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: |
| _version_ | 1797799970623979520 |
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| author | Sangjun Yoo Hyeon Jeong Hwancheol Son Seung-June Oh Jae-Seung Paick Min Chul Cho |
| author_facet | Sangjun Yoo Hyeon Jeong Hwancheol Son Seung-June Oh Jae-Seung Paick Min Chul Cho |
| author_sort | Sangjun Yoo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T04:27:47Z |
| format | Article |
| id | doaj.art-54a285f2048746b2b287f3f77bead490 |
| institution | Directory Open Access Journal |
| issn | 2287-4208 2287-4690 |
| language | English |
| last_indexed | 2024-03-13T04:27:47Z |
| publishDate | 2023-07-01 |
| publisher | Korean Society for Sexual Medicine and Andrology |
| record_format | Article |
| series | The World Journal of Men's Health |
| spelling | doaj.art-54a285f2048746b2b287f3f77bead4902023-06-20T02:54:18ZengKorean Society for Sexual Medicine and AndrologyThe World Journal of Men's Health2287-42082287-46902023-07-0141373474210.5534/wjmh.220081Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy?Sangjun Yoo0https://orcid.org/0000-0003-4992-7053Hyeon Jeong1https://orcid.org/0000-0002-0744-1402Hwancheol Son2https://orcid.org/0000-0001-5033-0153Seung-June Oh3https://orcid.org/0000-0002-0322-3539Jae-Seung Paick4https://orcid.org/0000-0002-0296-9822Min Chul Cho5https://orcid.org/0000-0001-7288-1706Department of Urology, SMG-SNU Boramae Medical CenterDepartment of Urology, SMG-SNU Boramae Medical CenterDepartment of Urology, SMG-SNU Boramae Medical CenterDepartment of Urology, Seoul National University Hospital, SeoulDepartment of Urology, Mediplex Sejong Hospital, Incheon, KoreaDepartment of Urology, SMG-SNU Boramae Medical CenterPurpose: 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.compliancelaserprostatectomyprostatic hyperplasiaurinary bladder |
| spellingShingle | Sangjun Yoo Hyeon Jeong Hwancheol Son Seung-June Oh Jae-Seung Paick Min Chul Cho Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy? The World Journal of Men's Health compliance laser prostatectomy prostatic hyperplasia urinary bladder |
| title | Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy? |
| title_full | Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy? |
| title_fullStr | Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy? |
| title_full_unstemmed | Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy? |
| title_short | Does Preoperative Bladder Compliance Affect Long-Term Functional Outcomes after Laser Prostatectomy? |
| title_sort | does preoperative bladder compliance affect long term functional outcomes after laser prostatectomy |
| topic | compliance laser prostatectomy prostatic hyperplasia urinary bladder |
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