Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia
This study evaluated the association of periurethral calcification (PUC) with uroflowmetric parameters and symptom severity in male patients with lower urinary tract symptoms (LUTS) of benign prostatic hyperplasia (BPH). The data were collected from a prospectively maintained database of 1321 men wi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Asian Journal of Andrology |
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| Online Access: | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2023;volume=25;issue=3;spage=361;epage=365;aulast= |
| _version_ | 1797824455976681472 |
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| author | Seong Hyeon Yu Do Gyeong Lim Sun-Ouck Kim |
| author_facet | Seong Hyeon Yu Do Gyeong Lim Sun-Ouck Kim |
| author_sort | Seong Hyeon Yu |
| collection | DOAJ |
| description | This study evaluated the association of periurethral calcification (PUC) with uroflowmetric parameters and symptom severity in male patients with lower urinary tract symptoms (LUTS) of benign prostatic hyperplasia (BPH). The data were collected from a prospectively maintained database of 1321 men with LUTS of BPH who visited Chonnam National University Hospital (Gwang-ju, Korea) from January 2015 to December 2019. PUC severity and location were evaluated on the midsagittal plane during transrectal ultrasonography. Relationships among age, prostate-related parameters, International Prostate Symptom Score (IPSS), and uroflowmetric parameters were assessed. Among the 1321 patients in this study, 530 (40.1%) had PUC. Patients with PUC had significantly higher IPSS (mean ± standard deviation [s.d.]: 15.1 ± 8.7 vs 13.1 ± 7.9; P < 0.001) and lower peak flow rate (Qmax; mean ± s.d.: 12.4 ± 6.6 ml s−1 vs 14.7 ± 13.3 ml s−1; P < 0.001), compared with patients who did not have PUC. Analyses according to PUC severity revealed that patients with severe PUC had higher prostate-specific antigen (PSA) level (P = 0.009), higher total IPSS (P < 0.001), lower Qmax (P = 0.002), and smaller prostate volume (P < 0.001), compared with patients who had non-severe (mild or moderate) PUC. Multivariate analysis showed that distal PUC was independently associated with high total IPSS (P = 0.02), voiding symptom score (P = 0.04), and storage symptom score (P = 0.023), and low Qmax (P = 0.015). In conclusion, PUC was significantly associated with worse LUTS parameters in terms of IPSS and Qmax. Furthermore, distally located PUC was independently associated with worse LUTS of BPH in men. |
| first_indexed | 2024-03-13T10:39:14Z |
| format | Article |
| id | doaj.art-a3e26ff602c0440a9aa5dbebc2893afa |
| institution | Directory Open Access Journal |
| issn | 1008-682X 1745-7262 |
| language | English |
| last_indexed | 2024-03-13T10:39:14Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Andrology |
| spelling | doaj.art-a3e26ff602c0440a9aa5dbebc2893afa2023-05-18T04:59:34ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622023-01-0125336136510.4103/aja202245Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasiaSeong Hyeon YuDo Gyeong LimSun-Ouck KimThis study evaluated the association of periurethral calcification (PUC) with uroflowmetric parameters and symptom severity in male patients with lower urinary tract symptoms (LUTS) of benign prostatic hyperplasia (BPH). The data were collected from a prospectively maintained database of 1321 men with LUTS of BPH who visited Chonnam National University Hospital (Gwang-ju, Korea) from January 2015 to December 2019. PUC severity and location were evaluated on the midsagittal plane during transrectal ultrasonography. Relationships among age, prostate-related parameters, International Prostate Symptom Score (IPSS), and uroflowmetric parameters were assessed. Among the 1321 patients in this study, 530 (40.1%) had PUC. Patients with PUC had significantly higher IPSS (mean ± standard deviation [s.d.]: 15.1 ± 8.7 vs 13.1 ± 7.9; P < 0.001) and lower peak flow rate (Qmax; mean ± s.d.: 12.4 ± 6.6 ml s−1 vs 14.7 ± 13.3 ml s−1; P < 0.001), compared with patients who did not have PUC. Analyses according to PUC severity revealed that patients with severe PUC had higher prostate-specific antigen (PSA) level (P = 0.009), higher total IPSS (P < 0.001), lower Qmax (P = 0.002), and smaller prostate volume (P < 0.001), compared with patients who had non-severe (mild or moderate) PUC. Multivariate analysis showed that distal PUC was independently associated with high total IPSS (P = 0.02), voiding symptom score (P = 0.04), and storage symptom score (P = 0.023), and low Qmax (P = 0.015). In conclusion, PUC was significantly associated with worse LUTS parameters in terms of IPSS and Qmax. Furthermore, distally located PUC was independently associated with worse LUTS of BPH in men.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2023;volume=25;issue=3;spage=361;epage=365;aulast=benign prostate hyperplasia; calcification; location |
| spellingShingle | Seong Hyeon Yu Do Gyeong Lim Sun-Ouck Kim Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia Asian Journal of Andrology benign prostate hyperplasia; calcification; location |
| title | Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia |
| title_full | Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia |
| title_fullStr | Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia |
| title_full_unstemmed | Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia |
| title_short | Clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia |
| title_sort | clinical significance of distally located periurethral calcification in patients with lower urinary tract symptoms of benign prostate hyperplasia |
| topic | benign prostate hyperplasia; calcification; location |
| url | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2023;volume=25;issue=3;spage=361;epage=365;aulast= |
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