Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms

Background/Aim. Benign prostatic hyperplasia (BHP) is one of the most common diseases of elderly men. The aim of this study was to evaluate the effect of surgical treatment of benign prostatic hyperplasia to voiding and urinary bladder filling symptoms. Quantification of voiding and filling symptoms...

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Main Authors: Milićević Snježana, Vasić Duško
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2010-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501001055M.pdf
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author Milićević Snježana
Vasić Duško
author_facet Milićević Snježana
Vasić Duško
author_sort Milićević Snježana
collection DOAJ
description Background/Aim. Benign prostatic hyperplasia (BHP) is one of the most common diseases of elderly men. The aim of this study was to evaluate the effect of surgical treatment of benign prostatic hyperplasia to voiding and urinary bladder filling symptoms. Quantification of voiding and filling symptoms was done with the International Prostate Symptom Score (IPSS). Method. The study included 80 patients with BHP, of whom 40 were treated with open prostatectomy (group A), and other 40 with transurethral resection of prostate gland (group B). All the patients were under 80 years old (average age in the group A was 70.23 years with a variation interval of 21 years, and in the group B 69.37 years with a variation interval of 22 years), with a value of IPSS > 19 points, quantity of residual urine higher than 150 mL, the weight of benign prostatic gland hyperplasia tissue over 30 grams for the method of prostate transurethral resection, and over 80 grams for the method of open prostatectomy. To all patients, for two times, the value of IPSS was determined, and then in a postoperative period in time intervals of 4 and 12 weeks. Results. Arithmetic mean of IPSS preoperatively was 32.05 points in the group A and 31.75 points in the group B. During the postoperative check-ups in time intervals of 4 and 12 weeks, arithmetic means of IPSS in the group A were 5.4 and 1.85 points, respectively, and in the group B 11.425 and 9.025 points, respectively. Surgical treatment had better effect on voiding symptoms than on urinary bladder filling ones. Conclusion. After the mentioned surgical procedures a significant reduction of the lower urinary tract symptoms quantified by the IPSS was observed. Surgical treatment of BHP had a more pronounced effect on the voiding symptoms in relation to filling ones.
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spelling doaj-art-3c4e29904d3f4e8b9b7bc72160892db52025-08-20T02:16:32ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502010-01-01671555810.2298/VSP1001055MImpact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptomsMilićević SnježanaVasić DuškoBackground/Aim. Benign prostatic hyperplasia (BHP) is one of the most common diseases of elderly men. The aim of this study was to evaluate the effect of surgical treatment of benign prostatic hyperplasia to voiding and urinary bladder filling symptoms. Quantification of voiding and filling symptoms was done with the International Prostate Symptom Score (IPSS). Method. The study included 80 patients with BHP, of whom 40 were treated with open prostatectomy (group A), and other 40 with transurethral resection of prostate gland (group B). All the patients were under 80 years old (average age in the group A was 70.23 years with a variation interval of 21 years, and in the group B 69.37 years with a variation interval of 22 years), with a value of IPSS > 19 points, quantity of residual urine higher than 150 mL, the weight of benign prostatic gland hyperplasia tissue over 30 grams for the method of prostate transurethral resection, and over 80 grams for the method of open prostatectomy. To all patients, for two times, the value of IPSS was determined, and then in a postoperative period in time intervals of 4 and 12 weeks. Results. Arithmetic mean of IPSS preoperatively was 32.05 points in the group A and 31.75 points in the group B. During the postoperative check-ups in time intervals of 4 and 12 weeks, arithmetic means of IPSS in the group A were 5.4 and 1.85 points, respectively, and in the group B 11.425 and 9.025 points, respectively. Surgical treatment had better effect on voiding symptoms than on urinary bladder filling ones. Conclusion. After the mentioned surgical procedures a significant reduction of the lower urinary tract symptoms quantified by the IPSS was observed. Surgical treatment of BHP had a more pronounced effect on the voiding symptoms in relation to filling ones.http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501001055M.pdfprostatic hyperplasiaurologic surgical proceduresprostatectomytransurethral resection of prostateurination disorders
spellingShingle Milićević Snježana
Vasić Duško
Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
Vojnosanitetski Pregled
prostatic hyperplasia
urologic surgical procedures
prostatectomy
transurethral resection of prostate
urination disorders
title Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
title_full Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
title_fullStr Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
title_full_unstemmed Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
title_short Impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
title_sort impact of benign prostatic hyperplasia surgical treatment on voiding and urinary bladder filling symptoms
topic prostatic hyperplasia
urologic surgical procedures
prostatectomy
transurethral resection of prostate
urination disorders
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501001055M.pdf
work_keys_str_mv AT milicevicsnjezana impactofbenignprostatichyperplasiasurgicaltreatmentonvoidingandurinarybladderfillingsymptoms
AT vasicdusko impactofbenignprostatichyperplasiasurgicaltreatmentonvoidingandurinarybladderfillingsymptoms