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Predictors of short-term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction
Objectives To investigate the correlation of preoperative overactive bladder symptoms and urodynamic parameters to the improvement of overactive bladder symptoms after transurethral resection of the prostate. Methods A retrospective study was carried out in 128 patients with urodynamically proven be...
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| Published in: | International journal of urology 2014-10, Vol.21 (10), p.1035-1040 |
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| container_title | International journal of urology |
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| creator | Zhao, Yao-Rui Liu, Wen-Zhan Guralnick, Michael Niu, Wen-Jie Wang, Yong Sun, Guang Xu, Yong |
| description | Objectives
To investigate the correlation of preoperative overactive bladder symptoms and urodynamic parameters to the improvement of overactive bladder symptoms after transurethral resection of the prostate.
Methods
A retrospective study was carried out in 128 patients with urodynamically proven benign prostatic obstruction that underwent transurethral resection of the prostate. All patients had preoperative urgency symptoms. The patients were divided into groups according to overactive bladder symptom severity and preoperative urodynamic parameters (presence and type of detrusor overactivity, degree of obstruction, bladder contractility). The 3‐month postoperative changes in overactive bladder symptoms were then compared between the groups.
Results
Overall, there was a statistically significant improvement in mean overactive bladder symptoms score from 9.6 to 2.7 (P |
| doi_str_mv | 10.1111/iju.12482 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1567053089</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1567053089</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3872-4b379b379616c12eee9011b8d1eec267ebf3f876d6314f00f4d231f8b21b37773</originalsourceid><addsrcrecordid>eNp1kc9OGzEQhy1URALlwAtUPpbDgsferHePVaApCAGHovZmeXfHjen-CbY3aV6DJ65DSG5Ysucw3_fTyEPIGbALiOfSPg8XwNOcH5AxpClPOEv5JzJmBRRJDpKPyLH3z4yB4JAfkdGGncRnTF4fHda2Cr3ztDfUz3sXkoCupf0Sna6CXSItG13X6Khft4vQt9S2CxfbLXaBahNpGpzu_OAwzJ1uqEOP0ey7TWREfdABqe1oNOjKhjktsbN_ul3PVrQvfXDDm_SZHBrdeDx9ryfk6fv1z-mP5O5hdjP9dpdUIpc8SUshi83NIKuAI2LBAMq8BsSKZxJLI0wuszoTkBrGTFpzASYvOURLSnFCvm5z4xQvA_qgWusrbBrdYT94BZNMsolgeRHR8y1axYG9Q6MWzrbarRUwtVmBiitQbyuI7Jf32KFssd6Tuz-PwOUWWNkG1x8nqZvbp11ksjWsD_hvb2j3V2VSyIn6dT-L_hWf_Z5KdSX-A_Kpo0g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1567053089</pqid></control><display><type>article</type><title>Predictors of short-term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Zhao, Yao-Rui ; Liu, Wen-Zhan ; Guralnick, Michael ; Niu, Wen-Jie ; Wang, Yong ; Sun, Guang ; Xu, Yong</creator><creatorcontrib>Zhao, Yao-Rui ; Liu, Wen-Zhan ; Guralnick, Michael ; Niu, Wen-Jie ; Wang, Yong ; Sun, Guang ; Xu, Yong</creatorcontrib><description>Objectives
To investigate the correlation of preoperative overactive bladder symptoms and urodynamic parameters to the improvement of overactive bladder symptoms after transurethral resection of the prostate.
Methods
A retrospective study was carried out in 128 patients with urodynamically proven benign prostatic obstruction that underwent transurethral resection of the prostate. All patients had preoperative urgency symptoms. The patients were divided into groups according to overactive bladder symptom severity and preoperative urodynamic parameters (presence and type of detrusor overactivity, degree of obstruction, bladder contractility). The 3‐month postoperative changes in overactive bladder symptoms were then compared between the groups.
Results
Overall, there was a statistically significant improvement in mean overactive bladder symptoms score from 9.6 to 2.7 (P < 0.001). However, patients with preoperative mild overactive bladder symptoms had significantly lower postoperative overactive bladder symptoms scores than those with moderate or severe symptoms (P < 0.05). Patients with preoperative terminal detrusor overactivity had significantly higher overactive bladder symptoms scores compared with patients with phasic and no detrusor overactivity (P < 0.05), and were more likely to have persistent urge incontinence. Preoperative detrusor contractility and severity of obstruction did not affect postoperative overactive bladder symptom improvement.
