Schou J, Poulsen A L, Nordling J
Herlev University Hospital, Denmark.
Br J Urol. 1994 Jul;74(1):57-60. doi: 10.1111/j.1464-410x.1994.tb16547.x.
To report the results of a standard evaluation programme performed prior to transurethral resection of the prostate (TURP) for benign prostatic hypertrophy (BPH).
All 132 patients with symptoms of prostatism on the waiting list for surgery were invited to attend the hospital to undergo a physical examination, symptom evaluation and routine blood sampling. Of these, 117 attended. If the suspicion of BPH was sustained a transrectal ultrasound examination of the prostate and a urodynamic evaluation, including a pressure-flow study, were performed.
Urodynamic evaluation was carried out in 80 of the 117 patients who attended the clinic. Infravesical obstruction was present in 61 patients while in 19 (24%) there was no obstruction. An operative procedure to relieve obstruction was performed in 65 patients (49%).
In a population of patients scheduled for TURP, 24% were found not to have an obstruction. This is in accordance with other reports. As the patients with few symptoms and those who did not have an obstruction were treated conservatively only 49% of the referred cases underwent prostatic surgery.
报告在经尿道前列腺切除术（TURP）治疗良性前列腺增生（BPH）之前进行的标准评估程序的结果。
所有132名在手术等候名单上有前列腺增生症状的患者被邀请到医院进行体格检查、症状评估和常规血液采样。其中，117人前来就诊。如果对BPH的怀疑仍然存在，则进行经直肠前列腺超声检查和尿动力学评估，包括压力-流量研究。
117名前来就诊的患者中有80人进行了尿动力学评估。61名患者存在膀胱颈梗阻，而19名（24%）患者没有梗阻。65名患者（49%）接受了缓解梗阻的手术。
在计划进行TURP的患者群体中，发现24%的患者没有梗阻。这与其他报告一致。由于症状轻微和没有梗阻的患者仅接受保守治疗，因此只有49%的转诊病例接受了前列腺手术。
