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Original Research

The effect of prostatic calcifications over lower urinary tract symptoms in benign prostatic hyperplasia patients


1Ankara Numune Eğitim ve Araştırma Hastanesi, Üroloji Kliniği

2Ankara Numune Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği


DOI :
2012; 7 (1): 15-20

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


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