Analysis of benign prostatic obstruction surgery: A long-term evaluation in a real-life context
Autor: | Alberto Costa Silva, Pedro Abreu-Mendes, Afonso Morgado, Paulo Dinis, Carlos Martins Silva |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Archivio Italiano di Urologia e Andrologia, Vol 94, Iss 3 (2022) |
Druh dokumentu: | article |
ISSN: | 1124-3562 2282-4197 |
DOI: | 10.4081/aiua.2022.3.295 |
Popis: | Objective: Surgery is the treatment for male lower urinary tract symptoms (LUTS) relat-ed to benign prostatic obstruction (BPO) refractory to pharma-cological treatment or with complications. This study aimed to assess factors associated with the need for surgical reinterven-tion and/or continuation of pharmacological treatment. Materials and methods: A retrospective analysis of patients who underwent prostatic surgery for male LUTS associated with BPO between 1 May 2015 and 1 May 2016, with a minimum follow-up of five years, in an academic tertiary hospital. The type of surgery, preoperative, postoperative and follow-up analysis were collected in a database. Results: A total of 212 patients were included with a mean age of 70 ± 8.66 years at five years follow-up. At 5 years, a total of 86.9% of patients do not need pharmacological treatment and 12% required surgical reintervention. Of the preoperative parameters, it was found a relationship between prior prostatitis and the need for second surgery with an odds ratio of 4.6. Conclusions: Patients should be informed of the potential need for pharmacological treatment following surgery, or even of the need for reintervention. History of prostatitis seems to be a risk factor for reintervention. |
Databáze: | Directory of Open Access Journals |
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