Benign prostatic obstruction and parkinson's disease--should transurethral resection of the prostate be avoided?

Details

Serval ID
serval:BIB_5F60FC6E7158
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Benign prostatic obstruction and parkinson's disease--should transurethral resection of the prostate be avoided?
Journal
The Journal of urology
Author(s)
Roth B., Studer U.E., Fowler C.J., Kessler T.M.
ISSN
1527-3792 (Electronic)
ISSN-L
0022-5347
Publication state
Published
Issued date
05/2009
Peer-reviewed
Oui
Volume
181
Number
5
Pages
2209-2213
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
According to the literature transurethral resection of the prostate in patients with Parkinson's disease has an increased risk of postoperative urinary incontinence. However, this conclusion might have been reached because some patients with multiple system atrophy incorrectly diagnosed as Parkinson's disease were included in these reports. Therefore, we investigated the outcome of transurethral prostate resection in patients with a secure neurological diagnosis of Parkinson's disease.
A total of 23 patients with Parkinson's disease who underwent transurethral prostate resection for benign prostatic obstruction were evaluated retrospectively. Subsequent neurological developments in patients were followed, ensuring that those with multiple system atrophy had not been included in analysis.
At transurethral prostate resection median patient age was 73 years, median duration of Parkinson's disease before the resection was 3 years, and median Hoehn and Yahr scale was 2. Of the 14 patients with a preoperative indwelling urinary catheter transurethral prostate resection restored voiding in 9 (64%) and only 5 (36%) required catheterization postoperatively. Of the 10 patients with preoperative urge urinary incontinence, continence was restored in 5 and improved in 3 following transurethral prostate resection. There were no cases of de novo urinary incontinence after transurethral prostate resection. At a median postoperative followup of 3 years transurethral prostate resection was successful in 16 of the 23 patients (70%).
Transurethral prostate resection for benign prostatic obstruction in patients with Parkinson's disease may be successful in up to 70% and the risk of de novo urinary incontinence seems minimal. Thus, Parkinson's disease should no longer be considered a contraindication for transurethral prostate resection provided that preoperative investigations including urodynamic assessment indicate prostatic bladder outlet obstruction.
Keywords
Age Distribution, Aged, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Parkinson Disease/complications, Parkinson Disease/diagnosis, Prostatic Hyperplasia/complications, Prostatic Hyperplasia/diagnosis, Prostatic Hyperplasia/surgery, Retrospective Studies, Risk Assessment, Safety Management, Transurethral Resection of Prostate/adverse effects, Transurethral Resection of Prostate/methods, Treatment Outcome, Urinary Bladder Neck Obstruction/complications, Urinary Bladder Neck Obstruction/pathology, Urinary Bladder Neck Obstruction/surgery, Urinary Incontinence/epidemiology, Urinary Incontinence/etiology, Urination Disorders/epidemiology, Urination Disorders/etiology, Urination Disorders/surgery
Pubmed
Web of science
Create date
08/01/2021 15:21
Last modification date
09/01/2021 6:26
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