title: Prediction of persistent storage symptoms after transurethral resection of the prostate in patients with benign prostatic enlargement.
abstract: OBJECTIVE
  To identify the prognostic factors causing persistent storage symptoms following transurethral resection of the prostate in patients with benign prostatic enlargement (BPE).
  
  
  METHODS
  A total of 116 men with symptomatic BPE requiring surgery were enrolled in the study between January 2011 and December 2012. The patients underwent basic clinical evaluations including transrectal ultrasound, International Prostate Symptom Score and urodynamic study. After 6 months, International Prostate Symptom Score and uroflowmetry were rechecked. The definition of persistent storage symptoms was patients with storage scores >7 points. Logistic regression analysis and receiver operating characteristic analysis were conducted.
  
  
  RESULTS
  The 116 patients were divided into a persistent storage symptom-positive group (n = 33) and a storage symptom-negative group (n = 83). Multivariate analysis showed that the degrees of worse initial storage symptoms (odds ratio [OR] = 8.32), small bladder capacity (OR = 4.31), impaired detrusor contractility (OR = 2.96) and age (OR = 1.05) were consistently associated with persistent storage symptoms.
  
  
  CONCLUSIONS
  This short-term study confirms the positive and consistent correlations between the baseline degree of worse initial storage symptoms, bladder capacity, detrusor contractility and age and the improvement in storage symptoms.
authors.affiliation: Department of Urology, Korea University School of Medicine, Seoul, Korea.
authors.forename: Hoon
authors.initials: H
authors.lastname: Choi
authors.forename: Jae Heon
authors.initials: JH
authors.lastname: Kim
authors.forename: Ji Sung
authors.initials: JS
authors.lastname: Shim
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Park
authors.forename: Seok Ho
authors.initials: SH
authors.lastname: Kang
authors.forename: Du Geon
authors.initials: du G
authors.lastname: Moon
authors.forename: Jun
authors.initials: J
authors.lastname: Cheon
authors.forename: Jeong Gu
authors.initials: JG
authors.lastname: Lee
authors.forename: Je Jong
authors.initials: JJ
authors.lastname: Kim
authors.forename: Jae-Hyun
authors.initials: JH
authors.lastname: Bae
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019540:Area Under Curve; D016009:Chi-Square Distribution; D006801:Humans; D016015:Logistic Models; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D011470:Prostatic Hyperplasia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012372:ROC Curve; D012307:Risk Factors; D013997:Time Factors; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000503:physiopathology*; D001748:Urinary Bladder Neck Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D053201:Urinary Bladder, Overactive / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics