Krivoborodov G G, Efremov N S, Bolotov A D
Department of Urology and Andrology, Medical Faculty of N.I. Pirogov RNRMU of Minzdrav of Russia, Moscow, Russia.
Russian Gerontology Research and Clinical Center, Moscow, Russia.
Urologiia. 2017 Dec(6):55-58.
Benign prostatic hyperplasia (BPH) is one of the most common urological diseases among men. Despite the noticeable positive effects of pharmacotherapy on the quality of urination in BPH, the presence of an intravesical obstruction (IVO) leads to discontinuation of conservative treatment in favor of surgical interventions. One of the features of prostate enlargement is the degree of its intravesical growth (intravascular prostatic protrusion, IPP). According to some studies, IPP value of 10 mm or more is indicative of IVO in virtually all men.
To compare transabdominal and transrectal ultrasound measurement of IPP in men with BPH.
The study comprised 108 men aged 69+/-10 years (43 to 93 years) with lower urinary tract symptoms and BPH. Patients underwent a standard urological examination. The shape of the prostate, prostate volume and the measurements of the IPP were assessed using transabdominal and transrectal ultrasound.
The IPP measurements obtained using transabdominal and transrectal ultrasound were 9.8+/-5.7 mm (1.1 to 28 mm) and 9.3+/-5.3 mm (0.5 to 26 mm), respectively. The IPP measurements evaluated by transabdominal and transrectal ultrasound were found comparable regardless of the prostate volume.
Similar results in assessing PPI by both ultrasound modalities allow them to be used equally effectively.
良性前列腺增生（BPH）是男性中最常见的泌尿系统疾病之一。尽管药物治疗对BPH患者的排尿质量有显著的积极影响，但膀胱内梗阻（IVO）的存在会导致保守治疗中断，转而采取手术干预。前列腺增大的特征之一是其膀胱内生长程度（血管内前列腺突出，IPP）。根据一些研究，IPP值达到或超过10 mm实际上表明所有男性都存在IVO。
比较经腹超声和经直肠超声测量BPH男性的IPP。
该研究纳入了108名年龄在69±10岁（43至93岁）、有下尿路症状且患有BPH的男性。患者接受了标准的泌尿外科检查。使用经腹超声和经直肠超声评估前列腺的形状、前列腺体积以及IPP的测量值。
经腹超声和经直肠超声测得的IPP值分别为9.8±5.7 mm（1.1至28 mm）和9.3±5.3 mm（0.5至26 mm）。无论前列腺体积如何，经腹超声和经直肠超声评估的IPP测量值均具有可比性。
两种超声检查方式在评估PPI方面的结果相似，这使得它们能够同样有效地应用。
