Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia

Background: Serum prostate-specific antigen (PSA) has been noted to be lower in type 2 diabetes mellitus than in non-diabetic men. There seems to be a link between diabetes and benign prostatic hyperplasia (BPH). Many researchers have implicated high insulin levels in diabetics as contributing to t...

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Main Authors: Udoh EA, Usoro AJ, Peter OO
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2022-01-01
Series:Ibom Medical Journal
Subjects:
Online Access:https://ibommedicaljournal.org/index.php/imjhome/article/view/235
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author Udoh EA
Usoro AJ
Peter OO
author_facet Udoh EA
Usoro AJ
Peter OO
author_sort Udoh EA
collection DOAJ
description Background: Serum prostate-specific antigen (PSA) has been noted to be lower in type 2 diabetes mellitus than in non-diabetic men. There seems to be a link between diabetes and benign prostatic hyperplasia (BPH). Many researchers have implicated high insulin levels in diabetics as contributing to the underlying aetiology in the development of BPH. We aimed at evaluating serum PSA levels in diabetic and non-diabetic men with a diagnosis of BPH. Patients and Methods: This is a retrospective study of patients who presented in the urology clinic of our facility for follow-up review between April 2021 and August 2021. One hundred and two patients were included in the study and relevant data extracted from their case notes. Results: Mean age of all patients was 64.25±10.26 years ranging from 41 to 97 years. 22.5% of the men were diabetic while 77.5% were non-diabetic. Diabetic men were older than non-diabetics and serum PSA was lower in diabetics than non-diabetics (P-value >0.05). Also more diabetic men had PSA in the region of 0-4ng/ml while more non-diabetic men had PSA ranging from >4 to 10.0ng/ml. Conclusion: Diabetics have lower serum PSA than normal men. This should be taken into consideration when evaluating men with prostatic symptoms as serum PSA alone may be misleading in predicting or directing further assessments. Other factors that could influence serum PSA should be considered.
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spelling doaj.art-0a8ad11f7e6c4934abf434d742b851192024-03-06T12:03:05ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642022-01-0115110.61386/imj.v15i1.235Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasiaUdoh EAUsoro AJPeter OO Background: Serum prostate-specific antigen (PSA) has been noted to be lower in type 2 diabetes mellitus than in non-diabetic men. There seems to be a link between diabetes and benign prostatic hyperplasia (BPH). Many researchers have implicated high insulin levels in diabetics as contributing to the underlying aetiology in the development of BPH. We aimed at evaluating serum PSA levels in diabetic and non-diabetic men with a diagnosis of BPH. Patients and Methods: This is a retrospective study of patients who presented in the urology clinic of our facility for follow-up review between April 2021 and August 2021. One hundred and two patients were included in the study and relevant data extracted from their case notes. Results: Mean age of all patients was 64.25±10.26 years ranging from 41 to 97 years. 22.5% of the men were diabetic while 77.5% were non-diabetic. Diabetic men were older than non-diabetics and serum PSA was lower in diabetics than non-diabetics (P-value >0.05). Also more diabetic men had PSA in the region of 0-4ng/ml while more non-diabetic men had PSA ranging from >4 to 10.0ng/ml. Conclusion: Diabetics have lower serum PSA than normal men. This should be taken into consideration when evaluating men with prostatic symptoms as serum PSA alone may be misleading in predicting or directing further assessments. Other factors that could influence serum PSA should be considered. https://ibommedicaljournal.org/index.php/imjhome/article/view/235Prostate-Specific Antigendiabetes mellitusbenign prostatic hyperplasia
spellingShingle Udoh EA
Usoro AJ
Peter OO
Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia
Ibom Medical Journal
Prostate-Specific Antigen
diabetes mellitus
benign prostatic hyperplasia
title Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia
title_full Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia
title_fullStr Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia
title_full_unstemmed Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia
title_short Evaluation of serum prostatic-specific antigen levels in diabetic and non-diabetic men diagnosed with benign prostatic hyperplasia
title_sort evaluation of serum prostatic specific antigen levels in diabetic and non diabetic men diagnosed with benign prostatic hyperplasia
topic Prostate-Specific Antigen
diabetes mellitus
benign prostatic hyperplasia
url https://ibommedicaljournal.org/index.php/imjhome/article/view/235
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