Nomogram prediction model for the risk of bladder stones in patients with benign prostatic hyperplasia
10.13263/j.cnki.nja.2025.04.004
- VernacularTitle:良性前列腺增生并发膀胱结石风险列线图预测模型的构建
- Author:
En-xu XIE
1
;
Xiao-han CHU
1
;
Sheng-wei ZHANG
1
;
Zhong-pei ZHANG
1
;
Xing-hua ZHAO
1
;
Chang-bao XU
1
Author Information
1. 郑州大学第二附属医院泌尿外科,河南郑州 450000
- Publication Type:Journal Article
- Keywords:
bladder stones;
benign prostatic hyperplasia;
risk factors;
nomogram
- From:
National Journal of Andrology
2025;31(4):313-318
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The aim of this study is to investigate the independent risk factors of benign prostatic hyperplasia(BPH)complicated with bladder stones,and construct a nomogram prediction model for clinical progression of bladder stones in pa-tients with BPH.Methods:The clinical data of 368 BPH patients who underwent transurethral resection of the prostate in the Second Affiliated Hospital of Zhengzhou University from January 2018 to January 2021 were retrospectively analyzed.Patients with BPH were divided into group 1(with bladder stones,n=94)and group 2(without bladder stones,n=274).Univariate and multivariate logistic regression analyses were performed to determine the independent risk factors of bladder stones in patients with BPH.A nomogram mod-el was developed,and the areas under the ROC curve and calibration curve were calculated to assess the accuracy of clinical applica-tion.Results:Logistic analysis showed that age(HR:1.075,95％CI:1.032 to 1.120),hypertension(HR:2.801,95％CI:1.520 to 5.161),blood uric acid(HR:1.006,95％CI:1.002 to 1.010),intravesical prostatic protrusion(HR:1.189,95％CI1.119 to 1.264),prostatic urethral angel(HR:1.127,95％CI:1.078to 1.178)were independent risk factors for bladder stones in patients with BPH.The discrimination of the nomogram model based on independent risk factors to predict the occurrence of bladder stones in pa-tients with BPH was 0.874.Conclusion:The nomogram model can predict the risk of bladder stones in BPH patients with good dif-ferentiation and calibration,which is a good guide for clinical work on BPH patients with high risk of bladder stones.
