Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy?
Purpose: We assessed the effects of preoperative bladder compliance on the long-term functional outcomes, especially focused on postoperative storage symptom changes, after laser prostatectomy. Materials and Methods: From January 2008 to March 2014, 1,608 men who underwent laser prostatectomy, inc...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Sexual Medicine and Andrology
2023-07-01
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| Series: | The World Journal of Men's Health |
| Subjects: |
| Summary: | Purpose: We assessed the effects of preoperative bladder compliance on the long-term functional outcomes, especially focused
on postoperative storage symptom changes, after laser prostatectomy.
Materials and Methods: From January 2008 to March 2014, 1,608 men who underwent laser prostatectomy, including holmium
laser enucleation or photo-vaporization of the prostate, were included in the analysis. We divided patients into 3 groups
according to bladder compliance on a baseline urodynamic study: <12.5, 12.5–25, ≥25 mL/cmH2O. A multivariable analysis
was performed to determine the impact of bladder compliance on changes in long-term functional outcomes after laser prostatectomy.
Results: Bladder compliance was less than 12.5 mL/cmH2O in 50 (3.1%), 12.5–25 mL/cmH2O in 232 (14.4%) patients. As
bladder compliance decreased, the baseline International Prostate Symptom (IPSS) total score and storage sub-score were
increased; the voiding sub-score remain unchanged. At postoperative 12 and 36 months, absolute improvements in the IPSS
total score and storage sub-score were higher in <12.5 mL/cmH2O group compared to other groups, although those were
equivalent at postoperative 1 months. On the multivariable analysis, decreased bladder compliance <12.5 mL/cmH2O was
significantly associated with superior improvement in storage sub-score at postoperative 36 months, although it was not associated
with voiding sub-score.
Conclusions: In patients with preoperative bladder compliance <12.5 mL/cmH2O, storage symptoms could be further improved
at 36 months after laser prostatectomy compared to others. Thus, laser prostatectomy could be a considerable treatment
option for patients with severely decreased bladder compliance. |
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| ISSN: | 2287-4208 2287-4690 |