Badmus T A, Asaleye C M, Badmus S A, Takure A O, Ibrahim M H, Arowolo O A
Department of Surgery Obafemi Awolowo University,Obafemi Awolowo University Teaching Hospital Complex Ile-Ife, Nigeria.
Niger Postgrad Med J. 2013 Mar;20(1):52-6.
To determine the prevalent age of symptomatic benign prostate hyperplasia (BPH), the average BPH volume, and the association between BPH volumes and the age, and anthropometrics in our immediate black community.
PATIENTS, MATERIALS AND METHOD: Selected patients with lower urinary tract symptoms (LUTS) due to BPH with tissue diagnosis, and adult men of similar age group with no irritative or obstructive LUTS were prospectively studied from July 2003 to June 2009. The age, height and weight were recorded, prostate volumes determined with ultrasound, body mass index (bmi) calculated, and correlations determined between the prostate volume and the age, and anthropometrics.
105 patients aged 43-88 yrs (mean=64.4, 8.88 SD) managed for BPH were studied with 93 asymptomatic men aged 43-80 yrs (mean=56.15, 9.89 SD). The mean (SD) prostate volume, height, weight and bmi were 83.8 (37.7) ml, 1.67 (0.07) m, 63.6 (9.32) kg and 22.8 (3.03) kg/m2, and 24.5 (9.2) ml, 1.69 (0.06) m, 68.9 (10.6) kg and 24.2 (3.44) kg/m2 respectively for symptomatic and asymptomatic groups. In the symptomatic group, BPH volume showed significant positive correlation with the age (p=0.030), but no correlation with the weight (p=0.550), height (p=0.375) and bmi (p=0.840). In the asymptomatic group, prostate volume also showed significant positive correlation with the age (p=0.041), but no correlation with the weight (p=0.434), height (p=0.394), and bmi (p=0.203).
The prevalent age of symptomatic BPH in our community is 43- 88 years with 83.79 (37.66) ml mean (SD) volume in symptomatic patients and 24.45 (9.21) ml in asymptomatic men. BPH volume correlates with age but not with anthropometrics. Lack of correlation with BPH volume suggests that anthropometrics may not be risk factors for development of BPH in our community.
确定有症状的良性前列腺增生(BPH)的普遍发病年龄、BPH的平均体积,以及BPH体积与年龄和人体测量学指标在我们当地黑人社区中的关联。
患者、材料与方法:对2003年7月至2009年6月期间因BPH导致下尿路症状(LUTS)且经组织诊断的患者,以及年龄相仿但无刺激性或梗阻性LUTS的成年男性进行前瞻性研究。记录年龄、身高和体重,用超声测定前列腺体积,计算体重指数(BMI),并确定前列腺体积与年龄及人体测量学指标之间的相关性。
对105例年龄在43 - 88岁(平均 = 64.4,标准差8.88)因BPH接受治疗的患者,以及93例年龄在43 - 80岁(平均 = 56.15,标准差9.89)的无症状男性进行了研究。有症状组和无症状组的前列腺平均(标准差)体积、身高、体重和BMI分别为83.8(37.7)ml、1.67(0.07)m、63.6(9.32)kg和22.8(3.03)kg/m²,以及24.5(9.2)ml、1.69(0.06)m、68.9(10.6)kg和24.2(3.44)kg/m²。在有症状组中,BPH体积与年龄呈显著正相关(p = 0.030),但与体重(p = 0.550)、身高(p = 0.375)和BMI(p = 0.840)无相关性。在无症状组中,前列腺体积也与年龄呈显著正相关(p = 0.041),但与体重(p = 0.434)、身高(p = 0.394)和BMI(p = 0.203)无相关性。
在我们的社区中,有症状的BPH的普遍发病年龄为43 - 88岁,有症状患者的平均(标准差)体积为83.79(37.66)ml,无症状男性为24.45(9.21)ml。BPH体积与年龄相关,但与人体测量学指标无关。与BPH体积缺乏相关性表明,人体测量学指标可能不是我们社区中BPH发生的危险因素。