The Natural History of Untreated “Prostatism”
Article first published online: 21 NOV 2008
British Journal of Urology
Volume 53, Issue 6, pages 613–616, December 1981
How to Cite
BALL, A. J., FENELEY, R. C. L. and ABRAMS, P. H. (1981), The Natural History of Untreated “Prostatism”. British Journal of Urology, 53: 613–616. doi: 10.1111/j.1464-410X.1981.tb03273.x
- Issue published online: 21 NOV 2008
- Article first published online: 21 NOV 2008
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.