Analysis of Benign Prostatic Obstruction Surgery: A Long-Term Evaluation in a Real-Life Context

    Alberto Costa Silva, Pedro Abreu-Mendes, Afonso Morgado, Paulo Dinis, Carlos Martins-Silva
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    TLDR Prostate surgery is often effective long-term, but some patients may need more treatment or another surgery, especially if they had prostatitis before.
    The study "Analysis of benign prostatic obstruction surgery: A long-term evaluation in a real-life context" retrospectively analyzed 212 patients who underwent prostatic surgery for male lower urinary tract symptoms (LUTS) associated with benign prostatic obstruction (BPO) between May 1, 2015, and May 1, 2016, with a minimum follow-up of five years. The results showed that at the five-year follow-up, 86.9% of patients did not need pharmacological treatment, and 12% required surgical reintervention. The study found a relationship between prior prostatitis and the need for a second surgery, with an odds ratio of 4.6. The conclusion is that patients should be informed of the potential need for pharmacological treatment following surgery, or even of the need for reintervention, and that a history of prostatitis seems to be a risk factor for reintervention.
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