Objectives: To evaluate the improvement of storage symptoms in accordance
with voiding symptoms and assess the prognostic factors that influence the
relief of storage symptoms after transurethral resection of the prostate (TURP).
Methods: Between August 2017 to November 2019, 75 patients indicated for
TURP were included in the study, we assessed the improvement of storage
symptoms and factors that may influence storage symptoms persistence after
TURP such as Age, Overactive bladder symptoms (OABS) score (Blaivas
2007) and Urodynamic parameters such as maximum flow rate (Q MAX),
maximum cystometric capacity (MCC), bladder contractility index (BCI), phasic
and terminal detrusor overactivity (DO). Assessment of patients was done
before and six months after TURP by international prostate symptom score
(IPSS), quality of life score (QLSS), OABSS (Blaivas score 2007), and
urodynamic studies.
Results: Mean age of the patients was 67.88±7.82 years. The patients with
persistence of storage symptoms were significantly older 70.43±8.32 vs
67.04±7.49 respectively p-value = 0.022, also IPSS score was significantly
higher in patients with resolution of symptoms (26.83±3.91 vs 24.35±3.68
p=0.017). Terminal D.O and Q max were significantly higher in patients with
persistence of storage symptoms (26.3% and 8.1 vs 8.9% and 6 respectively).
MCC was significantly higher in a patient with resolution vs persistence of
storage symptoms (345.18±90.89 ml vs 242.16±72.73) respectively p=0.001
There was no significant difference between both groups regarding duration of
symptoms, prostate size, prostatic specific antigen (PSA), QOL score, OABS
score, and maximum detrusor pressure |
