Abstract
Prostatic hypertrophy is a process related to aging. According to Lytton (see Chapter 3), a 40-year-old man has a 10% chance of developing prostatic hypertrophy that requires surgical treatment before he reaches the age of 80. However, autopsy studies have revealed periurethral adenomas in 100% of patients aged 80 years or more. These figures indicate that the gland may hypertrophy without giving rise to either symptoms or signs that require medical attention. The aim of surgery on the prostate is to relieve infra vesical obstruction and the associated symptoms. Several diagnostic modalities have been used in the attempt to differentiate obstructed from unobstructed patients. During the last four decades the conventional urological diagnostic procedures have been supplemented by a variety of urodynamic methods for objective assessment of bladder and urethral function. [The terminology for the urodynamic methods conforms to the recommendations of the International Continence Society’s Standardization Committee.]
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Abrams PH: The investigation of bladder outflow obstruction in the male. Thesis, Bristol, 1977
Abrams PH, Feneley RCL: The significance of symptoms associated with bladder outflow obstruction. Urol Int 33: 171–180, 1978
Abrams PH, Griffiths DJ: The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Br J Urol 51: 129–134, 1979
Andersen JT, Jacobsen O, Strandgaard L: The diagnostic value of intravenous pyelography in infravesical obstruction in males. Scand J Urol Nephrol 11: 225–230, 1977
Andersen JT, Jacobsen O, Worm-Petersen J, Hald T: Bladder function in healthy elderly males. Scand J Urol Nephrol 12: 123–127, 1978
Andersen JT, Nordling J: Prostatism. II. The correlation between cysto-urethroscopic, cystometric and urodynamic findings. Scand J Urol Nephrol 14: 23–27, 1980
Andersen JT, Nordling J, Meyhoff HH, Jacobsen O, Hald T: Functional bladder neck obstruction. Scand J Urol Nephrol 14: 17–22, 1980
Andersen JT, Nordling J, Walter S: Prostatism. 1. The correlation between symptoms, cystometric and urodynamic findings. Scand J Urol Nephrol 13: 229–236, 1979
Castro JE, Griffiths HJL, Schackman R: Significance of signs and symptoms in benign prostatic hypertrophy. Br Med J 2: 598–601, 1969
Jacobsen O, Andersen JT: Functional bladder neck obstruction: results of voiding cysto-urethrography with simultaneous pressure-flow measurements. Acta Radiol [Diagn] (Stockh), in press
Nordling J, Iversen-Hansen R, Meyhoff HH, Nully Mde: Does urethral instrumentation affect urinary flow rate? In: Proceedings XIth Annual International Continence Society Meeting, Lund, Sweden, 1981, pp 65–66
Nordling J, Meyhoff HH, Walter S, Andersen JT: Urethral electromyography using a new ring-electrode. J Urol 120: 571–573, 1978
Meyhoff HH, Hald T: Are doctors able to assess prostatic size? Scand J Urol Nephrol 12: 219–221, 1978
Meyhoff HH, Ingemann L, Nordling J, Hald T: Accuracy in preoperative estimation of prostatic size. Scand J Urol Nephrol 15: 45–51, 1981
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1983 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Gammelgaard, P.A., Andersen, J.T., Meyhoff, H.H. (1983). Clinical Significance of Urodynamic Measurements. In: Hinman, F., Boyarsky, S. (eds) Benign Prostatic Hypertrophy. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5476-8_46
Download citation
DOI: https://doi.org/10.1007/978-1-4612-5476-8_46
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-5478-2
Online ISBN: 978-1-4612-5476-8
eBook Packages: Springer Book Archive