Zusammenfassung
Unter dem benignen Prostatasyndrom (BPS) versteht man die subjektiven Beschwerden und objektiven Veränderungen, die entstehen, wenn die Blasenentleerung durch die Prostata behindert wird. Es kann sich durch obstruktive Symptome, wie verzögerten Miktionsbeginn, schwachen Harnstrahl, Nachträufeln, unvollständige Entleerung bis hin zum akuten Harnverhalt, sowie durch irritative Symptome, wie Pollakisurie, imperativen Harndrang bis hin zur Dranginkontinenz und Nykturie, zeigen. Sowohl Harnspeicher- als auch Entleerungsstörungen können dabei auf eine Fehlfunktion des Detrusors oder des Blasenauslasses zurückzuführen sein. Als Mischformen kommen detrusor- und auslassbedingte Störungen von Speicher- und Entleerungsfunktion in allen denkbaren Kombinationen vor (Gravas et al. 2021; Oelke et al. 2008; Oh et al. 2011). Störungen bei der Harnspeicherung lassen sich mit der Messung des Detrusordruckes in der Füllphase (Zystomanometrie) und Störungen bei der Blasenentleerung mit der Messung des Detrusordruckes und des Harnstrahls während der Entleerungsphase (Druckflussmessung) diagnostizieren.
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Literatur
Abrams PH, Griffiths DJ (1979) The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Br J Urol 51(2):129–134
Abrams PH, Dunn M, George N (1978) Urodynamic findings in chronic retention of urine and their relevance to results of surgery. Br Med J 2(6147):1258–1260
Abrams PH, Farrar DJ, Turner-Warwick RT, Whiteside CG, Feneley RC (1979) The results of prostatectomy: a symptomatic and urodynamic analysis of 152 patients. J Urol 121(5):640–642
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A, Wein A (2003) Standardisation Sub-Committee of the International Continence S. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 61(1):37–49
Ameda K, Koyanagi T, Nantani M, Taniguchi K, Matsuno T (1994) The relevance of preoperative cystometrography in patients with benign prostatic hyperplasia: correlating the findings with clinical features and outcome after prostatectomy. J Urol 152(2 Pt 1):443–447
Andersen JT (1982) Prostatism. III. Detrusor hyperreflexia and residual urine. Clinical and urodynamic aspects and the influence of surgery on the prostate. Scand J Urol Nephrol 16(1):25–30
Andersen JT, Jacobsen O, Worm-Petersen J, Hald T (1978) Bladder function in healthy elderly males. Scand J Urol Nephrol 12(2):123–127
Andersen JT (1976) Detrusor hyperreflexia in benign infravesical obstruction. A cystometic study. J Urol 115(5):532–534
Asklin B, Erlandson BE, Johansson G, Pettersson S (1984) The micturitional urethral pressure profile. Scand J Urol Nephrol 18(4):269–276
Clement KD, Burden H, Warren K, Lapitan MC, Omar MI, Drake MJ (2015) Invasive urodynamic studies for the management of lower urinary tract symptoms (LUTS) in men with voiding dysfunction. Cochrane Database Syst Rev 2015(4):CD011179
Cote RJ, Burke H, Schoenberg HW (1981) Prediction of unusual postoperative results by urodynamic testing in benign prostatic hyperplasia. J Urol 125(5):690–692
DuBeau CE, Sullivan MP, Cravalho E, Resnick NM, Yalla SV (1995) Correlation between micturitional urethral pressure profile and pressure-flow criteria in bladder outlet obstruction. J Urol 154(2 Pt 1):498–503
Hofner K, Kramer AE, Tan HK, Krah H, Jonas U (1995) CHESS classification of bladder-outflow obstruction. A consequence in the discussion of current concepts. World J Urol 13(1):59–64
