[Surgery for BPH with impaired detrusor contractility: a report of 12 cases].
OBJECTIVE
To assess the outcome of prostatectomy simultaneously with suprapubic punctual cystostomy for BPH patients with impaired detrusor contractility.


METHODS
Twelve cases of BPH with impaired detrusor contractility were diagnosed by urodynamic examination from 2002 to 2005. The patients underwent prostatectomy simultaneously with suprapubic punctual cystostomy and were followed up for a year.


RESULTS
Nine of the patients, at the average age of 69.00 +/- 5.13 years and with a short history of LUST, were restored to normal bladder function, while the other 3, older than 78 years and with a longer LUST history, failed to respond to the treatment.


CONCLUSIONS
BPH patients with impaired detrusor contractility that are younger and have a shorter LUST history could benefit from prostatectomy simultaneously with suprapubic punctual cystostomy, but the older ones with a longer LUST history should be treated by suprapubic punctual cystostomy alone.
Song
Yong-sheng
YS
Department of Urology, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning 110004, China. songys@cmu2h.com
Shan
Li-ping
LP
Yin
Bo
B
Zhang
Hui
H
Fei
Xiang
X
D000368:Aged; D003559:Cystostomy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009119:Muscle Contraction; D011470:Prostatic Hyperplasia / Q000503:physiopathology / Q000601:surgery*; D020728:Transurethral Resection of Prostate; D001745:Urinary Bladder Diseases / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics