URINARY DISORDERS AT THE PATIENTS WITH UNSATISFACTORY RESULTS OPERATIVE TREATMENT BENIGN PROSTATIC HYPERPLASIA
Abstract
OBJECTIVE: to evaluate the reasons of persisting dysuria after operative treatment benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: urological evaluation, including urodynamic study, were performed 91 patients (mean age 62,3±2,1 years) with persisting lower urinary tract symptoms after operative treatment BPH. Dysuria continued 4,3±0,5 years. Control group consists of 36 BPH patient with absence dysuria after operative treatment BPH. Middle age patients of the control group was 64,1±1,2 years. RESULTS: Persisting dysuria after BPH surgery commonly was caused by detrusor pathology: detrusor hyperactivity and impaired contractility. These conditions were diagnosed at 59 (64,9%) and at 32 (35,2%) patients. At 27 (29,7%) patients based on the results urodynamic study were diagnosed this both pathology : detrusor hyperactivity and impaired contractility as well. Less frequent reason for persisting dysuria was combination infravesical obstruction and detrusor hyperactivity, diagnosed at 6 (6,7%) patients. CONLUSION: Urodynamic study performed to patients with unsatisfactory results operative treatment BPH allows to find out reason of dysuria. At the majority patient persisting dysuria was caused by detrusor hyperactivity or/and impaired detrusor contractility.
About the Authors
T. G. Giorgobiani
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
R. E. Amdii
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Giorgobiani T.G., Amdii R.E. URINARY DISORDERS AT THE PATIENTS WITH UNSATISFACTORY RESULTS OPERATIVE TREATMENT BENIGN PROSTATIC HYPERPLASIA. Nephrology (Saint-Petersburg). 2015;19(4):112-116. (In Russ.)
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