The effect of complete transurethral resection of the prostate on symptoms, quality of life, and voiding function improvement
Identifieur interne : 000A38 ( Ncbi/Merge ); précédent : 000A37; suivant : 000A39The effect of complete transurethral resection of the prostate on symptoms, quality of life, and voiding function improvement
Auteurs : Daimantas Milonas ; Jone Verikaite ; Mindaugas JievaltasSource :
- Central European Journal of Urology [ 2080-4806 ] ; 2015.
Abstract
Transurethral resection of the prostate (TURP) still remains the most popular surgical treatment for patients with lower urinary tract symptoms. However, in some patients, the improvement of symptoms after TURP is insufficient. The aim of our study was to evaluate the impact of the resected prostate tissue weight (RPTW) on the improvement of symptoms (IPSS), quality of life (QoL), and voiding function after TURP.
The study included 89 men who had undergone TURP in our institution. IPSS, QoL, post–voiding residual urine volume (PVR) and Qmax were recorded before the operation and six months after TURP. The total prostate volume (TPV) and transition zone volume (TZV) were measured before the operation by transrectal ultrasound. The impact of RPTW, RPTW/TZV ratio, and RPTW/TPV ratio were analyzed according to the efficacy of TURP.
The mean Qmax after TURP increased by 10.15 mL/s, IPSS decreased by 16.7 points, QoL increased by 3.57 points, and PVR decreased by 95.3 mL. According to Qmax, the treatment was effective in 74.2%, according to IPSS, in 91%, and according to QoL, in 74.2% of patients. The ROC analysis demonstrated that RPTW/TZV and RPTW/TPV ratios were the most significant predictors of obtaining favorable results. Survival analysis (life table) shows that in order to achieve 50% improvement on Qmax, QoL, and IPSS, more than 30–35% of TPV and more than 60% of the TZV should be removed.
The efficacy of the TURP at short term follow-up depends on the completeness of the resection.
Url:
DOI: 10.5173/ceju.2015.507
PubMed: 26251736
PubMed Central: 4526604
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However, in some patients, the improvement of symptoms after TURP is insufficient. The aim of our study was to evaluate the impact of the resected prostate tissue weight (RPTW) on the improvement of symptoms (IPSS), quality of life (QoL), and voiding function after TURP.</p></sec><sec id="st2"><title>Material and methods</title><p>The study included 89 men who had undergone TURP in our institution. IPSS, QoL, post–voiding residual urine volume (PVR) and Qmax were recorded before the operation and six months after TURP. The total prostate volume (TPV) and transition zone volume (TZV) were measured before the operation by transrectal ultrasound. The impact of RPTW, RPTW/TZV ratio, and RPTW/TPV ratio were analyzed according to the efficacy of TURP.</p></sec><sec id="st3"><title>Results</title><p>The mean Qmax after TURP increased by 10.15 mL/s, IPSS decreased by 16.7 points, QoL increased by 3.57 points, and PVR decreased by 95.3 mL. According to Qmax, the treatment was effective in 74.2%, according to IPSS, in 91%, and according to QoL, in 74.2% of patients. The ROC analysis demonstrated that RPTW/TZV and RPTW/TPV ratios were the most significant predictors of obtaining favorable results. Survival analysis (life table) shows that in order to achieve 50% improvement on Qmax, QoL, and IPSS, more than 30–35% of TPV and more than 60% of the TZV should be removed.</p></sec><sec id="st4"><title>Conclusions</title><p>The efficacy of the TURP at short term follow-up depends on the completeness of the resection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Thomas, Aw" uniqKey="Thomas A">AW Thomas</name></author><author><name sortKey="Cannon, A" uniqKey="Cannon A">A Cannon</name></author><author><name sortKey="Bartlett, E" uniqKey="Bartlett E">E Bartlett</name></author><author><name sortKey="Ellis Ones, J" uniqKey="Ellis Ones J">J Ellis–Jones</name></author><author><name sortKey="Abrams, P" uniqKey="Abrams P">P Abrams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hakenberg, Ow" uniqKey="Hakenberg O">OW Hakenberg</name></author><author><name sortKey="Pinnock, Cb" uniqKey="Pinnock C">CB Pinnock</name></author><author><name sortKey="Marshall, Vr" uniqKey="Marshall V">VR Marshall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Milonas, D" uniqKey="Milonas D">D Milonas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hakenberg, Ow" uniqKey="Hakenberg O">OW Hakenberg</name></author><author><name sortKey="Helke, C" uniqKey="Helke C">C Helke</name></author><author><name sortKey="Manseck, A" uniqKey="Manseck A">A Manseck</name></author><author><name sortKey="Wirth, Mp" uniqKey="Wirth M">MP Wirth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Hk" uniqKey="Park H">HK Park</name></author><author><name sortKey="Paick, Sh" uniqKey="Paick S">SH Paick</name></author><author><name sortKey="Lho, Ys" uniqKey="Lho Y">YS Lho</name></author><author><name sortKey="Jun, Kk" uniqKey="Jun K">KK Jun</name></author><author><name sortKey="Kim, Hg" uniqKey="Kim H">HG 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Mebust</name></author><author><name sortKey="Holtgrewe, Hl" uniqKey="Holtgrewe H">HL Holtgrewe</name></author><author><name sortKey="Cocket, At" uniqKey="Cocket A">AT Cocket</name></author><author><name sortKey="Peters, Pc" uniqKey="Peters P">PC Peters</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aagaard, J" uniqKey="Aagaard J">J Aagaard</name></author><author><name sortKey="Jonler, M" uniqKey="Jonler M">M Jonler</name></author><author><name sortKey="Fuglsig, S" uniqKey="Fuglsig S">S Fuglsig</name></author><author><name