Clinical diagnosis of bladder outlet obstruction in patients with benign prostatic enlargement and lower urinary tract symptoms: Development and urodynamic validation of a clinical prostate score for the objective diagnosis of bladder outlet obstruction

Peter F.W.M. Rosier*, Michel J.A.M. De Wildt, Hessel Wijkstra, Frans F.M.J. Debruyne, Jean J.M.C.H. De La Rosette

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

80 Citations (Scopus)

Abstract

Purpose: We attempted to improve the method of objective clinical evaluation of patients with benign prostatic enlargement and lower urinary tract symptoms. Materials and Methods: We compared the results of free uroflowmetry and transrectal ultrasound prostate size determination with those of pressure-flow analysis of bladder outlet obstruction in 871 consecutive elderly men. Results: Maximal flow, prostate size, and post-void residual and voided volumes were correlated with bladder outlet obstruction to derive a clinical prostate score. Conclusions: Clinical prostate score shows a superior correlation with bladder outlet obstruction than isolated objective parameters or symptom scores.

Original languageEnglish
Pages (from-to)1649-1654
Number of pages6
JournalThe Journal of Urology
Volume155
Issue number5
DOIs
Publication statusPublished - May 1996
Externally publishedYes

Keywords

  • Benign prostatic hypertrophy
  • Bladder
  • Prostate
  • Urodynamics

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