Survey of urological centres and review of current practice in the pre-operative assessment of prostatism.
A survey of 24 urological centres has shown a wide variation in the routine pre-operative assessment of patients being considered for prostatectomy. Imaging of the urinary tract by intravenous urography (IVU) or ultrasound (US) is performed in 21/24 centres (79%) and plain films in 16/24 (67%). Post-micturition residual volume (PMRV) is estimated quantitatively in 10/24 centers (42%). Although there is little agreement on what constitutes a significant PMRV, a large PMRV leads to increased likelihood of operation, and earlier operation. Peak urine flow rate (Q max) is measured in 19/24 centres (79%). The significance of these findings is discussed.
Wilkinson
A G
AG
Department of Radiology, Western General Hospital, Edinburgh.
Wild
S R
SR
D003657:Decision Making; D006782:Hospitals, Special; D006801:Humans; D008297:Male; D011300:Preoperative Care / Q000379:methods*; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D011795:Surveys and Questionnaires; D006113:United Kingdom; D001743:Urinary Bladder / Q000503:physiopathology; D014554:Urination / Q000502:physiology