000			02878cam a2200325 a 4500
003			EG-GiCUC
008			180807s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.34.Ph.D.2017.Ah.E
100	0		_aAhmed Mohammed Abdelmageed Mohammed Rammah
245	1	0	_aEvaluation of outcome of prostatectomy in patients with BPH and weak detrusor contractility / _cAhmed Mohammed Abdelmageed Mohammed Rammah ; Supervised Mohammed Salah Abdelazeem , Mohammed Galal Elsheikh , Mahmmoud Amr Abdelhakim
246	1	5	_aتقييم نتائج استئصال البروستاتا فى مرضى تضخم البروستاتا الشيخوخى المصاحب لضعف أنقباض عضلة المثانة البولية
260			_aCairo : _bAhmed Mohammed Abdelmageed Mohammed Rammah , _c2017
300			_a112 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Urology
520			_aBackground: Patients with benign prostatic hyperplasia (BPH) suffering from detrusor underactivity were generally regarded unsuitable for surgery. This prospective study is to evaluate the efficacy of prostatectomy on BPH patients diagnosed with detrusor underactivity on pressure flow study (PFS). Methods Thirty two patients were included in the study with mean age of 64.66±9.42 years. Outcomes were determined by patients{u2019} self-assessment questionnaires, international prostate symptom score (IPSS) and international consultation questioner for urinary incontinence, and UDs parameters including maximum uroflow rate (Qmax), post void residual urine (PVR), bladder compliance, maximal cystometric capacity (CC), maximum detrusor pressure (Pdet @ max) and BCI. Results: The follow-up duration was 6 months. After prostatectomy, IPSS/ICQ-UI, Qmax, and P detmax were significantly improved and there were no significant differences with regard to bladder compliance, MCC, PVR and creatinine. The risk of failure for prostatectomy in patients with BPH and DU is about 44% (postvoid residual urine >300cc). Conclusion PFS may play a very important role in detecting bladder contractility index (BCI) in BPH patients with detrusor underactivity. TURP may obtain a promising effect on such patients with low BCI. These patients should not be arbitrarily excluded from surgical indications simply based on PFS findings
530			_aIssued also as CD
653		4	_aBenign prostatic hyperplasia (BPH)
653		4	_aDetrusor underactivity
653		4	_aUrodynamics (PFS)
700	0		_aMahmmoud Amr Abdelhakim , _eSupervisor
700	0		_aMohammed Galal Elsheikh , _eSupervisor
700	0		_aMohammed Salah Abdelazeem , _eSupervisor
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c66981 _d66981