Changing patients’ profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective
Identifieur interne : 000176 ( Main/Curation ); précédent : 000175; suivant : 000177Changing patients’ profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective
Auteurs : Mohamed A. Elkoushy [Égypte] ; Ahmed M. Elshal [Égypte] ; Mostafa M. ElhilaliSource :
- Canadian Urological Association Journal [ 1911-6470 ] ; 2015.
Abstract
We assessed the change of patients’ profile presenting for symptomatic benign prostatic hyperplasia (BPH) over 16 years and its impact on surgical outcomes over this time.
We reviewed a prospectively maintained database of patients treated with laser for symptomatic BPH since March 1998. Patients were divided into 3 consecutive time-based groups: Group 1 for patients who underwent surgery before April 2004; Group 2, between April 2004 and March 2009; and for Group 3 from April 2009 to August 2014. We reviewed demographic and preoperative data, including prostate volume; international prostate symptoms score (IPSS), quality of life (QoL), and peak flow rate (Qmax). We also recorded any perioperative and long-term complications.
A total of 1835 patients were included in our study, including 542 (29.5%) in Group 1, 614 (33.5%) in Group 2, and 679 (37%) in Group 3. Preoperative prostate volume was positively correlated with age at surgery (
Patients presenting for surgery due to symptomatic BPH over the last 16 years were significantly older, more morbid, and had larger prostates and more abnormal voiding parameters. Over time, patients used prostatic medications more frequently. Despite the changes in patient profiles, perioperative safety and complication rates between groups were comparable, likely due to advancements in laser technology and techniques. Age (>72 years), prostate volume (>80 cc), operative time (>95 minutes), and preoperative PSA (>6 ng/dL) were significantly associated with reversible postoperative urinary incontinence.
Url:
DOI: 10.5489/cuaj.3066
PubMed: 26788224
PubMed Central: 4707884
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000054
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :000054
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000076
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :000A94
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :000A94
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000A94
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :000176
Links to Exploration step
PMC:4707884Curation
No country items
Mohamed A. Elkoushy<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2-cuaj-11-12-372">Department of Urology, Suez Canal University, Ismailia, Egypt;</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Department of Urology, Suez Canal University, Ismailia</wicri:regionArea>
<wicri:noRegion>Ismailia</wicri:noRegion>
</affiliation>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af3-cuaj-11-12-372">Urology and Nephrology Center, Mansoura University, Mansoura, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Urology and Nephrology Center, Mansoura University, Mansoura</wicri:regionArea>
<wicri:noRegion>Mansoura</wicri:noRegion>
</affiliation>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Changing patients’ profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective</title>
<author><name sortKey="Elkoushy, Mohamed A" sort="Elkoushy, Mohamed A" uniqKey="Elkoushy M" first="Mohamed A." last="Elkoushy">Mohamed A. Elkoushy</name>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2-cuaj-11-12-372">Department of Urology, Suez Canal University, Ismailia, Egypt;</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Department of Urology, Suez Canal University, Ismailia</wicri:regionArea>
<wicri:noRegion>Ismailia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Elshal, Ahmed M" sort="Elshal, Ahmed M" uniqKey="Elshal A" first="Ahmed M." last="Elshal">Ahmed M. Elshal</name>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af3-cuaj-11-12-372">Urology and Nephrology Center, Mansoura University, Mansoura, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Urology and Nephrology Center, Mansoura University, Mansoura</wicri:regionArea>
<wicri:noRegion>Mansoura</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Elhilali, Mostafa M" sort="Elhilali, Mostafa M" uniqKey="Elhilali M" first="Mostafa M." last="Elhilali">Mostafa M. Elhilali</name>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26788224</idno>
<idno type="pmc">4707884</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707884</idno>
<idno type="RBID">PMC:4707884</idno>
<idno type="doi">10.5489/cuaj.3066</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000054</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000054</idno>
<idno type="wicri:Area/Pmc/Curation">000054</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000054</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000076</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000076</idno>
<idno type="wicri:Area/Ncbi/Merge">000A94</idno>
<idno type="wicri:Area/Ncbi/Curation">000A94</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000A94</idno>
