{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T16:40:57Z","timestamp":1761756057852,"version":"build-2065373602"},"reference-count":17,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2013,10,15]],"date-time":"2013-10-15T00:00:00Z","timestamp":1381795200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2013,11]]},"abstract":"\n Objective<\/jats:title>\n \n \n \n To assess whether the penile cuff non\u2010invasive urodynamic test serves as an effective diagnostic tool for predicting outcomes prior to disobstructive surgery for men presenting with voiding lower urinary tract symptoms.<\/jats:p>\n <\/jats:list-item>\n \n Patients with proven urodynamic obstruction do better after surgery. The current gold standard, invasive pressure\u2010flow studies, imposes cost, resource demand, discomfort and inconvenience to patients.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n \n \n \n Patients undergoing surgery for prostatic obstruction at\n P<\/jats:styled-content>\n almerston\n N<\/jats:styled-content>\n orth\n H<\/jats:styled-content>\n ospital had pre\u2010operative non\u2010invasive urodynamics and completed an\n I<\/jats:styled-content>\n nternational\n P<\/jats:styled-content>\n rostate\n S<\/jats:styled-content>\n ymptom\n S<\/jats:styled-content>\n core (\n IPSS<\/jats:styled-content>\n ). Catheterised patients were excluded.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Two months post\u2010operatively they completed a further\n IPSS<\/jats:styled-content>\n score.\n <\/jats:p>\n <\/jats:list-item>\n \n An improvement of seven or greater was defined as a clinically successful outcome.<\/jats:p>\n <\/jats:list-item>\n \n Results were compared with the outcome predicted by the nomogram supplied with the urodynamic device.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n \n Data was obtained for 62 patients with mean age 70 years (range 49 to 86 years;\n SD<\/jats:styled-content>\n 9 years). Follow\u2010up was complete for all patients.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Thirty\u2010eight patients underwent transurethral resection and 24 holmium laser enucleation of the prostate. Mean\n IPSS<\/jats:styled-content>\n score was 21 (range 5 to 35;\n SD<\/jats:styled-content>\n 6) pre\u2010operatively and 11 (range 1 to 31;\n SD<\/jats:styled-content>\n 9) post\u2010operatively.\n <\/jats:p>\n <\/jats:list-item>\n \n Thirty\u2010five patients were predicted obstructed and 27 not obstructed.<\/jats:p>\n <\/jats:list-item>\n \n \n 94% of those predicted obstructed had a successful outcome (\n p<\/jats:italic>\n < 0.01).\n <\/jats:p>\n <\/jats:list-item>\n \n \n 70% predicted as not obstructed did not have a successful outcome after surgery (\n p<\/jats:italic>\n < 0.01).\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n \n \n The penile cuff test is an exciting adjunct in the decision to proceed to surgery for prostatic obstruction.<\/jats:p>\n <\/jats:list-item>\n \n Patients predicted to be obstructed have an excellent likelihood of a good surgical outcome, yet 30% of those shown not to be obstructed will still do well.<\/jats:p>\n <\/jats:list-item>\n \n Whilst numbers in our study are small, outcomes compare favourably with published results on invasive urodynamic methods.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12382","type":"journal-article","created":{"date-parts":[[2013,10,15]],"date-time":"2013-10-15T11:45:49Z","timestamp":1381837549000},"page":"61-64","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Non\u2010invasive urodynamics predicts outcome prior to surgery for prostatic obstruction"],"prefix":"10.1111","volume":"112","author":[{"given":"Giovanni","family":"Losco","sequence":"first","affiliation":[{"name":"Department of Urology Palmerston North Hospital MidCentral DHB Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Keedle","sequence":"additional","affiliation":[{"name":"Department of Urology Palmerston North Hospital MidCentral DHB Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quinten","family":"King","sequence":"additional","affiliation":[{"name":"Department of Urology Palmerston North Hospital MidCentral DHB Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1097\/01.ju.0000078083.38675.79","article-title":"Guideline on management of benign prostatic hyperplasia. 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