Clinical features of benign prostatic hyperplasia complicated by chronic prostatitis.
- Author:
De-gui CHANG
1
;
Guang-sen LI
;
Pei-hai ZHANG
;
Tian-lang WU
;
Xue-feng MEI
;
Jun CAO
;
Ping GAO
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Chronic Disease; Humans; Male; Prostatic Hyperplasia; complications; diagnosis; Prostatitis; complications; diagnosis
- From: National Journal of Andrology 2010;16(9):830-833
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical characteristics of benign prostatic hyperplasia (BPH) complicated by chronic prostatitis (CP).
METHODSA total of 120 cases of BPH pathologically confirmed after transurethral resection of the prostate (TURP) were assigned to a BPH group (n=75) and a BPH + CP group (n=45) according to whether they were complicated by CP. The total prostatic volume (TPV) and PSA density (PSAD) were calculated and statistically analyzed based on the results of transrectal ultrasonography and f-PSA, t-PSA and f-PSA/t-PSA tests before surgery.
RESULTSThe BPH group showed a significantly upward tendency in f-PSA and t-PSA (P < 0.05) with the increase of age or prostate volume, but not significantly in PSAD and f-PSA/t-PSA (P > 0.05). In comparison, the BPH + CP group exhibited remarkable increases in f-PSA, t-PSA and PSAD (P < 0.05) but not in fPSA/t-PSA (P > 0.05). ROC curve analyses of various indexes showed the area under the curve to be 0.644, 0.628 and 0.624 for f-PSA, t-PSA and PSAD, respectively, all between 0.5 and 0.7.
CONCLUSIONBPH is frequently associated with CP. Clinically, high f-PSA, t-PSA and PSAD are important but not sure indicators of BPH complicated by CP.
