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- Title
Post-Voided Residual Ratio Does Not Predict Trifecta Outcome after Transurethral Resection of Prostate.
- Authors
Lombardo, Riccardo; Ghezzo, Nicola; Sarcinelli, Luca; Turchi, Beatrice; Zammitti, Filippo; Franco, Antonio; Nacchia, Antonio; Cicione, Antonio; Tema, Giorgia; Pastore, Antonio Luigi; Guarnotta, Giorgio; Fuschi, Andrea; Al Salhi, Yazan; Tubaro, Andrea; De Nunzio, Cosimo
- Abstract
The purpose of this study was to assess the importance of the post-void residual (PVR) ratio (PVR ratio) in achieving a favorable trifecta outcome for patients suffering from lower urinary tract symptoms and benign prostatic enlargement (LUTS-BPE) who undergo transurethral resection of the prostate (TURP). Starting from 2015, a series of patients with LUTS-BPE who underwent TURP were included in a forward-looking study. These patients were assessed using the international prostate symptom score (IPSS) screening tool, uroflowmetry, and a transrectal ultrasound to measure prostate volume (TRUS). Both the PVR urine volume and the PVR ratio (PVR-R), which is the PVR as a percentage of total bladder volume (voided volume + PVR), were measured. The assessment of outcomes was based on the trifecta favorable outcome, defined as meeting all of the following criteria: (1) absence of perioperative complications, (2) a postoperative IPSS of less than eight, and (3) a postoperative maximum urinary flow rate (Qmax) greater than 15 mL/s. A total of 143 patients were included, with a median age of 70 years (interquartile range 65–73). Of these, 58% (83/143) achieved a positive trifecta outcome. Upon conducting a multivariate analysis, both IPSS and Qmax were identified as predictors of a positive trifecta outcome, whereas the PVR-R did not prove to be an independent predictor. In summary, it was found that preoperative IPSS and Qmax are indicative of a trifecta outcome following TURP, whereas PVR-R is not.
- Subjects
TRANSURETHRAL prostatectomy; PROSTATE; BENIGN prostatic hyperplasia; ENDORECTAL ultrasonography; SURGICAL complications; URINARY organs
- Publication
Life (2075-1729), 2024, Vol 14, Issue 4, p445
- ISSN
2075-1729
- Publication type
Article
- DOI
10.3390/life14040445