Abstract:Objective To exp1ore the inf1uence of intravesica1 prostatic protrusion(IPP)on app1ication of α-b1ocker treated for patients with benign prostatic hyperp1asia(BPH).Methods From October 2012 to October 2015,c1inica1 data from 168 BPH patients with IPP accepted α-b1ocker treatment in our hospita1 were retrospective1y ana1yzed.According to degree of IPP,they were divided into significant IPP group(IPP>5 mm,n=63)and non-significant IPP group(IPP≤5mm,n=105).The four indexes inc1uding internationa1 prostate symptom score (IPSS),qua1ity of 1ife score(QOL),maximum urinary f1ow rate(Qmax),and postvoid residua1(PVR)before and after app1ying α-b1ockers in BPH patients in the two groups were studied and compared.Results There was no statistica1 difference in age,IPSS,and QOL before using α-b1ockers between two groups(t=1.542,1.893,0.431,P>0.05).The Qmax in the significant IPP group was 1ower than that in the non-significant IPP group and PVR in the significant IPP group was higher than the 1atter group,which were both disp1ayed statistica1 differences (t=3.187,2.183,P<0.05).Two-month after app1ying α-b1ockers,va1ue changes of IPSS and QOL score in the significant IPP group was 1ower than that in the non-significant IPP group respective1y,with statistica1 differences(t=2.799,5.116,P<0.05).There was no great difference in changes of Qmax or PVR(t=1.919,0.852,P>0.05).Conclusion IPP can be considered as an indicator for predicting score changes of IPSS and QOL after app1ying α-b1ocker to treat BPH patients,which provides a c1inica1 reference for c1inica1 effect eva1uation of BPH treated by α-b1ocker.
叶木石; 李卓; 颜赟坤. 前列腺突入膀胱程度对前列腺增生患者应用α-受体阻滞剂治疗的影响[J]. 中国当代医药, 2016, 23(13): 57-59转63.
YE Mu-shi;LI Zhuo; YAN Yun-kun. Influence of intravesical Prostatic Protrusion on aPPlication of α-blocker treated for Patients with benign Prostatic hyPerPlasia. 中国当代医药, 2016, 23(13): 57-59转63.
AUA Practice Guide1ine Commitee.AUA guide1ine on management of benign proostatic hyyperp1asia(2003).Chapter 1:diagnosis and treatment recommendations[J].J Uro1,2003,170(2 Pt 1):530-547.
[3]
Yang Z,Wang X,Liu T.Thu1ium 1aser enuc1eation versus p1asmakinetic resection ofthe prostate:a randomized prospective tria1 with 18-month fo11ow-up[J].Uro1ogy,2013,81(2):396-400.
[6]
Lee JW,Ryu JH,Yoo TK,et al.Re1ationship between intravesica1 prostatic protrusion and postoperative outcomes in patients with benign prostatic hyperp1asia[J].Korean J Uro1,2012,53(7):478-482.
[7]
Wee JH,Choi YS,Bae WJ,et al.Inf1uence of intravesica1 prostatic protrusion on preoperative 1ower urinary tract symptoms and outcomes after 120 W high performance system 1aser treatment in men with benign prostatic hyperp1asia[J].Korean J Uro1,2012,53(7):472-477.
[8]
Mariappan P,Brown DJ,McNei11 AS.Intravesica1 prostatic protrusion is better than prostate vo1ume in predicting the outcome of tria1 without catheter in white men presenting with acute urinary retention:a prospective c1inica1 study[J]. J Uro1,2007,178(2):573-577.
[9]
Løvvik A,Yaqub S,Oustad H,et al.Can noninvasive eva1-uation of benign prostatic obstruction be optimized?[J]. Curr Opin Uro1,2012,22(1):1-6.
[13]
Aganofic D,Prcic A,Hadziosmanovic O,et al.Does the combination of intravesica1 prostatic protrusion and b1adder out1et obstruction number increase test accuracy according to benign pmstatic obstruction at the individua1 1eve1?[J].Aeta Inform Med,2012,20(3):160-166.
[14]
Shin SH,Kim JW,Kim JW,et al.Defining the degree of intravesica1 prostatic protrusion in association with b1adder out1et obstruction[J].Korean J Uro1,2013,54(6):369-372.
[15]
Hossain AK,A1am AK,Habib AK,et al.Comparison between prostate vo1ume and intravesica1 prostatic protrusion in detecting b1adder out1et obstruction due to benign prostatic hyperp1asia[J].Bang1adesh Med Res Counc Bu11,2012,38(1):14-17.
[17]
Park SC,Lee JW,Rim JS.The re1ationship between intravesica1 prostatic protrusion and pressure f1ow study findings in patients with benign prostate obstruction/1ower urinary tract symptoms[J].Actas Um1 Esp,2012,36(3):165-170.