801 PROSTATE VOLUME AND PROSTATITIS: EFFECTS ON LOWER URINARY TRACT SYMPTOMS

You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Prostate & Genitalia1 Apr 2010801 PROSTATE VOLUME AND PROSTATITIS: EFFECTS ON LOWER URINARY TRACT SYMPTOMS Ji Hyeong Yu, C. One Cho, Luck Hee Sung, Jae Yong Chung, and Choong Hee Noh Ji Hyeong YuJi Hyeong Yu , C. One ChoC. One Cho , Luck Hee SungLuck Hee Sung , Jae Yong ChungJae Yong Chung , and Choong Hee NohChoong Hee Noh View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1477AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES It is well known that many factors (increased prostate volume, body mass index, age, etc) influence on lower urinary tract symptoms (LUTS). However presence of prostatitis could be other also an aggrevating factor to LUTS. Therefore, we assessed the relationship between various known aggrevating factors and severe LUTS in patients who had undergone transrectal ultrasonography (TRUS) guided prostate biopsy. METHODS Between Jan. 2000 and May 2009, 1,066 male adults (47∼91 years old) who took TRUS guided prostate biopsy, were retrospectively investigated. Severe LUTS was defined as IPSS ≥ 20. We did correlation analysis between severe LUTS and variables (age, serum total PSA level, prostate volume, and presence of prostatitis). Univariate and multivariate analysis were processed to verify possible factors that aggravate LUTS. RESULTS Mean age was 73.28±0.31years old, mean prostate volume was 41.77±0.64g and mean sPSA was 11.11±0.26ng/ml. On correlation analysis, prostate volume (correlation efficient, r: 0.256, p<0.001) and presence of prostatitis (r: 0.148, p<0.001) were significantly related. According to the presence of prosatitis, average IPSS was significantly different (20.37±7.80 vs 22.86±7.80, p<0.001). When we set the prostate volume lower than 20g as a reference level, odds ratios in the group with prostate volume more than 50g were 6.751 (50-60g), 10.012 (60-70g), 5.697 (>70g). On univariate and multivariate analysis, significant factors of severe LUTS were presence of prostatitis (OR: 1.945 (1.464?.586), p<0.001), prostate volume (OR: 1.029 (1.022?.037), p<0.001). CONCLUSIONS There is evidence of significant relationship between the severe LUTS and prostate volume & presence of prostatitis. Presence of prostatitis is one of the considerable aggrevating factor for severe LUTS. Seoul, Republic of Korea© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e313 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Metrics Author Information Ji Hyeong Yu More articles by this author C. One Cho More articles by this author Luck Hee Sung More articles by this author Jae Yong Chung More articles by this author Choong Hee Noh More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...