferkamp |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Prostatic Hyperplasia 030232 urology & nephrology urologic and male genital diseases Group B Persistence (computer science) 03 medical and health sciences Bladder outlet obstruction 0302 clinical medicine Lower Urinary Tract Symptoms Lower urinary tract symptoms medicine Humans Aged Retrospective Studies Transurethral resection of the prostate Aged 80 and over 030219 obstetrics & reproductive medicine Urinary Bladder Overactive business.industry Transurethral Resection of Prostate Area under the curve Diagnostic Techniques Urological Middle Aged Nomogram medicine.disease Botulinum toxin Urinary Bladder Neck Obstruction Nomograms Urodynamics Neurology (clinical) business medicine.drug |
| Zdroj: | Neurourology and Urodynamics. 38:1844-1851 |
| ISSN: | 1520-6777 0733-2467 |
| DOI: | 10.1002/nau.24068 |
| Popis: | PURPOSE To predict the persistence of storage symptoms after transurethral resection of the prostate (TURP) using a nomogram derived from the ice water test (IWT). METHODS The IWTs of 73 men with lower urinary tract symptoms and prostatic bladder outlet obstruction were retrospectively analyzed. The strength of the detrusor contraction was approximated by using the detrusor gradient of Δpdet /Δt at maximum detrusor pressure and the area under the curve. The parameters were utilized in a nomogram, which facilitated a severity categorization from 1 to 10. Patients with a positive IWT in the categories 1 to 2 were assigned to group A, categories 3 to 4 to group B and categories 5 and higher to group C. After TURP, patients with persisting storage symptoms were offered a botulinum toxin injection. RESULTS There were 32 patients (44%) with negative and 41 patients (56%) with positive IWTs. Patients with negative IWTs were classified in category 1. Regarding patients with positive IWTs, 14 (34%) were correlated to group A, 14 (34%) to group B, and 13 (32%) to group C. The necessity of a subsequent botulinum toxin injection correlated significantly with a higher nomogram category (P |
| Databáze: | OpenAIRE |
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