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Časopis Clinical urology – Článok The experience in the treatment in men with parkinson’s disease and bph

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: 

The experience in the treatment in men with parkinson’s disease and bph

Jozef Marenčák, Rudolf Moro, Eduard Králik, Dymitry Lapatko

Objective: Retrospective evaluation of the effectiveness of conservative and surgical treatment of patients suffering from Parkinson’s disease (PD) and benign prostatic obstruction (BPO) due to benign prostatic hyperplasia (BPH). Material and methods: Between 1. 1. 2005 to 31. 12. 2013 on the Urology department FNsP Skalica a total of 21 men (mean age 74, range 66-79 years) with PD were treated, who had synchronously difficulties due to BPH. All patients were treated initially conservatively – a combination of interventions in lifestyle with the medication regimen (alpha blockers, inhibitors of 5 alpha reductase, antimuscarinics, etc.) and in 9 males transurethral resection of the prostate (TURP) was performed due to failure of conservative therapy. All subjects indicated for TURP were introduced before surgery indwelling permanent catheter for repeated urinary retention. All patients were taking regular medication due to PD. Diagnostic procedures included: medical history, questionnaires (IPSS, OAB, Hoehn Yahr range, etc.) and bladder diaries, physical examination, laboratory evaluation, uroflowmetry, ultrasound scan (postvoid residual determination and assessment of the state of upper urinary tract), complete urodynamic examination (cystometry, electromyography and pressure – flow studies), urethrocystoscopy (in all subjects who were treated with TURP), neurological examination and so on. Obstruction at the bladder neck was assessed by Abrams – Griffiths nomogram. The effect of treatment was monitored at regular intervals on the basis of IPSS, quality of life, bladder diaries, postvoid residual urine etc. The average follow – up time was 64 (range 9-87) months. Results: After pharmacotherapy alone was: improved score of IPPS by an average of 3.4 points in a 6/12 (50 %), reduced of postvoid residual volume of 50 ml, noted a reduction in nocturia about one night micturition in 5/12 (42 %), improved the quality of life of two points in 8/12 (67 %) men with PD and BPO/ BPH. TURP has been effective in 6 out 9 (67 %) patients. Three men had after TURP difficulty maintaining urine and it was necessary for them to reintroduce a urinary catheter. Conclusions: PD in combination with symptomatic BPH requires a primarily conservative approach. Urodynamic examination is required for all patients in particular to confirm BPO and to rule out alternatively other neurological causes. TURP must be consulted with the patients.

Parkinson’s disease, BPO, BPH, treatment
Klin. urol. 2014; 10 (1): 18-23

Ročník 2014  Témy časopisu Clinical urology 1 / 2014

Vladimír Bartoš1, Juraj Mikuláš2, Roman Mráz2
Jozef Marenčák, Rudolf Moro, Eduard Králik, Patrícia Rusková

Jozef Marenčák, Rudolf Moro, Eduard Králik, Dymitry Lapatko
Michal Peteja, Ivan Viľcha, Ivan Minčík, Richard Ľuník

Vincent Nagy1, Ivica Lazúrová2, Ingrid Dravecká2, Jagienka Jautová3, Janette Baloghová3, Ladislav Valanský1, Ľubomír Lachváč1
Monika Kmeťová-Sivoňová1, Marta Vilčková1, Svetlana Grobarčíková2, Jana Jurečeková1, Dušan Dobrota1, Ján Kliment2

Jaroslav Beck1, Tatiana Baltesová2, Ľuboš Tešľa1, Štefan Hulík3, Erik Tóth3, Vincent Nagy1, Ladislav Valanský1, Ľuboslav Beňa2, Peter Závacký3

Ľuboš Tešľa, Vincent Nagy
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Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné