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Intravesical Protrusion of the Prostate as a Predictive Method of

Bladder Outlet Obstruction

Leonardo O. Reis, Guilherme C. Barreiro, Jamal Baracat, Alessandro Prudente, Carlos A. D’Ancona

Division of Urology, School of Medicine, University of Campinas, Campinas, Sao Paulo, Brazil

ABSTRACT

Objective: 3UHVVXUHÀRZVWXG\LVWKHJROGVWDQGDUGIRUGLDJQRVLVRIEODGGHURXWOHWREVWUXFWLRQ%22$SURVSHFWLYH VWXG\ZDVFDUULHGRXWWRFRPSDUHXURG\QDPLFHYDOXDWLRQDQGPHDVXUHPHQWRILQWUDYHVLFDOSURWUXVLRQRIWKHSURVWDWHIRU GLDJQRVLQJ%22

Materials and Methods:3DWLHQWVSUHVHQWLQJZLWKORZHUXULQDU\WUDFWV\PSWRPV/876DVVRFLDWHGZLWKEHQLJQSURVWDWLF K\SHUSODVLDDQGVXVSHFWHG%22ZHUHSURVSHFWLYHO\HYDOXDWHGWKURXJKFRQYHQWLRQDOXURG\QDPLFVDQGFODVVL¿HGDFFRUGLQJ WRWKHEODGGHURXWOHWREVWUXFWLRQLQGH[%22,7KH\DOVRXQGHUZHQWDEGRPLQDOXOWUDVRXQGPHDVXUHPHQWRIWKHLQWUDYHVL -FDOSURVWDWLFSURWUXVLRQ,33DQGSURVWDWLFYROXPH7KH,33ZDVFODVVL¿HGLQWRWKUHHVWDJHVJUDGH,XQGHUPPJUDGH,, EHWZHHQDQGPPDQGJUDGH,,,RYHUPP

Results:)RUW\WZRSDWLHQWVPHDQDJH“\HDUVZHUHHQUROOHG7UDQVDEGRPLQDOXOWUDVRXQGGHWHUPLQHGDPHDQ SURVWDWLFYROXPHRI“P/$FKLHYHG,33¶VYDOXHVZHUHWKHIROORZLQJJUDGH,JUDGH,,DQG JUDGH,,,7KHUHVXOWVRISURVWDWHYROXPHGLIIHUHGVLJQL¿FDQWO\EHWZHHQREVWUXFWHGDQGQRQREVWUXFWHGPHQ S DQGIRU,33DPRQJREVWUXFWHGLQFRQFOXVLYHDQGQRQREVWUXFWHGPHQS )RU,33WKHDUHDXQGHU52& FXUYHZDVFRQ¿GHQFHLQWHUYDOWRDQGWKHFXWRIISRLQWWRLQGLFDWH%22ZDVPPZLWK VHQVLWLYLW\DQGVSHFL¿FLW\

Conclusion:,33DQGSURVWDWLFYROXPHPHDVXUHGWKURXJKDEGRPLQDOXOWUDVRXQGDUHQRQLQYDVLYHDQGDFFHVVLEOHPHWKRGV WKDWVLJQL¿FDQWO\FRUUHODWHWRXULQDU\%22DQGDUHXVHIXOLQWKHGLDJQRVLVRIPDOHXULQDU\REVWUXFWLYHSUREOHPV

Key words: EODGGHURXWOHWREVWUXFWLRQSURVWDWHYROXPHÀRZPHWU\VHQVLWLYLW\DQGVSHFL¿FLW\ Int Braz J Urol. 2008; 34: 627-37

INTRODUCTION

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(2)

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MATERIALS AND METHODS

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(3)

RESULTS

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Table 1 – Clinical and demographic characteristics.

Clinical and Demographics Characteristics Rate

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IPPS = International Prostate Symptom Score.

Table 2 – Prostate volume, IPP and BOOI (Kruskal–Wallis; Dunn’s test).

Prostate VolumeP/ IPPPP

%22, 1 0HDQ 6' %22, 1 0HDQ 6'

1RQREVWUXFWHG 1RQREVWUXFWHG

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(4)

Table 3 – IPP grade III accuracy.

Measurement % 95% CI N / Total

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COMMENTS

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(5)

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CONCLUSION

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(6)

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CONFLICT OF INTEREST

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REFERENCES

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REFERENCES

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Dr. Matthias Oelke Department of Urology Hanover Medical School Hanover, Germany E-mail: oelke.matthias@mh-hannover.de

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Figure 1 –  6DJLWWDOYLHZVRIEODGGHUDQGSURVWDWHXVLQJWUDQVDE - -dominal ultrasonography. Vertical distance from tip of  protru-sion to base of bladder is the intravesical prostatic protruprotru-sion  measurement.
Table 2 – Prostate volume, IPP and BOOI (Kruskal–Wallis; Dunn’s test).
Table 3 – IPP grade III accuracy. Measurement % 95% CI N / Total 6HQVLWLYLW\ 6SHFL¿FLW\ 3RVLWLYHSUHGLFWLYHYDOXH 1HJDWLYHSUHGLFWLYHYDOXH $FFXUDF\    /5  /5

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