Relationship Between Prostate Volume and Lower Urinary Tract Symptom in Health Checkup Subjects
김현주, 문지현, 오윤환, 공미희, 박경기, 허정식,
소속 상세정보
김현주 ( Kim Hyeon-Ju )
Jeju National University Hospital Department of Family Medicine
문지현 ( Moon Ji-Hyun )
Jeju National University Hospital Department of Family Medicine
오윤환 ( Oh Yun-Hwan )
Jeju National University Hospital Department of Family Medicine
공미희 ( Kong Mi-Hee )
Jeju National University Hospital Department of Family Medicine
박경기 ( Park Kyung-Kgi )
Jeju National University Hospital Department of Urology
허정식 ( Huh Jung-Sik )
Jeju National University Hospital Department of Urology
Abstract
Purpose: This study aimed to evaluate the relationship between prostate volume and lower urinary symptom (LUTS) in subjects undergoing health checkup and to know the usefulness of TRUS in health screening.
Materials and Methods: The study was conducted in 883 men aged ≥20 years who underwent TRUS for health screening. All participants had filled in the international prostate symptom score (IPSS) and were tested for prostate-specific antigen; prostate volume, central gland volume, and transitional zone index were measured using TRUS. We analyzed the differences in the IPSS by prostate volume and differences in prostate volume by severity of LUTS and correlation between prostate volume and each component of IPSS.
Results: There were differences in the total IPSS, storage score, and voiding score between the subjects with prostate volumes of ≥30 mL or not (p=0.027, p=0.037, and p=0.029, respectively). However, the differences were found only for urgency and weak stream. The volume of the severe symptom group was bigger than those of the mild and moderate symptom groups (p=0.002 and p=0.014). The correlation between prostate volume and IPSS was significant only for the between the central volume and nocturia (r=0.112, p＜0.01).
Conclusions: The relationship between prostate volume and urinary symptoms showed significant but low correlation and found only in some components. For the accurate diagnosis, it would be more useful to accompany various voiding-related surveys in addition to TRUS during health screening.
키워드
Prostate hyperplasia; Lower urinary tract symptoms; Ultrasonography; Diagnostic screening programs
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