Sundaram Deepak, Sankaran Ponnusamy Kasirajan, Raghunath Gunapriya, Vijayalakshmi S, Vijayakumar J, Yuvaraj Maria Francis, Kumaresan Munnusamy, Begum Zareena
Postgraduate, Department of Anatomy, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India.
Associate Professor, Department of Anatomy, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India.
J Clin Diagn Res. 2017 May;11(5):AC01-AC04. doi: 10.7860/JCDR/2017/26651.9835. Epub 2017 May 1.
Benign Prostatic Hyperplasia (BPH) is a common entity among men over 40 years of age with significant disability. It is a condition that occurs when the enlarged prostate gland compresses the urethra leading to Bladder Outlet Obstruction (BOO).
To correlate the size of the prostate gland and uroflowmetry parameters in patients with Lower Urinary Tract Symptoms (LUTS).
One hundred and twenty randomly selected male patients, from the ages of 41 to 70 years, with LUTS, and underwent trans abdominal sonogram and uroflowmetry were included in the study. The samples were divided into three groups according to the age; Group 1: 41 to 50 years, Group 2: 51 to 60 years, Group 3: 61 to 70 years.
In Group 1 (41 to 50 years), there were totally 28 patients with LUTS, out of which seven patients had BPH, indicating that about 5% of patients with LUTS have BPH. In Group 2 (51-60 years) there were totally 31 patients with LUTS, out of which 10 patients had BPH, indicating that 8% of patients with LUTS have BPH. In Group 3 (61-70 years) there were totally 61 patients with LUTS, out of which 33 patients had BPH, indicating that 27% of patients with LUTS had BPH. The mean age of patients with LUTS was 60 years with mean prostate size of 45 cm. Enlarged prostate gland was present in 41% of patients with mean Q max of 14 ml/sec and post voidal volume of 48 ml.
This study concludes that the LUTS in older patients are mostly due to BPH leading to BOO. Also, patients with BPH in early ages can lead to increased Post voidal Residual Volume (PVR) following uroflowmetry. Thus, screening male patients with LUTS, at 40 years and above, is an ideal way to detect prostatic problems at an early stage.
良性前列腺增生（BPH）在40岁以上男性中是一种常见疾病，会导致严重的功能障碍。当前列腺增大压迫尿道导致膀胱出口梗阻（BOO）时就会出现这种病症。
探讨下尿路症状（LUTS）患者前列腺大小与尿流率参数之间的相关性。
本研究纳入120例年龄在41至70岁之间、患有LUTS且接受了经腹超声检查和尿流率测定的随机选择的男性患者。样本根据年龄分为三组；第1组：41至50岁，第2组：51至60岁，第3组：61至70岁。
在第1组（41至50岁）中，共有28例LUTS患者，其中7例患有BPH，表明约5%的LUTS患者患有BPH。在第2组（51 - 60岁）中，共有31例LUTS患者，其中10例患有BPH，表明8%的LUTS患者患有BPH。在第3组（61 - 70岁）中，共有61例LUTS患者，其中33例患有BPH，表明27%的LUTS患者患有BPH。LUTS患者的平均年龄为60岁，平均前列腺大小为45立方厘米。41%的患者前列腺增大，平均最大尿流率（Q max）为14毫升/秒，排尿后残余尿量为48毫升。
本研究得出结论，老年患者的LUTS大多是由BPH导致BOO引起的。此外，早期患有BPH的患者在尿流率测定后可能导致排尿后残余尿量（PVR）增加。因此，对40岁及以上患有LUTS的男性患者进行筛查是早期发现前列腺问题的理想方法。
