A Preoperative Urodynamic Evaluation Can Change the Surgical Decision for BPH Patient: A Case Report

Benign Prostatic Hyperplasia (BPH) is a common condition that can lead to Bladder Outlet Obstruction (BOO) and is typically managed surgically following a confirmed diagnosis via urodynamic study. In this case report, we emphasize the significance of urodynamic evaluation in the preoperative assessment of a patient with Lower Urinary Tract Symptoms (LUTS) suggestive of Benign Prostatic Hyperplasia (BPH) who is scheduled for surgical intervention. Despite clinical indications pointing towards BPH, the patient's urodynamic evaluation unexpectedly revealed the presence of Detrusor underactivity rather than obstruction, highlighting the critical role of urodynamic assessment in the accurate diagnosis and management of patients with LUTS.