Patients with small prostates and low-grade intravesical prostatic protrusion e A urodynamic evaluation
作者机构：Department of UrologySingapore General HospitalSingapore
出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)
年 卷 期：2017年第4卷第4期
页 面：247-252页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：We would like to thank the National Medical Council the Goh Foundation and the Lee Foundation for their support in our BPH research and Dr Hong Hong Huang and Ms Mei Ying Ng for their statistical and editorial support
主 题：Male Prostate hyperplasia Pathology Prostate Ultrasonography Urodynamics Intravesical prostatic protrusion
摘 要：Abstract Objective:Despite high-grade intravesical prostatic protrusion(IPP)being closely related to bladder outlet obstruction(BOO),up to 21%of patients with low IPP remain *** study evaluates the characteristics and urodynamic findings of men with small prostates and low ***:One hundred and fourteen men aged50 years old with lower urinary tract symptoms(LUTS)were assessed with symptoms,uroflowmetry,serum prostate-specific antigen(PSA),transabdominal ultrasound measurement of prostate volume(PV),IPP and post-void residual urine(PVRU).All patients underwent pressure flow *** with PV30 mL and IPP10 mm were examined for parameters correlating with BOO or impaired detrusor ***:Thirty-six patients had PV30 mL and IPP10 *** patients(25.0%)had urodynamic BOO,all with normal bladder *** patients(38.9%)had poor detrusor contractility and all had no ***,PVRU and IPP were significantly associated with BOO,with IPP showing greatest positive *** Qmax and IPP were significantly associated with detrusor *** 5-year follow-up,most patients responded to medical *** three out of nine patients(33.3%)with BOO eventually underwent surgery,and all had a high bladder neck seen on the *** one patient(7.1%)with poor detrusor contractility eventually required surgery after repeat pressure flow study revealed ***:In men with small prostates and low IPP,the presence of BOO is associated with higher PV,PVRU and IPP,and most respond well to medical *** can possibly be explained by elevation of the bladder neck by a small subcervical adenoma.
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