Clinical Observation of Decrease of Prostatic Volume in Men with Voiding Symptoms by Means of TRUS .
- Author:
Yeoun Ho JEONG
;
Yong Il PARK
- Publication Type:Original Article
- Keywords:
Prostate volume;
Age;
Transrectal ultrasonography
- MeSH:
Aging;
Ambulatory Care Facilities;
Digital Rectal Examination;
Food Habits;
Humans;
Lower Urinary Tract Symptoms;
Male;
Prostate;
Ultrasonography
- From:Korean Journal of Urology
1998;39(1):57-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: It has been generally known that prostatic volume is increased related to aging process and changing in hormonal environment, so lower urinary tract symptoms develops. But, our experience has revealed the decrease of prostatic volume in many cases with lower urinary tract symptoms despite aging. MATERIALS AND METHODS: The numbers of patient underwent TRUS were 301 cases. Among the patients who had visited urologic outpatient clinic from march, 1993 to march, 1996, transrectal ultrasonography of prostate was applied to patient with following conditions. 1) over 8 in IPSS with or without enlarged evidence from digital rectal examination 2) enlarged evidence from digital rectal examination 3) no symptomatic relief after 2weeks therapy with alpha blocker 4) when the patient wants more evaluation. RESULTS: Decrease of prostatic volume were shown in 66cases(22%) despite lower urinary tract symptoms. CONCLUSIONS: In our experience, many patients with lower urinary tract symptoms showed decrease of prostatic volume. So, we expect that many more cases of decrease of prostatic volume can be seen among asymptomatic cases with age. Because we can guess that prostatic volume can be influenced by racial differences and dietary habit, we also believe that further evaluation and investigation of this nature is needed.