UNASSIGNED: We sought to assess the natural history of BPH-related uncomplicated LUTS in men following penile prosthesis surgery.
UNASSIGNED: Single institution retrospective review.
UNASSIGNED: Following institutional review board approval, we performed a retrospective review of all adult males with a preoperative diagnosis of LUTS undergoing penile prosthesis surgery at our institution from January 2017 to November 2022. The primary outcome was progression to transurethral surgery.
UNASSIGNED: From 2017 to 2022, 211 patients with preexisting LUTS underwent penile prosthesis surgery and met all criteria for inclusion including no history of transurethral surgery. The median (interquartile range, IQR) AUA symptom score (AUA-SS) was 12 (12). Post-void residual was below 200 cc in 96.2% of patients preoperatively and 99.1% of patients after surgery. At a median (IQR) follow-up duration of 9 (23) months after surgery, 5.7% (12/211) of patients had progressed to bladder outlet surgery and 35.5% of patients endorsed LUTS bother with a median (IQR) AUA-SS of 14.5 (11.8).
UNASSIGNED: The majority of patients with uncomplicated LUTS did not require bladder outlet surgery following penile prosthesis implantation and could be managed with conservative or pharmacologic measures alone. Prostate gland size was significantly larger in patients who progressed to bladder outlet surgery. While the results are overall reassuring, further study is needed to identify specific factors associated with pursuing bladder outlet surgery in this small subset of patients.
■我们试图评估男性阴茎假体手术后BPH相关无并发症LUTS的自然史。
■单一机构回顾性审查。
■在机构审查委员会批准后,我们对2017年1月至2022年11月在我们机构接受阴茎假体手术的术前诊断为LUTS的所有成年男性进行了回顾性研究.主要结果是进展到经尿道手术。
■从2017年到2022年,有211例先前存在的LUTS患者接受了阴茎假体手术,并符合所有纳入标准,包括无经尿道手术史。中位数(四分位数间距,IQR)AUA症状评分(AUA-SS)为12(12)。在96.2%的患者和99.1%的患者中,术后空隙残留低于200cc。在手术后9(23)个月的中位(IQR)随访时间,5.7%(12/211)的患者进行了膀胱出口手术,35.5%的患者认可LUTS,中位数(IQR)AUA-SS为14.5(11.8)。
■大多数无并发症的LUTS患者在阴茎假体植入后不需要进行膀胱出口手术,可以单独通过保守或药物治疗。进展到膀胱出口手术的患者前列腺大小明显更大。虽然结果总体令人放心,在这一小部分患者中,需要进一步研究确定与进行膀胱出口手术相关的具体因素.