Logo-jnp
J Nephropathol. 2020;9(2): e18.
doi: 10.34172/jnp.2020.18
  Abstract View: 111
  PDF Download: 10

Original Article

Effect of preoperative prostate volume on the improvement of lower urinary tract symptoms in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate

Behzad Lotfi 1 ORCID logo, Sajjad Farazhi 2, Mohammadreza Mohammadi Fallah 3, Mansour Alizadeh 3, Rohollah Valizadeh 1 ORCID logo, Mohsen Mohammad Rahimi 1 * ORCID logo

1 Nephrology and Kidney Transplant Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Urmia University of Medical Sciences, Urmia, Iran
3 Nephrology and Kidney Transplant Research Center, Urmia University of Medical Sciences, Urmia, Iran
4 Student Research Committee, Department of Epidemiology, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
*Corresponding author: Mohsen Mohammad Rahimi, Email: Mohammadrahimi@tbzmed.ac.ir, mm.rahimi1357@gmail.com

Abstract

Introduction: Benign prostate hyperplasia, pathophysiology contributes to bladder outlet obstruction due to functional obstruction caused by gland size enlargement resulting in the lower urinary tract symptoms (LUTS).

Objectives: To determine the correlation of the prostate volume with surgical outcomes and postoperative LUTS in patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP).

Patients and Methods: Patients with BPH who were refractory for medical treatment enrolled in the study. Patients divided into three groups with attention to their prostate volume conducted by transabdominal ultrasonography. To evaluate patients’ LUTS, the International Prostate Symptom Score (IPSS) questionnaire was filled for all patients preoperatively and during the first and third months follow up sessions.

Results: In the current study, mean age of the patients was 66.92 ± 1.08 years. Of 111 patients, eight patients (7.2%) had prostate volume less than 30 cc, 59 patients (53.2%) had prostate volume between 30-60 cc, and 44 patients (39.6%) had prostate volume more than 60 cc. During first month postoperative, mean decrease in IPSS scores in patients with prostate volume less than 30 cc, prostate volume between 30–60 cc and prostate volume more than 30 cc were 27.72 ± 3.53, 27.32 ± 3.37 and 27.45 ± 2.87, respectively. The ANOVA test showed no significant difference between the groups (P= 0.93). Mean decrease in IPSS score during third month postoperative, had no significant difference between the three groups, too (P=0.71). Symptoms alleviation observed in 94.6% and 95.5% of the patients, during first and third months follow-up, respectively.

Conclusion: There was no correlation between the IPSS scores decrease and patients’ symptoms recovery and preoperative prostate volume in patients with BPH who underwent TRUP.

Keywords: Benign prostate hyperplasia, Prostate volume, Transurethral prostatectomy

Implication for health policy/practice/research/medical education:

IPSS scores cannot predict the patients’ symptoms recovery and preoperative prostate volume in patients following TRUP.

Please cite this paper as: Lotfi B, Farazhi S, Mohammadi Fallah M, Alizadeh M, Valizadeh R, Mohammad Rahimi S. Effect of preoperative prostate volume on the improvement of lower urinary tract symptoms in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate. J Nephropathol. 2020;9(2):e18. DOI: 10.34172/jnp.2020.18.

First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 111

Your browser does not support the canvas element.


PDF Download: 10

Your browser does not support the canvas element.

Submitted: 14 Aug 2019
Accepted: 09 Dec 2019
ePublished: 27 Dec 2019
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)