The Natural History of Untreated “Prostatism”

Authors

  • A. J. BALL,

    Honorary Senior Registrar and Research Fellow, Corresponding author
    1. Clinical Investigation Unit, Department of Urology, Ham Green Hospital, Bristol
    2. Clinical Investigation Unit, Ham Green Hospital, Bristol
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  • R. C. L. FENELEY,

    Consultant Urologist
    1. Clinical Investigation Unit, Department of Urology, Ham Green Hospital, Bristol
    2. Southmead Hospital, Bristol
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  • P. H. ABRAMS

    Senior Urological Registrar
    1. Clinical Investigation Unit, Department of Urology, Ham Green Hospital, Bristol
    2. Norfolk and Norwich Hospital, Norwich
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*Clinical Investigation Unit, Department of Urology, Ham Green Hospital, Pill, Bristol BS20 0HW

Abstract

Summary— One hundred and seven patients with symptoms of prostatic obstruction in whom prostatectomy was not clinically indicated were reviewed after an interval of 5 years. Ten had subsequently required surgery and 97 remained untreated.

In the majority, symptoms did not worsen and only 2 developed acute retention. Urodynamic studies, where repeated, showed little change.

Although there was no certain indicator of progression, a flow rate measurement could identify the patients at risk of clinical deterioration sufficient to require surgery.

Ancillary