Non-invasive urodynamics predicts outcome prior to surgery for prostatic obstruction.

摘要: Objective To assess whether the penile cuff non-invasive urodynamic test serves as an effective diagnostic tool for predicting outcomes prior to disobstructive surgery men presenting with voiding lower urinary tract symptoms. Patients proven obstruction do better after surgery. The current gold standard, invasive pressure-flow studies, imposes cost, resource demand, discomfort and inconvenience patients. Patients Methods Patients undergoing prostatic at Palmerston North Hospital had pre-operative urodynamics completed International Prostate Symptom Score (IPSS). Catheterised patients were excluded. Two months post-operatively they a further IPSS score. An improvement of seven or greater was defined clinically successful outcome. Results compared outcome predicted by nomogram supplied device. Results Data obtained 62 mean age 70 years (range 49 86 years; SD 9 years). Follow-up complete all patients. Thirty-eight underwent transurethral resection 24 holmium laser enucleation prostate. Mean score 21 5 35; 6) pre-operatively 11 1 31; 9) post-operatively. Thirty-five obstructed 27 not obstructed. 94% those (p < 0.01). 70% did have 0.01). Conclusion The is exciting adjunct in decision proceed obstruction. Patients be excellent likelihood good surgical outcome, yet 30% shown will still well. Whilst numbers our study are small, compare favourably published results on methods.