A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia
Objective: A prospective trial to determine the effect of the extent of tissue resection on symptom improvement after transurethral resection of the prostate in men with symptomatic benign prostatic enlargement and to evaluate any potential correlation between prostate size and outcome, a new variab...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2004-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=42;epage=46;aulast=Songra |
| _version_ | 1818344333943767040 |
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| author | M C Songra Rajiv Kumar |
| author_facet | M C Songra Rajiv Kumar |
| author_sort | M C Songra |
| collection | DOAJ |
| description | Objective: A prospective trial to determine the effect of the extent of tissue resection on symptom improvement after transurethral resection of the prostate in men with symptomatic benign prostatic enlargement and to evaluate any potential correlation between prostate size and outcome, a new variable the residual prostatic weight ratio (RPWR)
Patients and Methods: From October 2002 to November 2003, a total of 50 patients (mean age 62.6 yrs., range 50-91) with symptomatic benign prostatic enlargement who underwent TURP participated in this prospective study. Patients were assessed preoperatively with the American Urological Association symptom Score, Urinary flow rate measurements (Qmax and Qavg) as well as prostate volumes by transabdominal ultrasound. The amount of tissue resected was weighted. RPWR was derived by dividing the weight afterTURP by the initial weight. Clinical outcome was evaluated by the difference in AUA score, Qmax and Qavg before and 2 months after Surgery.
Results: There was a significant improvement in AUA score, Qmax and Qavg postoperatively. Maximum numbers of patients undergoing TURP had RPWR in the range of 51-60% (mean RPWR 49.9%). Mean overall change in AUA Score (DAUA), D Qmax and D Qavg was 12.04, 8.27 ml/sec and 6.64 ml/sec respectively. Smaller the RPWR larger is the DAUA, DQmax, DQavg and vice versa. There was negative correlation between the RPWR and the DAUA, DQmax and DQavg (r = -0.42, -0.067, and -0.09 respectively).
Conclusion: Symptomatic improvement after TU RP will depend on the amount of tissue removed and the smaller the RPWR after TU RP the better the clinical outcome. |
| first_indexed | 2024-12-13T16:44:49Z |
| format | Article |
| id | doaj.art-d4d656cc35364a7abad750ff52dde39b |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-13T16:44:49Z |
| publishDate | 2004-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-d4d656cc35364a7abad750ff52dde39b2022-12-21T23:38:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242004-01-012024246A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasiaM C SongraRajiv KumarObjective: A prospective trial to determine the effect of the extent of tissue resection on symptom improvement after transurethral resection of the prostate in men with symptomatic benign prostatic enlargement and to evaluate any potential correlation between prostate size and outcome, a new variable the residual prostatic weight ratio (RPWR) Patients and Methods: From October 2002 to November 2003, a total of 50 patients (mean age 62.6 yrs., range 50-91) with symptomatic benign prostatic enlargement who underwent TURP participated in this prospective study. Patients were assessed preoperatively with the American Urological Association symptom Score, Urinary flow rate measurements (Qmax and Qavg) as well as prostate volumes by transabdominal ultrasound. The amount of tissue resected was weighted. RPWR was derived by dividing the weight afterTURP by the initial weight. Clinical outcome was evaluated by the difference in AUA score, Qmax and Qavg before and 2 months after Surgery. Results: There was a significant improvement in AUA score, Qmax and Qavg postoperatively. Maximum numbers of patients undergoing TURP had RPWR in the range of 51-60% (mean RPWR 49.9%). Mean overall change in AUA Score (DAUA), D Qmax and D Qavg was 12.04, 8.27 ml/sec and 6.64 ml/sec respectively. Smaller the RPWR larger is the DAUA, DQmax, DQavg and vice versa. There was negative correlation between the RPWR and the DAUA, DQmax and DQavg (r = -0.42, -0.067, and -0.09 respectively). Conclusion: Symptomatic improvement after TU RP will depend on the amount of tissue removed and the smaller the RPWR after TU RP the better the clinical outcome.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=42;epage=46;aulast=SongraBenign prostatic hyperplasia. Transurethral Resection of the prostate. Residual Prostatic Weight Ratio. Clinical outcome. |
| spellingShingle | M C Songra Rajiv Kumar A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia Indian Journal of Urology Benign prostatic hyperplasia. Transurethral Resection of the prostate. Residual Prostatic Weight Ratio. Clinical outcome. |
| title | A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia |
| title_full | A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia |
| title_fullStr | A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia |
| title_full_unstemmed | A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia |
| title_short | A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia |
| title_sort | study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia |
| topic | Benign prostatic hyperplasia. Transurethral Resection of the prostate. Residual Prostatic Weight Ratio. Clinical outcome. |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=42;epage=46;aulast=Songra |
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