Evaluating bladder function is important in prostatic hyperplasia surgery
10.3969/j.issn.1009-8291.2023.03.002
- VernacularTitle:前列腺增生手术要关注膀胱功能评估
- Author:
Kexin XU
1
;
Hanwei KE
1
Author Information
1. Department of Urology, Peking University People’s Hospital, Beijing 100044, China
- Publication Type:Journal Article
- Keywords:
benign prostatic hyperplasia;
bladder function;
benign prostatic obstruction (BPO);
bladder outlet obstruction (BOO);
surgical choices
- From:
Journal of Modern Urology
2023;28(3):183-185
- CountryChina
- Language:Chinese
-
Abstract:
Benign prostatic hyperplasia (BPH) may lead to benign prostatic obstruction (BPO), which may result in bladder dysfunction. Based on the urodynamic analysis of bladder function of 793 BPO patients, bladder function could be classified into 3 stages and 6 types. Detrusor overactivity with impaired contractility (DHIC) is the transitional period of bladder function from compensation to decompensation. The indications of surgical therapy of bladder outlet obstruction (BOO) in different guidelines do not consider the bladder function. This paper emphasizes the importance of bladder function in the surgical choices for BOO, in order to select targeted and individualized surgical methods, and discusses the choice of surgical treatment for BPO from the perspective of bladder function.
