PD39-09 BLADDER FUNCTION RECOVERY AFTER TREATMENT IN MALE PATIENTS WITH DETRUSOR UNDERACTIVITY – CLINICAL RESULTS AND PREDICTIVE FACTORS

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction III1 Apr 2017PD39-09 BLADDER FUNCTION RECOVERY AFTER TREATMENT IN MALE PATIENTS WITH DETRUSOR UNDERACTIVITY – CLINICAL RESULTS AND PREDICTIVE FACTORS Kau Han Lee and Hann-Chorng Kuo Kau Han LeeKau Han Lee More articles by this author and Hann-Chorng KuoHann-Chorng Kuo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1736AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Detrusor underactivity is an important yet still under-research issue. The treatment outcome in patients with detrusor underactivity (DU) is usually unfavorable and no better compared to untreated patients. Therefore, we aim to identify the predictive factors of satisfactory treatment in male patients with detrusor underactivity. METHODS We retrospectively reviewed 86 cases of men with video-urodynamic proven detrusor underactivity from 2000 to 2015. DU was defined as low voiding pressure, low flow rate, post void residual (PVR)>300mL and a low voiding efficiency (VE) < 33% in this study. VE > 50% after treatment was considered satisfactory outcome. Patient's demographics and urodynamic parameters include first sensation of filling (FSF), full sensation of filling (FS), urgency sensation (US), compliance at capacity, maximal flow rate (Qmax), detrusor voiding pressure (Pdet), voided volume, cystometric bladder capacity (CBC) and PVR were compared between the satisfactory group and unsatisfactory group. Various treatment options including transurethral resection of prostate (TURP), transurethral incision of prostate (TUIP) and medication (include botulinum toxin injection) were performed according to clinical and video-urodynamics findings. RESULTS After a mean follow up of 31 months, 63 patients had satisfactory outcome. Satisfactory group has significantly higher detrusor pressure and compliance at capacity than unsatisfactory group. There was significant improvement in FSF, FD, US, Pdet, Qmax, voided volume, PVR and CBC after treatment in satisfactory group meanwhile in unsatisfactory group there were only significant changes in US, PVR and CBC. CONCLUSIONS A higher detrusor pressure and compliance at capacity at baseline were predictive of satisfactory treatment outcomes in male patient with detrusor underactivity. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e748 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Kau Han Lee More articles by this author Hann-Chorng Kuo More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...