title: Relationship between Intravesical Prostatic Protrusion and Postoperative Outcomes in Patients with Benign Prostatic Hyperplasia.
abstract: OBJECTIVE
  To evaluate the significance of intravesical prostatic protrusion (IPP) for predicting postoperative outcomes in patients with benign prostatic hyperplasia.
  
  
  METHODS
  A total of 177 patients with a possible follow-up of at least 6 months who were treated with transurethral resection of the prostate (TURP) were analyzed. We divided the patients into two groups on the basis of the degree of IPP: the significant IPP group (IPP≥5 mm, n=74) and the no significant IPP group (IPP<5 mm, n=103). We analyzed postoperative changes in parameters, such as the International Prostate Symptom Score (IPSS), IPSS quality-of-life (QoL) score, maximum urinary flow rate (Qmax), and postvoid residual urine (PVR). The IPSS was subdivided into voiding (IPSS-v) and storage (IPSS-s) symptoms. Multivariate logistic regression analysis was performed to identify whether IPP could predict surgical outcomes of TURP.
  
  
  RESULTS
  Preoperative parameters were not significantly different between the two groups except for total prostate volume and transitional zone volume. Postoperative changes in IPSS, IPSS-v, IPSS-s, and QoL score were higher in the significant IPP group than in the group with no significant IPP. Changes in Qmax and PVR were not significantly different between the two groups. Multivariate logistic regression analysis (after adjustment for age, prostate-specific antigen level, total prostate volume, and transitional zone volume) revealed that the odds ratios (95% confidence interval) of decreased IPSS and IPSS-s in the significant IPP group were 3.43 (1.03 to 11.44) and 3.51 (1.43 to 8.63), respectively (p=0.045 and 0.006, respectively).
  
  
  CONCLUSIONS
  Significant IPP is an independent factor for predicting better postoperative outcomes of IPSS and IPSS-s.
authors.affiliation: Department of Urology, Veterans Health Service Medical Center, Seoul, Korea.
authors.forename: Jong Woo
authors.initials: JW
authors.lastname: Lee
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Ryu
authors.forename: Tag Keun
authors.initials: TK
authors.lastname: Yoo
authors.forename: Seok Soo
authors.initials: SS
authors.lastname: Byun
authors.forename: Young Jin
authors.initials: YJ
authors.lastname: Jeong
authors.forename: Tae Young
authors.initials: TY
authors.lastname: Jung