Predictive Factors for Successful Surgical Outcome of Benign Prostatic Hypertrophy.
- Author:
Geo Hwan KIM
1
;
Chun Il KIM
;
Sung Choon LEE
Author Information
1. Department of Urology, and Institute for Medical Science, Keimyung University, School of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
BPH;
Predictive factor
- MeSH:
Adenoma;
Follow-Up Studies;
Humans;
Prostatic Hyperplasia*
- From:Korean Journal of Urology
1995;36(4):417-424
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One hundred fifty seven patients with benign prostatic hypertrophy(BPH) under going trans. urethral resection of prostate( TUR - P) entered in this study in order to search for factors predictive of a successful outcome. In the follow-up period of 3 months to 7 years, a strictly successful result was achieved in 122 patients(78% ). On analysis of the success rate, 5 favorable factors and 8 unfavorable factors were noted. A symptomatic large prostatic adenoma proven by IVU, TRUS will imply a higher success rate. On uroflowmetry, obstructive BPH proven by maximal flow rate of less than l0 ml/sec and constrictive obstructive flow pattern can also predict a satisfactory outcome. The unfavorable factors always come from a small adenoma, uncertain irritative symptoms and detrusor underactivity. Patients with more than 2 unfavorable factors should be investigated carefully before surgery. The presence of 2 favorable factors without unfavorable factor will usually predict the best surgical outcome.
