Abstract：
OBJECTIVE:To determine whether conservative management of benign prostatic hyperplasia (BPH) is an appropriate option for patients with bladder stones. METHODS:The study cohort comprised 34 men who underwent endoscopic bladder stone removal with subsequent conservative management of BPH, including watchful waiting and medical therapy (alpha-blocker ± dutasteride), between April 2006 and January 2014. We recorded BPH-related complications after stone removal and compared International Prostate Symptom Scores, quality of life scores, and postvoid residual urine volume before and after treatment. Cumulative BPH-related complication-free survival and the preoperative parameters associated with the occurrence of BPH-related complications were also analyzed. RESULTS:Twenty-six patients (76.5%) treated with conservative management had no BPH-related complications, during a mean follow-up of 52.6 ± 30.9 months. Mean International Prostate Symptom Scores fell from 13.5 ± 7.1 before treatment to 9.7 ± 6.3 after treatment (P = .025). One of the 34 patients (2.9%) experienced recurrent urinary infections, 2 (5.9%) had urinary retention, and 6 (17.6%) developed recurrent bladder stones. The cumulative BPH-related complication-free survival was 97.0% at 1 year, 81.8% at 3 years, and 70.5% at 5 years. Six of the men (17.6%) underwent invasive intervention for BPH after occurrence of these complications. Prostate volume was the only preoperative parameter associated with the occurrence of complications after stone removal (P = .035). CONCLUSION:Conservative management of BPH can be an appropriate treatment option in men with bladder stones and concurrent mild-to-moderate lower urinary tract symptoms.
journal_name
Urologyjournal_title
Urologyauthors
Yoshida T,Kinoshita H,Nakamoto T,Yanishi M,Sugi M,Murota T,Matsuda Tdoi
10.1016/j.urology.2015.04.022subject
Has Abstractpub_date
2015-09-01 00:00:00pages
450-3issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(15)00383-0journal_volume
86pub_type
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