Conclusions
Most patients with benign prostatic obstruction and overactive bladder symptoms experience an improvement in their symptoms after transurethral resection of the prostate. The presence of preoperative terminal detrusor overactivity might be negatively associated with this improvement. The preoperative severity of overactive bladder symptoms, detrusor contractility and degree of bladder outlet obstruction do not appear to have an effect.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.12482</identifier><identifier>PMID: 24825248</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; benign prostatic hyperplasia ; Humans ; Male ; Middle Aged ; overactive bladder ; Postoperative Period ; Preoperative Period ; Prostatectomy ; Prostatic Hyperplasia - complications ; Prostatic Hyperplasia - physiopathology ; Prostatic Hyperplasia - surgery ; Prostatism - etiology ; Retrospective Studies ; Severity of Illness Index ; transurethral resection of prostate ; Urinary Bladder Neck Obstruction - complications ; Urinary Bladder Neck Obstruction - physiopathology ; Urinary Bladder, Overactive - complications ; Urinary Bladder, Overactive - physiopathology ; Urinary Incontinence, Urge - etiology ; Urodynamics</subject><ispartof>International journal of urology, 2014-10, Vol.21 (10), p.1035-1040</ispartof><rights>2014 The Japanese Urological Association</rights><rights>2014 The Japanese Urological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3872-4b379b379616c12eee9011b8d1eec267ebf3f876d6314f00f4d231f8b21b37773</citedby><cites>FETCH-LOGICAL-c3872-4b379b379616c12eee9011b8d1eec267ebf3f876d6314f00f4d231f8b21b37773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24825248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Yao-Rui</creatorcontrib><creatorcontrib>Liu, Wen-Zhan</creatorcontrib><creatorcontrib>Guralnick, Michael</creatorcontrib><creatorcontrib>Niu, Wen-Jie</creatorcontrib><creatorcontrib>Wang, Yong</creatorcontrib><creatorcontrib>Sun, Guang</creatorcontrib><creatorcontrib>Xu, Yong</creatorcontrib><title>Predictors of short-term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Objectives
To investigate the correlation of preoperative overactive bladder symptoms and urodynamic parameters to the improvement of overactive bladder symptoms after transurethral resection of the prostate.
Methods
A retrospective study was carried out in 128 patients with urodynamically proven benign prostatic obstruction that underwent transurethral resection of the prostate. All patients had preoperative urgency symptoms. The patients were divided into groups according to overactive bladder symptom severity and preoperative urodynamic parameters (presence and type of detrusor overactivity, degree of obstruction, bladder contractility). The 3‐month postoperative changes in overactive bladder symptoms were then compared between the groups.
Results
Overall, there was a statistically significant improvement in mean overactive bladder symptoms score from 9.6 to 2.7 (P < 0.001). However, patients with preoperative mild overactive bladder symptoms had significantly lower postoperative overactive bladder symptoms scores than those with moderate or severe symptoms (P < 0.05). Patients with preoperative terminal detrusor overactivity had significantly higher overactive bladder symptoms scores compared with patients with phasic and no detrusor overactivity (P < 0.05), and were more likely to have persistent urge incontinence. Preoperative detrusor contractility and severity of obstruction did not affect postoperative overactive bladder symptom improvement.
Conclusions
Most patients with benign prostatic obstruction and overactive bladder symptoms experience an improvement in their symptoms after transurethral resection of the prostate. The presence of preoperative terminal detrusor overactivity might be negatively associated with this improvement. The preoperative severity of overactive bladder symptoms, detrusor contractility and degree of bladder outlet obstruction do not appear to have an effect.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>benign prostatic hyperplasia</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>overactive bladder</subject><subject>Postoperative Period</subject><subject>Preoperative Period</subject><subject>Prostatectomy</subject><subject>Prostatic Hyperplasia - complications</subject><subject>Prostatic Hyperplasia - physiopathology</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Prostatism - etiology</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>transurethral resection of prostate</subject><subject>Urinary Bladder Neck Obstruction - complications</subject><subject>Urinary Bladder Neck Obstruction - physiopathology</subject><subject>Urinary Bladder, Overactive - complications</subject><subject>Urinary Bladder, Overactive - physiopathology</subject><subject>Urinary Incontinence, Urge - etiology</subject><subject>Urodynamics</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kc9OGzEQhy1URALlwAtUPpbDgsferHePVaApCAGHovZmeXfHjen-CbY3aV6DJ65DSG5Ysucw3_fTyEPIGbALiOfSPg8XwNOcH5AxpClPOEv5JzJmBRRJDpKPyLH3z4yB4JAfkdGGncRnTF4fHda2Cr3ztDfUz3sXkoCupf0Sna6CXSItG13X6Khft4vQt9S2CxfbLXaBahNpGpzu_OAwzJ1uqEOP0ey7TWREfdABqe1oNOjKhjktsbN_ul3PVrQvfXDDm_SZHBrdeDx9ryfk6fv1z-mP5O5hdjP9dpdUIpc8SUshi83NIKuAI2LBAMq8BsSKZxJLI0wuszoTkBrGTFpzASYvOURLSnFCvm5z4xQvA_qgWusrbBrdYT94BZNMsolgeRHR8y1axYG9Q6MWzrbarRUwtVmBiitQbyuI7Jf32KFssd6Tuz-PwOUWWNkG1x8nqZvbp11ksjWsD_hvb2j3V2VSyIn6dT-L_hWf_Z5KdSX-A_Kpo0g</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Zhao, Yao-Rui</creator><creator>Liu, Wen-Zhan</creator><creator>Guralnick, Michael</creator><creator>Niu, Wen-Jie</creator><creator>Wang, Yong</creator><creator>Sun, Guang</creator><creator>Xu, Yong</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201410</creationdate><title>Predictors