<idno type="wicri:doubleKey">1911-6470:2015:Elkoushy M:changing:patients:profile</idno>
<idno type="wicri:Area/Main/Merge">000176</idno>
<idno type="wicri:Area/Main/Curation">000176</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Changing patients’ profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective</title>
<author><name sortKey="Elkoushy, Mohamed A" sort="Elkoushy, Mohamed A" uniqKey="Elkoushy M" first="Mohamed A." last="Elkoushy">Mohamed A. Elkoushy</name>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af2-cuaj-11-12-372">Department of Urology, Suez Canal University, Ismailia, Egypt;</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Department of Urology, Suez Canal University, Ismailia</wicri:regionArea>
<wicri:noRegion>Ismailia</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Elshal, Ahmed M" sort="Elshal, Ahmed M" uniqKey="Elshal A" first="Ahmed M." last="Elshal">Ahmed M. Elshal</name>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="af3-cuaj-11-12-372">Urology and Nephrology Center, Mansoura University, Mansoura, Egypt</nlm:aff>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Urology and Nephrology Center, Mansoura University, Mansoura</wicri:regionArea>
<wicri:noRegion>Mansoura</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Elhilali, Mostafa M" sort="Elhilali, Mostafa M" uniqKey="Elhilali M" first="Mostafa M." last="Elhilali">Mostafa M. Elhilali</name>
<affiliation><nlm:aff id="af1-cuaj-11-12-372">Department of Surgery, Division of Urology, McGill University Health Centre, Montreal, QC;</nlm:aff>
<wicri:noCountry code="subfield">QC</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">Canadian Urological Association Journal</title>
<idno type="ISSN">1911-6470</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Introduction:</title>
<p>We assessed the change of patients’ profile presenting for symptomatic benign prostatic hyperplasia (BPH) over 16 years and its impact on surgical outcomes over this time.</p>
</sec>
<sec><title>Methods:</title>
<p>We reviewed a prospectively maintained database of patients treated with laser for symptomatic BPH since March 1998. Patients were divided into 3 consecutive time-based groups: Group 1 for patients who underwent surgery before April 2004; Group 2, between April 2004 and March 2009; and for Group 3 from April 2009 to August 2014. We reviewed demographic and preoperative data, including prostate volume; international prostate symptoms score (IPSS), quality of life (QoL), and peak flow rate (Qmax). We also recorded any perioperative and long-term complications.</p>
</sec>
<sec><title>Results:</title>
<p>A total of 1835 patients were included in our study, including 542 (29.5%) in Group 1, 614 (33.5%) in Group 2, and 679 (37%) in Group 3. Preoperative prostate volume was positively correlated with age at surgery (<italic>r</italic>
= 0.62, p < 0.001), total energy used (<italic>r</italic>
= 0.47, <italic>p</italic>
< 0.001), and total operative time (<italic>r</italic>
= 0.47, <italic>p</italic>
< 0.001). Patients in Group 3 were significantly older (75.28 ± 8.47 in Group 3 vs. 71.11 ± 8.9 in Group 2 vs. 65.3 ± 9.04 years in Group 1, <italic>p</italic>
<0.001), were more coagulopathic (18.7% Group 3 vs. 12.3% Group 2 vs. 5.9% Group 1, <italic>p</italic>
< 0.001), and had significantly larger prostates (87.96 ± 49.80 in Group 3 vs. 78.44 ± 50.84 in Group 2 vs. 74.50 ± 46.53 Group 1, p < 0.001). Preoperative prostatic medications significantly increased over time (72.6% in Group 1 vs. 85.5% in Group 2, vs. 87.4% Group 3, p < 0.001). IPSS, QoL and Qmax were significantly abnormal in patients in Group 3 (<italic>p</italic>
< 0.001). After a mean follow-up of 3 years, the number of patients who did not require reoperation progressively increased (94.1% Group 1 vs. 96.1% Group 2 vs. 98.3% Group 3). Age (>72 years), prostate volume (>80 cc), operative time (>95 minutes), and preoperative PSA (>6 ng/dL) were significantly associated with postoperative urinary incontinence.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Patients presenting for surgery due to symptomatic BPH over the last 16 years were significantly older, more morbid, and had larger prostates and more abnormal voiding parameters. Over time, patients used prostatic medications more frequently. Despite the changes in patient profiles, perioperative safety and complication rates between groups were comparable, likely due to advancements in laser technology and techniques. Age (>72 years), prostate volume (>80 cc), operative time (>95 minutes), and preoperative PSA (>6 ng/dL) were significantly associated with reversible postoperative urinary incontinence.</p>
</sec>
</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Terre/explor/ThuliumV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000176 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000176 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Terre |area= ThuliumV1 |flux= Main |étape= Curation |type= RBID |clé= PMC:4707884 |texte= Changing patients’ profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:26788224" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a ThuliumV1
![]() | This area was generated with Dilib version V0.6.21. | ![]() |