Onigbinde Stephen O, Asaleye Christianah M, Salako Abdulkadir A, Idowu Bukunmi M, Onigbinde Abimbola O, Laoye Adeyinka
Department of Anatomical Sciences, School of Medicine, St George's University, Grenada.
Department of Radiology, Obafemi Awolowo University and Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.
Prostate Int. 2023 Mar;11(1):46-50. doi: 10.1016/j.prnil.2022.09.001. Epub 2022 Sep 27.
To investigate the effect of systemic hypertension on the prostatic artery resistive indices by a comparative ultrasonographic evaluation of the prostate gland in normotensive and hypertensive patients with benign prostatic enlargement (BPE).
The participants had BPE and presented at the outpatient urologic clinic of a tertiary hospital. They were divided into normotensive and hypertensive groups. Each group had fifty patients. Calculation of international prostate symptom score, measurement of blood pressure, and transrectal ultrasonographic evaluation were done.
The mean age for the normotensive and hypertensive groups were 66.9 ± 9.8 and 66.0 ± 10.7 years, respectively ( = 0.662). Patients with hypertensive BPE had a significantly higher mean transitional zone volume, transitional zone index, presumed circle area ratio, quality of life score, and prostatic arterial resistive indices than the age-matched normotensive BPE patients.
Patients with BPE and with hypertension had significantly higher prostate arteries resistive indices than normotensives with BPE. Even in patients with BPE and controlled hypertension, the prostatic artery resistance indices were still elevated than that of normotensive men with BPE.
通过对患有良性前列腺增生（BPE）的血压正常和高血压患者的前列腺进行超声对比评估，研究系统性高血压对前列腺动脉阻力指数的影响。
参与者患有BPE，在一家三级医院的门诊泌尿外科就诊。他们被分为血压正常组和高血压组。每组有50名患者。进行国际前列腺症状评分计算、血压测量和经直肠超声评估。
血压正常组和高血压组的平均年龄分别为66.9±9.8岁和66.0±10.7岁（P = 0.662）。与年龄匹配的血压正常的BPE患者相比，高血压BPE患者的平均移行区体积、移行区指数、假定圆面积比、生活质量评分和前列腺动脉阻力指数显著更高。
患有BPE和高血压的患者的前列腺动脉阻力指数显著高于患有BPE的血压正常者。即使在患有BPE且高血压得到控制的患者中，前列腺动脉阻力指数仍高于患有BPE的血压正常男性。
