Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy?
- Author:
Sangjun YOO
1
;
Hyeon JEONG
;
Hwancheol SON
;
Seung-June OH
;
Jae-Seung PAICK
;
Min Chul CHO
Author Information
- Publication Type:Original Article
- From:The World Journal of Men's Health 2023;41(3):734-742
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:We assessed the effects of preoperative bladder compliance on the long-term functional outcomes, especially focused on postoperative storage symptom changes, after laser prostatectomy.
Materials and Methods:From January 2008 to March 2014, 1,608 men who underwent laser prostatectomy, including holmium laser enucleation or photo-vaporization of the prostate, were included in the analysis. We divided patients into 3 groups according to bladder compliance on a baseline urodynamic study: <12.5, 12.5–25, ≥25 mL/cmH2O. A multivariable analysis was performed to determine the impact of bladder compliance on changes in long-term functional outcomes after laser prostatectomy.
Results:Bladder compliance was less than 12.5 mL/cmH2O in 50 (3.1%), 12.5–25 mL/cmH2O in 232 (14.4%) patients. As bladder compliance decreased, the baseline International Prostate Symptom (IPSS) total score and storage sub-score were increased; the voiding sub-score remain unchanged. At postoperative 12 and 36 months, absolute improvements in the IPSS total score and storage sub-score were higher in <12.5 mL/cmH2O group compared to other groups, although those were equivalent at postoperative 1 months. On the multivariable analysis, decreased bladder compliance <12.5 mL/cmH2O was significantly associated with superior improvement in storage sub-score at postoperative 36 months, although it was not associated with voiding sub-score.
Conclusions:In patients with preoperative bladder compliance <12.5 mL/cmH2O, storage symptoms could be further improved at 36 months after laser prostatectomy compared to others. Thus, laser prostatectomy could be a considerable treatment option for patients with severely decreased bladder compliance.
