loading page

Does preoperative bladder compliance affect long-term functional outcomes after laser prostatectomy?
  • +5
  • Sangjun Yoo,
  • Min Chul Cho,
  • Min Soo Choo,
  • Sung Yong Cho,
  • Hyeon Jeong,
  • Hwancheol Son,
  • Seung-June Oh,
  • Jae-Seung Paick
Sangjun Yoo
Seoul National University Seoul Metropolitan Government Boramae Medical Center
Author Profile
Min Chul Cho
Seoul National University Seoul Metropolitan Government Boramae Medical Center
Author Profile
Min Soo Choo
SNU SMG Boramae Medical Center
Author Profile
Sung Yong Cho
Seoul National University Hospital
Author Profile
Hyeon Jeong
Seoul National University Seoul Metropolitan Government Boramae Medical Center
Author Profile
Hwancheol Son
SNU SMG Boramae Medical Center
Author Profile
Seung-June Oh
Seoul National University Hospital
Author Profile
Jae-Seung Paick
Mediplex Sejong Hospital
Author Profile

Abstract

Introduction: We assessed the effects of preoperative bladder compliance on the long-term functional outcomes, especially focused on postoperative storage symptom changes, after laser prostatectomy. Materials and Methods: From January 2008 to March 2014, 1608 men who underwent laser prostatectomy, including holmium laser enucleation or photo-vaporization of the prostate, were included in the analysis. We divided patients into 3 groups according to bladder compliance on a baseline urodynamic study: < 12.5; 12.5–25.0; ≥25 mL/cm H2O. A multivariable analysis was performed to determine the impact of bladder compliance on long-term functional outcomes after laser prostatectomy. Results: Bladder compliance was less than 12.5 ml/cm H2O in 50 (3.1%), 12.5-25 ml/cm H2O in 232 (14.4%) patients. As bladder compliance decreased, the baseline International Prostate Symptom (I-PSS) total score and storage sub-score were increased; the voiding sub-score remain unchanged. At postoperative 36 months, improvements in the I-PSS total score and storage sub-score were significantly higher in < 12.5 mL/cm H2O group compared to other groups, although those were equivalent at postoperative 1 and 12 months. On the multivariable analysis, decreased bladder compliance < 12.5 mL/cm H2O was significantly associated with superior improvement in storage sub-score at postoperative 36 months, although it was not associated with voiding sub-score. Conclusion: In patients with preoperative bladder compliance < 12.5 mL/cm H2O, storage symptoms could be further improved at 36 months after laser prostatectomy compared to others. Thus, laser prostatectomy could be a considerable treatment option for patients with severely decreased bladder compliance

Peer review status:Published

Jan 2020Published in The Journal of Sexual Medicine volume 17 issue 1 on pages S83. 10.1016/j.jsxm.2019.11.149