sortKey="Christensen, Ll" uniqKey="Christensen L">LL Christensen</name></author><author><name sortKey="Jorgensen, Hs" uniqKey="Jorgensen H">HS Jorgensen</name></author><author><name sortKey="Norgaard, Jp" uniqKey="Norgaard J">JP Norgaard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey=" Winiarski, Pp" uniqKey=" Winiarski P">PP Świniarski</name></author><author><name sortKey="St Pie, S" uniqKey="St Pie S">S Stępień</name></author><author><name sortKey="Dudzic, W" uniqKey="Dudzic W">W Dudzic</name></author><author><name sortKey="K Sy, S" uniqKey="K Sy S">S Kęsy</name></author><author><name sortKey="Blewniewski, M" uniqKey="Blewniewski M">M Blewniewski</name></author><author><name sortKey="R A Ski, W" uniqKey="R A Ski W">W Różański</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayer, Ek" uniqKey="Mayer E">EK Mayer</name></author><author><name sortKey="Kroeze, Sg" uniqKey="Kroeze S">SG Kroeze</name></author><author><name sortKey="Chopra, S" uniqKey="Chopra S">S Chopra</name></author><author><name sortKey="Bottle, A" uniqKey="Bottle A">A Bottle</name></author><author><name sortKey="Patel, A" uniqKey="Patel A">A Patel</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Cent European J Urol</journal-id><journal-id journal-id-type="iso-abbrev">Cent European J Urol</journal-id><journal-id journal-id-type="publisher-id">CEJU</journal-id><journal-title-group><journal-title>Central European Journal of Urology</journal-title></journal-title-group><issn pub-type="ppub">2080-4806</issn><issn pub-type="epub">2080-4873</issn><publisher><publisher-name>Polish Urological Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26251736</article-id><article-id pub-id-type="pmc">4526604</article-id><article-id pub-id-type="publisher-id">00507</article-id><article-id pub-id-type="doi">10.5173/ceju.2015.507</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>The effect of complete transurethral resection of the prostate on symptoms, quality of life, and voiding function improvement</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Milonas</surname><given-names>Daimantas</given-names></name></contrib><contrib contrib-type="author"><name><surname>Verikaite</surname><given-names>Jone</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jievaltas</surname><given-names>Mindaugas</given-names></name></contrib></contrib-group><aff>Department of Urology, Lithuanian University of Health Sciences, Medical Academy, Kaunas, Lithuania</aff><author-notes><corresp id="cor1"><bold>Corresponding author</bold> Daimantas Milonas, Lithuanian University of Health Sciences Medical Academy, 2, Eivenių, 50009 Kaunas, Lithuania. phone +370 37 326 838. <email xlink:href="daimantas.milonas@kaunoklinikos.lt">daimantas.milonas@kaunoklinikos.lt</email></corresp></author-notes><pub-date pub-type="epub"><day>31</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="ppub"><year>2015</year></pub-date><volume>68</volume><issue>2</issue><fpage>169</fpage><lpage>174</lpage><history><date date-type="received"><day>11</day><month>11</month><year>2014</year></date><date date-type="rev-recd"><day>31</day><month>12</month><year>2014</year></date><date date-type="accepted"><day>04</day><month>1</month><year>2015</year></date></history><permissions><copyright-statement>Copyright by Polish Urological Association</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Introduction</title><p>Transurethral resection of the prostate (TURP) still remains the most popular surgical treatment for patients with lower urinary tract symptoms. However, in some patients, the improvement of symptoms after TURP is insufficient. The aim of our study was to evaluate the impact of the resected prostate tissue weight (RPTW) on the improvement of symptoms (IPSS), quality of life (QoL), and voiding function after TURP.</p></sec><sec id="st2"><title>Material and methods</title><p>The study included 89 men who had undergone TURP in our institution. IPSS, QoL, post–voiding residual urine volume (PVR) and Qmax were recorded before the operation and six months after TURP. The total prostate volume (TPV) and transition zone volume (TZV) were measured before the operation by transrectal ultrasound. The impact of RPTW, RPTW/TZV ratio, and RPTW/TPV ratio were analyzed according to the efficacy of TURP.</p></sec><sec id="st3"><title>Results</title><p>The mean Qmax after TURP increased by 10.15 mL/s, IPSS decreased by 16.7 points, QoL increased by 3.57 points, and PVR decreased by 95.3 mL. According to Qmax, the treatment was effective in 74.2%, according to IPSS, in 91%, and according to QoL, in 74.2% of patients. The ROC analysis demonstrated that RPTW/TZV and RPTW/TPV ratios were the most significant predictors of obtaining favorable results. Survival analysis (life table) shows that in order to achieve 50% improvement on Qmax, QoL, and IPSS, more than 30–35% of TPV and more than 60% of the TZV should be removed.</p></sec><sec id="st4"><title>Conclusions</title><p>The efficacy of the TURP at short term follow-up depends on the completeness of the resection.</p></sec></abstract><kwd-group><kwd>effectiveness</kwd><kwd>LUTS</kwd><kwd>resected tissue weight</kwd><kwd>TURP</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Jievaltas, Mindaugas" sort="Jievaltas, Mindaugas" uniqKey="Jievaltas M" first="Mindaugas" last="Jievaltas">Mindaugas Jievaltas</name><name sortKey="Milonas, Daimantas" sort="Milonas, Daimantas" uniqKey="Milonas D" first="Daimantas" last="Milonas">Daimantas Milonas</name><name sortKey="Verikaite, Jone" sort="Verikaite, Jone" uniqKey="Verikaite J" first="Jone" last="Verikaite">Jone Verikaite</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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