Udo Chibueze Okorie, Robinson Ebbi Donald, Ijeruh Olukunmi Yetunde, Nwankwo Nelson Chukwuemeka
Department of Radiology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Department of Radiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
J Med Ultrasound. 2022 May 19;30(4):261-265. doi: 10.4103/jmu.jmu_183_21. eCollection 2022 Oct-Dec.
Prostate diseases commonly present with lower urinary tract symptoms (LUTS) resulting from prostatic enlargement. Prostate volume (PV) can be evaluated using transabdominal ultrasonography. Focus is currently on relative factors of prostatic enlargement which includes obesity and central adiposity. The aim of this study is to correlate transabdominal sonographic PV and anthropometric parameters in patients with LUTS in Port Harcourt.
This was a prospective cross-sectional study carried out at the Radiology Department, Rivers State University Teaching Hospital, Port Harcourt, between September 2020 and January 2021. One hundred and twenty (120) males from 40 years and above who presented with LUTS were recruited. Transabdominal PV estimation was done and body mass index (BMI) as well as WC was assessed. Data were analyzed using a Statistical Package for Social Sciences; appropriate statistical tests were applied and < 0.05 was considered significant.
The mean PV was 69.8 ± 63.5 cm, 79.2% of the subjects had enlarged prostate with volume ≥30 cm. PV was found to increase with age. The correlation between PV and anthropometric measures of obesity (BMI and WC) was statistically not significant.
The work established that there is no correlation between PV and anthropometric measures of obesity - BMI and WC in negro population as opposed to nonblack population where there is correlation. Obesity may not be a considerable risk factor of prostatic enlargement in the studied population. Thus, anthropometrics may not be useful in predicting prostate size.
前列腺疾病通常表现为因前列腺肿大导致的下尿路症状（LUTS）。可通过经腹超声检查评估前列腺体积（PV）。目前的重点是前列腺肿大的相关因素，其中包括肥胖和中心性肥胖。本研究的目的是将哈科特港LUTS患者的经腹超声PV与人体测量参数进行关联分析。
这是一项前瞻性横断面研究，于2020年9月至2021年1月在哈科特港里弗斯州立大学教学医院放射科进行。招募了120名40岁及以上出现LUTS的男性。进行经腹PV估计，并评估体重指数（BMI）和腰围（WC）。使用社会科学统计软件包对数据进行分析；应用了适当的统计检验，P<0.05被认为具有统计学意义。
平均PV为69.8±63.5 cm³，79.2%的受试者前列腺肿大，体积≥30 cm³。发现PV随年龄增长而增加。PV与肥胖的人体测量指标（BMI和WC）之间的相关性在统计学上不显著。
该研究证实，与存在相关性的非黑人人群不同，黑人人群中PV与肥胖的人体测量指标——BMI和WC之间不存在相关性。在研究人群中，肥胖可能不是前列腺肿大的重要危险因素。因此，人体测量学可能无助于预测前列腺大小。
