Correlation of Intravesical Prostatic Protrusion in Benign Prostate Hyperplasia and Residual Lower Urinary Tract Symptoms After Surgery: A Systematic Review
Open Access
- 5 September 2021
- journal article
- review article
- Published by Briefland in Nephro-Urology Monthly
- Vol. 13 (4)
- https://doi.org/10.5812/numonthly.113614
Abstract
Context: Intravesical prostatic protrusion (IPP) is a potential candidate for the initial evaluation of patients with lower urinary tract symptoms (LUTS). Intravesical prostatic protrusion is also known to predict the outcome of trials without a catheter and medical treatment outcomes and to determine bladder outlet obstructions. Objectives: This study aimed to determine whether IPP influences the residual LUTS after surgery in patients with benign prostate hyperplasia who have undergone prostate surgery. Evidence Acquisition: An online database search was conducted regarding the prognosis of postoperative benign prostate hyperplasia patients with intravesical prostatic protrusions. The selected databases comprised PubMed, ScienceDirect, EBSCO, and Cochrane Library. Randomized controlled trial, cohort, or case control studies that were written in English or Bahasa and published up until November 2020 were included. We reviewed postoperative outcomes, including subjective symptoms, based on the International Prostate Symptom Score and objective signs, such as Qmax and post voiding residue. Results: Our initial database search yielded 143 papers. After exclusion from abstract screening, seven papers were considered for full-text analysis. Five of these studies showed higher preoperative intravesical prostatic protrusion within successful postoperative outcomes. Some studies showed that patients with significant intravesical prostatic protrusions had more significant International Prostate Symptom Score decrements. However, two studies demonstrated that intravesical prostatic protrusion was not a significant prognostic factor. Conclusions: Most studies suggested that intravesical prostatic protrusion can predict better post-surgery lower urinary tract symptom outcomes. Further research using information about the risk of bias in ultrasound examination and more homogeneous surgical techniques and considering the duration of patients’ illness before they receive surgical management is needed.Keywords
This publication has 15 references indexed in Scilit:
- Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasiaTzu Chi Medical Journal, 2017
- Role for intravesical prostatic protrusion in lower urinary tract symptom: a fluid structural interaction analysis study.BMC Urology, 2015
- Epidemiology and etiology of benign prostatic hyperplasia and bladder outlet obstructionIndian Journal of Urology, 2014
- Effect of Photoselective Vaporization Prostatectomy on Lower Urinary Tract Symptoms in Benign Prostatic Hyperplasia With or Without Intravesical Prostatic ProtrusionKorean Journal of Urology, 2013
- Predictive value of resistive index, detrusor wall thickness and ultrasound estimated bladder weight regarding the outcome after transurethral prostatectomy for patients with lower urinary tract symptoms suggestive of benign prostatic obstructionInternational Journal of Urology, 2012
- Relationship between Intravesical Prostatic Protrusion and Postoperative Outcomes in Patients with Benign Prostatic HyperplasiaKorean Journal of Urology, 2012
- Influence of Intravesical Prostatic Protrusion on Preoperative Lower Urinary Tract Symptoms and Outcomes after 120 W High Performance System Laser Treatment in Men with Benign Prostatic HyperplasiaKorean Journal of Urology, 2012
- The neural control of micturitionNature Reviews Neuroscience, 2008
- The Correlation of Intravesical Prostatic Protrusion with Storage Symptoms, as Measured by Transrectal UltrasoundKorean Journal of Urology, 2008
- Correlation of intravesical prostatic protrusion with bladder outlet obstructionBJU International, 2003