Objective
To determine whether conservative management of benign prostatic hyperplasia (BPH)
is an appropriate option for patients with bladder stones.
Methods
The study cohort comprised 34 men who underwent endoscopic bladder stone removal with
subsequent conservative management of BPH, including watchful waiting and medical
therapy (alpha-blocker ± dutasteride), between April 2006 and January 2014. We recorded
BPH-related complications after stone removal and compared International Prostate
Symptom Scores, quality of life scores, and postvoid residual urine volume before
and after treatment. Cumulative BPH-related complication-free survival and the preoperative
parameters associated with the occurrence of BPH-related complications were also analyzed.
Results
Twenty-six patients (76.5%) treated with conservative management had no BPH-related
complications, during a mean follow-up of 52.6 ± 30.9 months. Mean International Prostate
Symptom Scores fell from 13.5 ± 7.1 before treatment to 9.7 ± 6.3 after treatment
(P = .025). One of the 34 patients (2.9%) experienced recurrent urinary infections,
2 (5.9%) had urinary retention, and 6 (17.6%) developed recurrent bladder stones.
The cumulative BPH-related complication-free survival was 97.0% at 1 year, 81.8% at
3 years, and 70.5% at 5 years. Six of the men (17.6%) underwent invasive intervention
for BPH after occurrence of these complications. Prostate volume was the only preoperative
parameter associated with the occurrence of complications after stone removal (P = .035).
Conclusion
Conservative management of BPH can be an appropriate treatment option in men with
bladder stones and concurrent mild-to-moderate lower urinary tract symptoms.
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Article info
Publication history
Published online: July 30, 2015
Accepted:
April 21,
2015
Received:
March 17,
2015
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
