Impact en pratique clinique de l’indice de protrusion prostatique intravésicale?: une revue de la littérature du CTMH de l’AFU
DOI: 10.1016/j.purol.2013.09.009
Title: Impact en pratique clinique de l’indice de protrusion prostatique intravésicale?: une revue de la littérature du CTMH de l’AFU
Journal Title: Progrès en Urologie
Volume: 24
Issue: 5
Publication Date: April 2014
Start Page: 313
End Page: 318
Published online: online 23 October 2013
ISSN: 1166-7087
Affiliations:

  • a Service d’urologie, CHU d’Angers, 4, rue Larrey, 49933 Angers cedex 9, France

  • b Service d’urologie, CHU de Rennes, 35033 Rennes, France

  • c Service d’urologie, hôpital Tenon, 75020 Paris, France

  • d Service d’urologie, CHU de Limoges, 87042 Limoges, France
  • Accepted: 15 September 2013
    Received: 18 August 2013
    Keywords: Intravesical prostatic protrusion (IPP); Low urinary tract symptoms (LUTS); Benign prostatic hyperplasia; Benign prostatic enlargement; Benign prostatic obstruction; Median lobe
    Result: There are 3 grades of IPP: grade 1, 2 and 3 respectively if IPP ≤ 5 mm, if 5–10 mm, and if > 10 mm. IPP was a better prognosis factor than PSA and prostate volume for bladder outlet obstruction (BOO) with a sensibility of 80% and a sensitivity of 68% for grade 3. The progression risk of BOO increased with IPP (grade 1: OR = 5.1[95%CI: 1.6–16.2] and grade ≥ 2OR = 10.4 [95%CI: 3.3–33.4]). IPP was a predictive marker of failure of trial off catheter in patients with acute urinary retention with a 6folds higher risk for grades ≥ 2. IPP was a prognosis factor for tamsulosine efficacy: 78% of patients with grade ≤ 2 had an improvement > 35% of the IPSS-score versus 58% for grade > 3 (P < 0.01). Patients with grade > 3 and a PV < 40 cc had a poorer response to tamsulosine. After TURP, IPSS was more improved for grade ≥ 1 with an OR = 3.43 (95%CI: 1.03–11.44, P = 0.045).ConclusionIPP can be a useful marker for the management of LUTS/BPH.
    Email: souhil.lebdai@gmail.com

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