AI Article Synopsis
- The study aimed to assess urodynamic test results in patients with type-III B prostatitis and how these results affect treatment decisions.
- 87 patients aged 22-45 with severe urinary symptoms who didn't improve with standard treatments underwent urodynamic testing, revealing various abnormalities in 70 of them.
- Following urodynamic evaluations, tailored treatments showed significant positive effects in approximately 59% of patients, indicating these tests are crucial for effective therapy selection in this condition.
Article Abstract
Objective: To analyze the parameters of urodynamic tests for patients with type-III B prostatitis and evaluate the significance of the results of urodynamic tests in the choice of therapies for this disease.
Methods: Urodynamic tests were performed for 87 type-III B prostatitis patients aged 22-45 (30.7 ± 8.5) years, who had moderate or severe lower urinary tract symptoms (LUTS) and failed to respond to routine therapy. Different treatments were administered according to the results of urodynamic tests followed by observation of the therapeutic effects.
Results: Urodynamic abnormalities were found in 70 of the 87 patients, bladder outlet obstruction in 28 (32.2%), detrusor overactivity in 25 (28.7%), bladder hyperesthesia in 18 (20.7%), low compliance in 10 (11.5%), detrusor-external urethral sphincter dyssynergia in 1 (1.1%), and impaired detrusor contractile function in 1 (1.1%). Treatments achieved obvious effectiveness in 26 cases (29.9%), effectiveness in 51 (58.6%), and no effectiveness in 10 (11.5%).
Conclusion: Urodynamic tests contribute significantly to the choice of therapies for type-III B prostatitis patients with moderate or severe LUTS.
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