https://doi.org/10.4081/aiua.2022.3.295
Analysis of benign prostatic obstruction surgery: A long-term evaluation in a real-life context
Submitted: August 4, 2022
Accepted: August 20, 2022
Published: September 26, 2022
Accepted: August 20, 2022
Abstract Views: 670
pdf: 337
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Objective: Surgery is the treatment for male lower urinary tract symptoms (LUTS) relat-ed to benign prostatic obstruction (BPO) refractory to pharma-cological treatment or with complications. This study aimed to assess factors associated with the need for surgical reinterven-tion and/or continuation of pharmacological treatment.
Materials and methods: A retrospective analysis of patients who underwent prostatic surgery for male LUTS associated with BPO between 1 May 2015 and 1 May 2016, with a minimum follow-up of five years, in an academic tertiary hospital. The type of surgery, preoperative, postoperative and follow-up analysis were collected in a database.
Results: A total of 212 patients were included with a mean age of 70 ± 8.66 years at five years follow-up. At 5 years, a total of 86.9% of patients do not need pharmacological treatment and 12% required surgical reintervention. Of the preoperative parameters, it was found a relationship between prior prostatitis and the need for second surgery with an odds ratio of 4.6.
Conclusions: Patients should be informed of the potential need for pharmacological treatment following surgery, or even of the need for reintervention. History of prostatitis seems to be a risk factor for reintervention.
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How to Cite
Costa Silva, A., Abreu-Mendes, P., Morgado, A., Dinis, P. ., & Martins Silva, C. (2022). Analysis of benign prostatic obstruction surgery: A long-term evaluation in a real-life context. Archivio Italiano Di Urologia E Andrologia, 94(3), 295–299. https://doi.org/10.4081/aiua.2022.3.295
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