Objective: To evaluate in detail, transurethral resection of pros-tate candidate, benign prostatic hyperplasia (BPH) patients over age 40 for lower urinary tract symptoms (LUTS) and the other diagnos-tic parameters according to the presence of prostatic calcifications. Materials and Methods: Thirty nine patients admitted to our clinic with LUTS were included in the study. A complete urinalysis, serum total and free prostate-specific antigen levels, uroflowmetric measurements, the amount of residual urine, blood urea and creati-nine levels, transrectal ultrasound prostate volumes of the patients were recorded. International prostate symptom scores (IPSS) with separate irritative and obstructive symptom assessment and qua-lity of life scores of patients were also recorded. Pre-operative pel-vic computed tomography (CT) was performed, prostate volumes and prostatic densities at 3 points (anterior, posterior, and periphe-ral) were measured and the average densities were calculated. Ac-cording to CT, prostatic calcifications over 3mm were recorded. Fif-teen of 39 patients (%38.5) had had prostatic calcification, while the remaining 24 (%61.5) had not. Patients were divided into two gro-ups; those with calcification group1 and those without group2. And two groups were compared in terms of all parameters examined.
Results: In group1, Qmax was significantly lower (p=0.039) and urge incontinence were more frequent (p=0.021) than group2. Between the two groups studied there was no significant difference in all other parameters.
Conclusion: Urge incontinence is more common and Qmax is lower in BPH patients with prostatic calcifications. Separate obs-tructive and irritative symptom assessment in addition to total IPSS is more informative in this group of patients.
Key Words: Prostatic calcification, benign prostatic hyperpla-sia, lower urinary tract symptoms
Abstract
Objective: To evaluate in detail, transurethral resection of pros-tate candidate, benign prostatic hyperplasia (BPH) patients over age 40 for lower urinary tract symptoms (LUTS) and the other diagnos-tic parameters according to the presence of prostatic calcifications. Materials and Methods: Thirty nine patients admitted to our clinic with LUTS were included in the study. A complete urinalysis, serum total and free prostate-specific antigen levels, uroflowmetric measurements, the amount of residual urine, blood urea and creati-nine levels, transrectal ultrasound prostate volumes of the patients were recorded. International prostate symptom scores (IPSS) with separate irritative and obstructive symptom assessment and qua-lity of life scores of patients were also recorded. Pre-operative pel-vic computed tomography (CT) was performed, prostate volumes and prostatic densities at 3 points (anterior, posterior, and periphe-ral) were measured and the average densities were calculated. Ac-cording to CT, prostatic calcifications over 3mm were recorded. Fif-teen of 39 patients (%38.5) had had prostatic calcification, while the remaining 24 (%61.5) had not. Patients were divided into two gro-ups; those with calcification group1 and those without group2. And two groups were compared in terms of all parameters examined.
Results: In group1, Qmax was significantly lower (p=0.039) and urge incontinence were more frequent (p=0.021) than group2. Between the two groups studied there was no significant difference in all other parameters.
Conclusion: Urge incontinence is more common and Qmax is lower in BPH patients with prostatic calcifications. Separate obs-tructive and irritative symptom assessment in addition to total IPSS is more informative in this group of patients.
Key Words: Prostatic calcification, benign prostatic hyperpla-sia, lower urinary tract symptoms