McKelvie G B, Collins G N, Hehir M, Rogers A C
Department of Urology, Royal Infirmary, Stirling.
Br J Urol. 1993 Jan;71(1):38-42. doi: 10.1111/j.1464-410x.1993.tb15877.x.
A community study to determine the prevalence and natural history of benign prostatic hyperplasia (BPH) in a typical Scottish community has been undertaken in men from 40 to 79 years of age. From 2497 eligible men, 1627 (65%) agreed to take part and after screening by symptom score and urinary flow rate 561 were offered a full investigation including transrectal ultrasonography; 492 (87.7%) attended and 415 were found to have BPH, which was defined as a prostate > or = 20 g. Following urological consultation, 3 groups of patients with BPH were recognised: those requiring no therapy (39.5%), those in whom therapy options were considered (50.5%) and those where operation was advised (10%). Seventeen patients with prostatic carcinoma were found, 4 of whom were treated by radical prostatectomy. A total of 67 operations for BPH resulted from the study in patients not previously referred to our urological unit, the majority of whom had not consulted their GP for symptoms of prostatism. This represents a serious challenge to British urology.
一项针对典型苏格兰社区40至79岁男性的社区研究已开展，旨在确定良性前列腺增生（BPH）的患病率及自然病史。在2497名符合条件的男性中，1627名（65%）同意参与研究。通过症状评分和尿流率筛查后，561人接受了包括经直肠超声检查在内的全面检查；492人（87.7%）前来就诊，其中415人被诊断为BPH，定义为前列腺重量≥20克。经过泌尿外科会诊，确认了3组BPH患者：无需治疗的患者（39.5%）、考虑治疗方案的患者（50.5%）以及建议手术的患者（10%）。发现17例前列腺癌患者，其中4例接受了根治性前列腺切除术。该研究共为之前未转诊至我们泌尿外科的患者进行了67例BPH手术，其中大多数患者未因前列腺增生症状咨询过全科医生。这对英国泌尿外科来说是一项严峻挑战。
