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KMID : 0358319950360040417
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Korean Journal of Urology
1995 Volume.36 No. 4 p.417 ~ p.424
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Predictive Factors for Successful Surgical Outcome of Benign Prostatic Hypertrophy
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Abstract
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One hundred fifty seven patients with benign prostatic hypertiophy (BPH) under going transurethral resection of prostate (TUR-P) entered in this study in order to search for factors predictive of a successful outcome. In the follow-up period of 3
months
to 7 years, a strictly successful result was achieved in 122 patients 978%). On analysis of the success rate, 5 favorable facotrs and 8 unfavorable factors were noted. A symptomatic large prostatic adenoma proven by IVU, TRUS will imply a higher
success
rate. On uroflowmetry, obstructive BPH proven by maximal flow rate of less than 10 ml/sec and constrictive obstructive flow pattern can also predict a satisfactory outcome. The unfavorable factors always come from a small adenoma, uncertain
irritative
symptoms and detrusor underactivity. Patients with more than 2 unfavorable factors should be investigated carefully before sugery. The presence of 2 favorable factors without unfavorable facotr will usually predict the best surgical outcome.
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KEYWORD
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