The clinical significance of urodynamic study of the preoperative diagnosis and treatment about benign prostate hyperplasia and postoperative prevention of bladder spasm

Abstract

Objectives To investigate the clinical significance of urodynamic study of the preoperative diagnosis and treatment about benign prostate hyperplasia and postoperative prevention of bladder spasm. Methods 159 cases of BPH patients treated in our hospital from April 2014 to April 2015 were selected for the study, for use in urodynamic of all patients were measured respectively by urodynamic analyzer in the preoperative two days and postoperative two months. Results Transurethral resection of the prostate accounted for the largest proportion of 74.84%, cystostomy followed, accounting for 15.09, and the rest accounted for small proportion. BOOI, maximum urethral pressure, Qmax, BC, PVR, Pdet–Qmax, VMCC, IPSS and other eight urodynamic parameters were obtained with varying degrees ease after treatment, the effect was significant (P<0.05). After treatment, 54 cases of patients behaved bladder spasm and accounted for 33.96% in the total cases. In patients with bladder spasm, incidence of patients with low compliance bladder was 35.19%, patients with unstable bladder was 50.00%, and were far higher than the abnormal detrusor contraction and normal group. Conclusions Urodynamic inspection findings of BPH patients is the objective evidence for diagnosis, treatment and prognosis, and are worthy of clinical application and promotion. Key words: Prostatic Hyperplasia; Urodynamics; Urinary Bladder; Spasm