医学
下尿路症状
膀胱出口梗阻
泌尿科
增生
生活质量(医疗保健)
前列腺
内科学
癌症
护理部
作者
Nirmish Singla,Ajay Singla
标识
DOI:10.1007/s11884-016-0376-1
摘要
There are many options available in the surgical treatment of outlet obstruction secondary to benign prostatic hyperplasia (BPH). While most patients exhibit improvement in their lower urinary tract symptoms (LUTS) following intervention, up to 35 % of patients may exhibit persistent or recurrent LUTS. In the present review, we discuss the pathophysiology of LUTS after bladder outlet surgery and discuss considerations in evaluating and managing such patients. We highlight the crucial role of thorough evaluation with complete urodynamics testing, as pure obstruction only accounts for a minority of post-operative LUTS. Hence, detrusor contractility, detrusor overactivity, urethral sphincter function, and urinary incontinence must be assessed to appropriately guide subsequent therapy and improve patients' quality of life.
科研通智能强力驱动
Strongly Powered by AbleSci AI