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Prospective urodynamic evaluation of the efficacy of prostatic balloon dilatation

โœ Scribed by Kumaresan Ganabathi; Deborah Roskamp; Jenelle Foote; Philippe E. Zimmern; Dr. Gary E. Leach


Book ID
102957104
Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
652 KB
Volume
11
Category
Article
ISSN
0733-2467

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โœฆ Synopsis


In order to evaluate the ability of transurethral prostatic balloon dilatation (TUPBD) to effectively treat prostatic obstruction, 18 men (aged 53-77 years) with obstructive small prostate glands were evaluated with symptom scores and urodynamic studies before and 6 and 12 months after TUPBD utilizing the endoscopically placed Advanced Surgical Intervention 75F balloon.

After TUPBD, 81% of men reported some improvement in their symptoms with statistical significance ( P < .05) at 6 and 12 months after the procedure. The mean non-invasive peak flow rate did not change significantly after TUPBD. Although the mean maximum voiding pressure (Pv max) and the maximum detrusor pressure at peak flow (Pq max) were reduced at 6 and 12 months postoperatively, the changes were found 10 be statistically insignificant (P > .05). In addition, the use of Abrams and Griffiths pressureflow nomogram revealed a "non-obstructive" pressure-flow study in only one patient at 6 and 12 after TUPBD.

Although TUPBD results in some symptomatic improvement, on pressure-flow analysis the majority of men remain obstructed at 6 and I2 months after the procedure.


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