Format

Send to

Choose Destination
See comment in PubMed Commons below
J Urol. 1997 Apr;157(4):1304-8.

Testing to predict outcome after transurethral resection of the prostate.

Author information

1
Department of Surgery, William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin, USA.

Abstract

PURPOSE:

We assessed the ability of routine clinical tests to predict outcome following transurethral resection of the prostate.

MATERIALS AND METHODS:

A total of 556 men randomized into a trial of surgery versus watchful waiting was evaluated preoperatively with symptom interview, quality of life assessment, uroflowmetry, urinalysis, standard chemistry panel, post-void residual urine determination and cystoscopy. The ability to predict avoidance of postoperative complications, and improvement in quality of life and genitourinary symptoms was assessed in the 249 men randomized to undergo transurethral resection of the prostate.

RESULTS:

Patients with the highest symptom scores were most likely to have symptom improvement and those most bothered by the symptoms were most likely to have improvement in quality of life. No objective tests measuring physiological parameters made clinically significant contributions toward predicting these outcomes. Lower obstructive symptom scores and larger perioperative infusions of intravenous fluids were associated with a greater chance of complications.

CONCLUSIONS:

Symptom analysis and quality of life assessment are most useful in selecting patients for transurethral resection of the prostate. Objective diagnostic tests are of limited additional benefit.

PMID:
9120927
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center