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Current Urology Reports
Published in: Current Urology Reports 8/2023

08-06-2023

Role of Bladder Functional Testing Prior to Surgeries for Benign Prostatic Obstruction

Authors: Charles Mazeaud, Natalia Hernandez, Ricardo R. Gonzalez

Published in: Current Urology Reports | Issue 8/2023

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Abstract

Purpose of Review

There is no consensus on preoperative functional testing prior to surgeries for benign prostatic obstruction causing lower urinary tract symptoms (LUTS).

Recent Findings

Surgical management offers definite benefits, but the results are not always satisfactory. The urodynamic study (UDS) is the gold standard for assessing bladder outlet obstruction (BOO) which is the best predictor of surgical success. Yet, it is not recommended by our urologic societies as standard testing prior to surgery.

Summary

In this narrative review of the literature, we report recent findings and controversies regarding the benefits and downside of UDS, and the use of other less-invasive approaches to achieve this goal. The lack of strong evidence for or against performing UDS was surprising. Prospective UDS data may not predict surgical outcomes if there is no consensus on criteria that directs surgical intervention. However, confirming the presence of BOO and characterizing the bladder function to identify detrusor over- and underactivity may help counselling and setting patient’s post-operative expectations. Urocuff, a non-invasive testing offers promising results to address this problem with a less-invasive assessment of BOO. We emphasize better pre-operative characterization of patients to confirm BOO and better define subgroups to improve surgical decision-making.
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Metadata
Title
Role of Bladder Functional Testing Prior to Surgeries for Benign Prostatic Obstruction
Authors
Charles Mazeaud
Natalia Hernandez
Ricardo R. Gonzalez
Publication date
08-06-2023
Publisher
Springer US
Published in
Current Urology Reports / Issue 8/2023
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-023-01165-6

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