Abstract
FORTY patients with clinical evidence of bladder outflow obstruction requiring prostatectomy were followed prospectively with preoperative and post-operative clinical and urodynamic assessment. Thirty-five patients were cured or significantly improved by surgery. Of the five remaining patients, three developed strictures and two had continuing symptoms of detrusor instability. Cystometry did not predict the patients who had continuing symptoms of detrusor instability. A high urinary flow rate in the presence of symptoms of detrusor instability predicted a poorer outcome. It is suggested that patients with symptoms of detrusor instability should have urinary flow rates measured before preceding to prostatectomy.
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