Dergiler / Üroloji Bülteni / 1999 / Cilt: 10 - Sayı: 3
Benign prostat hiperplazisinde cerrahi tedavi sonuçlarını öngörmede rezidüel idrar miktarının klinik önemi var mı?
- Dergi
- Üroloji Bülteni
- Sayfa
- 171–176
- DOI
- —
Özet
Benign prostat hiperplazili hastalarda reziduel idrar miktarmin cerrahi tedavi sonuglarmi ongormedeki rolunu ara§tirmak. Hastalarve Vdnfem/Transuretral prostatektomi (TURP) yapilan 139 ve agik prostatektomi yapilan 48 hasta retrospektif olarak. iricelendi. Hastalar reziduel idrar miktari 100 ml'den az, 100 ile 200 ml arasinda ve 200 ml'den fazla olmak iizere 3 gruba aynldi. Gruplar, pre- ve post-operatif semptom skorlan, maksimum idrar akim hizlari ve komplikasyonlar yondjiden karsilastinldi.Bu/fifu/ar/TURP uygulanan grupta pre-operatif reziduel idrar miktarlan >200 ml olanlann daha fazla semptomatik iyilesme gosterdikleri saptandi (p= 0.0005, p= 0.001). Agik prostatektomi grubunda ise bu etki gozlenmedi. Yine maksimum idrar akim hizlanndaki duzelmeler karsilastinldiginda, hem TURP hem de agik prostatektomi gruplarmda reziduel idrar miktarmin etkisi saptanmadi. Ayrica, TURP grubunda reziduel idrar miktari >200 ml olan hastalann komplikasyon oranlan reziduel idrar miktarlan <200 ml olanlara gore anlamli olarak yuksek bulundu (p= 0.004). Sonug: Miksiyon sonrasi reziduel idrar miktarmin cerrahi tedavi sonuglanni ongormedeki yeri gok smirlidir. Buna karsin reziduel idrar hem ust uriner sistemi etkileyerek, hem enfeksiyon oranini arttirarak morbidite uzerinde de rol oynayabileceginden rutin olarak olgulmesinin yararli olacagi du§unulmu§tur.
Abstract
The Amount Of Residual Urine Important In Predicting The Surgical Outcome Of Benign Prostatic Hyperplasia? Objective: To define the role of post voiding residual urine volume determination to predict the outcome of surgical treatment in patients with benign prostatic hyperplasia. Patients and Methods: The outcome of 139 patients who underwent transurethral prostatectomy (TURP) and 48 patients who underwent open prostatectomy were reviewed, retrospectively. The patients were divided into three groups as with preoperative residual urine volumes of<100 ml, 100 to 200 ml and >200 ml. The groups were then compared with regard to the pre- and post-operative symptom scores, maximum urinary flow rates and complications. Results: Patients who had residual volumes >200 ml in the TURP group had better symptomatic relief (p= 0.0005, p= 0.001). However, no such relation existed in the open prostatectomy group. The pre-operative residual volumes had no impact on postoperative improvement of maximum urinary flow rates in both TURP and open prostatectomy groups. In addition, the complication rate of patients with >200 ml residual volumes in the TURP group was higher than that of patients with residual volumes <200 ml (p= 0.004). Conclusion: The role of postvoiding residual urine volume determination in predicting the surgical outcome of benign prostatic'hyperplasia is very limited. However, we. believe that it should be routinely measured as it does have an effect on morbidity either with effects on the upper urinary tract or predilection to infection.