The Use of a Simple Home Flow Test as a Quality Indicator for Male Patients Treated for Lower Urinary Tract Symptoms Suggestive of Bladder Outlet Obstruction

1997 ◽  
Vol 32 (1) ◽  
pp. 34-38 ◽  
Author(s):  
Michael V. Hansen ◽  
Andrzej Zdanowski
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Quality Indicator ◽  
Bladder Outlet Obstruction ◽  
Lower Urinary Tract ◽  
Outlet Obstruction ◽  
Flow Test ◽  
Urinary Tract Symptoms ◽  
Male Patients ◽  
Lower Urinary

scholarly journals Clinical Considerations for Intravesical Prostatic Protrusion in the Evaluation and Management of Bladder Outlet Obstruction Secondary to Benign Prostatic Hyperplasia

2018 ◽  
Vol 12 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Jason Gandhi ◽  
Steven J. Weissbart ◽  
Albert N. Kim ◽  
Gunjan Joshi ◽  
Steven A. Kaplan ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Benign Prostatic Hyperplasia ◽  
Lower Urinary Tract Symptoms ◽  
Bladder Outlet Obstruction ◽  
Lower Urinary Tract ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Urinary Tract Symptoms ◽  
Intravesical Prostatic Protrusion ◽  
Lower Urinary

Background: Intravesical prostatic protrusion (IPP) is a manifestation of benign prostatic hyperplasia marked by overgrowth of the prostatic median lobe into the bladder, producing bladder outlet obstruction and related storage and voiding symptoms. Methods: A MEDLINE® database search of the current literature was guided using combination of “prostate” with the following terms: intravesical prostatic protrusion, bladder trabeculation, bladder outlet obstruction, lower urinary tract symptoms, alpha blockers, transrectal ultrasonography, and prostatectomy. Results: Although IPP can be identified via a variety of imaging modalities, it is easily detected via transrectal ultrasonography (TRUS). Failing to detect IPP promptly by TRUS may result in refractory symptoms of benign prostatic hyperplasia, as the condition may not respond to typical α1-adrenoceptor antagonist therapy. In addition, depending on grade, IPP can influence outcomes and complications of prostatectomies. Conclusion: Upon report of lower urinary tract symptoms, initial performance of TRUS along with digital rectal examination prevents delay in the appropriate evaluation and management of prostatic diseases.

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