Kim M, Jeong CW, Oh SJ (2019) Effect of urodynamic preoperative detrusor overactivity on the outcomes of transurethral surgery in patients with male bladder outlet obstruction: a systematic review and meta-analysis. World J Urol 37(3):529–538
Kondo A, Narita H, Otani T, Takita T, Kobayashi M, Mitsuya H (1979) Weight estimation of benign prostatic adenoma with urethral pressure profile. Br J Urol 51(4):290–294
Koyanagi T, Ameda K, Nantani M, Taniguchi K, Matsuno T, Shinno Y (1995) Preoperative cystometrography in patients with clinical benign prostatic hypertrophy. World J Urol 13(1):24–29
Lim CS, Abrams P (1995) The Abrams-Griffiths nomogram. World J Urol 13(1):34–39
McConnell JD, Barry MJ, Bruskewitz RC (1994) Benign prostatic hyperplasia: diagnosis and treatment. Agency for health care policy and research. Clin Pract Guidel Quick Ref Guide Clin 1994(8):1–17
Nitti VW, Kim Y, Combs AJ (1994) Correlation of the AUA symptom index with urodynamics in patients with suspected benign prostatic hyperplasia. Neurourol Urodyn 13(5):521–527; discussion 7–9
Oelke M, Baard J, Wijkstra H, de la Rosette JJ, Jonas U, Hofner K (2008) Age and bladder outlet obstruction are independently associated with detrusor overactivity in patients with benign prostatic hyperplasia. Eur Urol 54(2):419–426
Oelke M K-HR, Höfner K (2012) Spezielle Urodynamik des Mannes. In: Schultz-Lampel D GM, Haferkamp A (Hrsg.) Urodynamik. Springer, Berlin, Heidelberg.
Oh MM, Choi H, Park MG, Kang SH, Cheon J, Bae JH, du Moon G, Kim JJ, Lee JG (2011) Is there a correlation between the presence of idiopathic detrusor overactivity and the degree of bladder outlet obstruction? Urology 77(1):167–170
Parsons BA, Bright E, Shaban AM, Whitehouse A, Drake MJ (2011) The role of invasive and non-invasive urodynamics in male voiding lower urinary tract symptoms. World J Urol 29(2):191–197
Rao MM, Ryall R, Evans C, Marshall VR (1979) The effect of prostatectomy on urodynamic parameters. Br J Urol 51(4):295–299
Gravas S, Cornu JN, Gacci M, Gratzke C, Herrmann TRW, Mamoulakis C, Rieken M, Speakman MJ, Tikkinen KAO (2021) EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO). [cited 2021]. https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Management-of-Non-Neurogenic-Male-LUTS-2021.pdf
Schafer W (1995) Analysis of bladder-outlet function with the linearized passive urethral resistance relation, linPURR, and a disease-specific approach for grading obstruction: from complex to simple. World J Urol 13(1):47–58
Styles RA, Neal DE, Griffiths CJ, Ramsden PD (1988) Long-term monitoring of bladder pressure in chronic retention of urine: the relationship between detrusor activity and upper tract dilatation. J Urol 140(2):330–334
Styles RA, Ramsden PD, Neal DE (1991) The outcome of prostatectomy on chronic retention of urine. J Urol 146(4):1029–1033
Sullivan MP, Yalla SV (1996) Detrusor contractility and compliance characteristics in adult male patients with obstructive and nonobstructive voiding dysfunction. J Urol 155(6):1995–2000
Urodynamics for Prostate Surgery Trial; Randomised Evaluation of Assessment Methods (UPSTREAM) (2021) https://clinicaltrials.gov/ct2/show/NCT02193451
Yalla SV, Sharma GV, Barsamian EM (1980) Micturitional static urethral pressure profile: a method of recording urethral pressure profile during voiding and the implications. J Urol 124(5):649–656
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Rosenbaum, C.M. (2022). Urodynamik. In: Netsch, C., Gross, A.J. (eds) Benignes Prostatasyndrom. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-64334-1_9
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