of short-term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction</title><author>Zhao, Yao-Rui ; Liu, Wen-Zhan ; Guralnick, Michael ; Niu, Wen-Jie ; Wang, Yong ; Sun, Guang ; Xu, Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3872-4b379b379616c12eee9011b8d1eec267ebf3f876d6314f00f4d231f8b21b37773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>benign prostatic hyperplasia</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>overactive bladder</topic><topic>Postoperative Period</topic><topic>Preoperative Period</topic><topic>Prostatectomy</topic><topic>Prostatic Hyperplasia - complications</topic><topic>Prostatic Hyperplasia - physiopathology</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Prostatism - etiology</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>transurethral resection of prostate</topic><topic>Urinary Bladder Neck Obstruction - complications</topic><topic>Urinary Bladder Neck Obstruction - physiopathology</topic><topic>Urinary Bladder, Overactive - complications</topic><topic>Urinary Bladder, Overactive - physiopathology</topic><topic>Urinary Incontinence, Urge - etiology</topic><topic>Urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Yao-Rui</creatorcontrib><creatorcontrib>Liu, Wen-Zhan</creatorcontrib><creatorcontrib>Guralnick, Michael</creatorcontrib><creatorcontrib>Niu, Wen-Jie</creatorcontrib><creatorcontrib>Wang, Yong</creatorcontrib><creatorcontrib>Sun, Guang</creatorcontrib><creatorcontrib>Xu, Yong</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Yao-Rui</au><au>Liu, Wen-Zhan</au><au>Guralnick, Michael</au><au>Niu, Wen-Jie</au><au>Wang, Yong</au><au>Sun, Guang</au><au>Xu, Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of short-term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2014-10</date><risdate>2014</risdate><volume>21</volume><issue>10</issue><spage>1035</spage><epage>1040</epage><pages>1035-1040</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Objectives
To investigate the correlation of preoperative overactive bladder symptoms and urodynamic parameters to the improvement of overactive bladder symptoms after transurethral resection of the prostate.
Methods
A retrospective study was carried out in 128 patients with urodynamically proven benign prostatic obstruction that underwent transurethral resection of the prostate. All patients had preoperative urgency symptoms. The patients were divided into groups according to overactive bladder symptom severity and preoperative urodynamic parameters (presence and type of detrusor overactivity, degree of obstruction, bladder contractility). The 3‐month postoperative changes in overactive bladder symptoms were then compared between the groups.
Results
Overall, there was a statistically significant improvement in mean overactive bladder symptoms score from 9.6 to 2.7 (P < 0.001). However, patients with preoperative mild overactive bladder symptoms had significantly lower postoperative overactive bladder symptoms scores than those with moderate or severe symptoms (P < 0.05). Patients with preoperative terminal detrusor overactivity had significantly higher overactive bladder symptoms scores compared with patients with phasic and no detrusor overactivity (P < 0.05), and were more likely to have persistent urge incontinence. Preoperative detrusor contractility and severity of obstruction did not affect postoperative overactive bladder symptom improvement.
Conclusions
Most patients with benign prostatic obstruction and overactive bladder symptoms experience an improvement in their symptoms after transurethral resection of the prostate. The presence of preoperative terminal detrusor overactivity might be negatively associated with this improvement. The preoperative severity of overactive bladder symptoms, detrusor contractility and degree of bladder outlet obstruction do not appear to have an effect.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24825248</pmid><doi>10.1111/iju.12482</doi><tpages>6</tpages></addata></record> |
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| ispartof | International journal of urology, 2014-10, Vol.21 (10), p.1035-1040 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Aged Aged, 80 and over benign prostatic hyperplasia Humans Male Middle Aged overactive bladder Postoperative Period Preoperative Period Prostatectomy Prostatic Hyperplasia - complications Prostatic Hyperplasia - physiopathology Prostatic Hyperplasia - surgery Prostatism - etiology Retrospective Studies Severity of Illness Index transurethral resection of prostate Urinary Bladder Neck Obstruction - complications Urinary Bladder Neck Obstruction - physiopathology Urinary Bladder, Overactive - complications Urinary Bladder, Overactive - physiopathology Urinary Incontinence, Urge - etiology Urodynamics |
| title | Predictors of short-term overactive bladder symptom improvement after transurethral resection of prostate in men with benign prostatic obstruction |
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