DISURIA AFTER OPERATIVE THERAPY OF BENIGN PROSTATIC HYPERPLASIA

THE AIM OF STUDY: to evaluate the reasons of persisting dysuria after operative treatment of benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: complex urological examination, including urodynamic study, were performed at 73 patients (middle age 63,4±1,2 years) with disuria after operative treatment BPH. Disease duration was 3,4±0,5 years. Control group consists of 36 BPH patient with absence of dysuria after operative treatment of BPH. Middle age of patients in the control group was 64,1±1,2 years. RESULTS: Persisting dysuria after surgery at patients with poor results of BPH treatment commonly was caused by detrusor pathology: detrusor hyperactivity and impaired contractility. These conditions were diagnosed at 46 (63,0%) and at 26 (35,6%) patients. Based on results of urodynamic study at 19 (26%) patients was diagnosed both detrusor hyperactivity and impaired contractility. Less frequent reason for persisting dysuria was infravesical obstruction diagnosed at 9 (12,3%) patients. Based on results urodynamic study at 5 incontinence patients was diagnosed stress urinary incontinence due to sphincter impairment and at 16 patients mixed incontinence was found out due to detrusor dysfunction and sphincter impairment. CONCLUSION: Urodynamic examination of patients with poor results of operative treatment BPH allowed to define reason of dysuria, including incontinence. At majority patient persisting dysuria was caused by detrusor hyperactivity or/and impaired detrusor contractility.

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