Resected prostate tissue volume and postoperative short-term outcomes of transurethral resection of the prostate.
- Author:
Wen-Zuo ZHU
1
;
Gang LI
1
;
Kui LI
1
Author Information
- Publication Type:Journal Article
- Keywords: resected prostate tissue volume; short-term outcome; transurethral resection of the prostate
- MeSH: Aged; Humans; Male; Middle Aged; Organ Size; Patient Satisfaction; Postoperative Period; Prostate; diagnostic imaging; pathology; surgery; Prostatic Hyperplasia; diagnostic imaging; pathology; surgery; Quality of Life; Transurethral Resection of Prostate; Treatment Outcome; Ultrasonography; Urination; physiology
- From: National Journal of Andrology 2016;22(9):813-816
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the influence of the resected prostate tissue volume (RPV) on the improvement of International Prostate Symptom Score (IPSS), quality of life (QOL), and voiding function after transurethral resection of the prostate (TURP).
METHODSThis study included 82 men with benign prostatic hyperplasia treated by TURP. Before and three months after TURP, we obtained the IPSS, QOL score, post-voiding residual urine volume (PVR), and maximum urinary flow rate (Qmax) from the patients. We measured the total prostate volume (TPV) and transition zone volume (TZV) by transrectal ultrasound preoperatively and investigate the influence of the RPV, RPV/TZV ratio, and RPV/TPV ratio on the efficiency of TURP.
RESULTSAt three months after TURP, the mean Qmax increased by 9.27 ml/s, IPSS decreased by 15.86, QOL score increased by 3.47, PVR decreased by 87.1 ml, and 72.0% of the patients felt satisfied with the surgical results. There was no statistically significant difference in RPV between the patients satisfied and those dissatisfied with the results. Both the RPV/TPV and RPV/TZV ratios significantly increased in the satisfaction group as compared with the dissatisfaction group (P=0.002 and P=0.004). The areas under the ROC curve for the RPV/TPV and RPV/TZV ratios were 0.793 (P=0.001) and 0.687 (P=0.009), respectively.
CONCLUSIONSRPV is closely related to the short-term outcomes of TURP, and the ratios of RPV/TPV and RPV/TZV may be used as new markers to predict the outcomes of TURP.
