Cetinel B, Turan T, Talat Z, Yalçin V, Alici B, Solok V
Department of Urology, Istanbul University, Cerrahpasa School of Medicine, Turkey.
Br J Urol. 1994 Nov;74(5):566-71. doi: 10.1111/j.1464-410x.1994.tb09185.x.
To investigate correlations between traditional and urodynamic criteria in the evaluation of prostatism and to try to establish an update evaluation of patients with benign prostatic hyperplasia (BPH) with the aim of preventing unnecessary prostatectomies.
The series constituted 96 patients aged 43-86 years (mean 63.41 +/- 9.25) with prostatism and BPH. All were assessed by symptom analysis, digital rectal examination, residual urine determination, uroflowmetry and further multichannel urodynamic testing (medium fill cystometry, pressure flow study).
Residual urine determination was not a reliable criterion for selection of patients for surgery. A striking statistically significant correlation was evident when symptomatology and the results from multichannel urodynamic study were compared. No correlation was found between irritative symptoms and detrusor instability.
A significant proportion (23%) of the whole patient population was classified as a urodynamically unobstructed group to which we think prostatectomy should not be offered. We recommend that a pressure-flow study is performed in all patients with BPH with dominant irritative symptoms to identify those who are unobstructed.
研究在评估前列腺增生症时传统标准与尿动力学标准之间的相关性，并尝试建立对良性前列腺增生（BPH）患者的更新评估方法，以避免不必要的前列腺切除术。
该系列研究包括96例年龄在43 - 86岁（平均63.41±9.25岁）的前列腺增生症和BPH患者。所有患者均通过症状分析、直肠指检、残余尿量测定、尿流率测定以及进一步的多通道尿动力学检测（中等容量膀胱测压、压力 - 流率研究）进行评估。
残余尿量测定并非选择手术患者的可靠标准。当比较症状学与多通道尿动力学研究结果时，存在显著的统计学相关性。刺激性症状与逼尿肌不稳定之间未发现相关性。
在全部患者群体中，有相当比例（23%）被归类为尿动力学无梗阻组，我们认为不应为该组患者施行前列腺切除术。我们建议对所有以刺激性症状为主的BPH患者进行压力 - 流率研究，以识别出无梗阻的患者。
