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IS BENIGN PROSTATIC HYPERPLASIA A RISK FACTOR FOR CHRONIC RENAL FAILURE?

2005; Lippincott Williams & Wilkins; Volume: 173; Issue: 3 Linguagem: Inglês

10.1097/01.ju.0000153518.11501.d2

1527-3792

Andrew D. Rule, Michael M. Lieber, Steven J. Jacobsen,

Urologic and reproductive health conditions

No AccessJournal of UrologyReview Articles1 Mar 2005IS BENIGN PROSTATIC HYPERPLASIA A RISK FACTOR FOR CHRONIC RENAL FAILURE? ANDREW D. RULE, MICHAEL M. LIEBER, and STEVEN J. JACOBSEN ANDREW D. RULEANDREW D. RULE More articles by this author , MICHAEL M. LIEBERMICHAEL M. LIEBER More articles by this author , and STEVEN J. JACOBSENSTEVEN J. JACOBSEN More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000153518.11501.d2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Benign prostatic hyperplasia (BPH) and chronic renal failure (CRF) are common medical conditions in older men. Based on the low prevalence of CRF in clinical trials recent American Urological Association guidelines have not recommended routine serum creatinine screening in men presenting with lower urinary tract symptoms. However, chronic renal failure is a well described complication of obstructive BPH. Materials and Methods: A structured MEDLINE review of the literature on the association between BPH and CRF from 1966 to 2003 was performed. Results: Most studies were referral based and did not represent the full spectrum of BPH in men. The definition of renal failure varied from a serum creatinine cutoff of 1.5 to 3.0 mg/dl. Differentiating acute and chronic renal failure, and acute and chronic urinary retention was often not done. Various combinations of chronic retention with large residual urine volumes (greater than 300 ml), detrusor instability and decreased bladder compliance were associated with chronic renal failure. Ureterovesicular junction obstruction from bladder remodeling in chronic urinary retention was the most commonly proposed mechanism for CRF. However, episodic acute urinary retention, urinary tract infections and secondary hypertension may also have a role. Studies showed significant improvement in renal function after prostate surgery but the acuity of renal failure was generally not known. Conclusions: The extent of the association between BPH and CRF is unknown and more community based, observational studies are needed. However, an association exists and it should be considered in men presenting with obstructive BPH or CRF. References 1 : Benign prostatic hyperplasia: a progressive disease of aging men. Urology2003; 61: 267. Google Scholar 2 : The development of human benign prostatic hyperplasia with age. J Urol1984; 132: 474. Link, Google Scholar 3 : New diagnostic and treatment guidelines for benign prostatic hyperplasia. Potential impact in the United States. Arch Intern Med1995; 155: 477. Google Scholar 4 : National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med2003; 139: 137. Google Scholar 5 : A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med1999; 130: 461. Google Scholar 6 : A simplified equation to predict glomerular filtration rate from serum creatinine. J Am Soc Nephrol2000; 11: A0828. Google Scholar 7 : Prevalence of chronic kidney disease and decreased kidney function in the adult US population: Third National Health and Nutrition Examination Survey. Am J Kidney Dis2003; 41: 1. Google Scholar 8 : Risk factors for chronic kidney disease: a prospective study of 23,534 men and women in Washington County, Maryland. J Am Soc Nephrol2003; 14: 2934. Google Scholar 9 Excerpts from the USRDS 2003 Annual Data Report: Atlas of End-Stage Renal Disease in the United States: US Renal Data System, p. S1–S230, 2003 Google Scholar 10 : AUA guideline on management of benign prostatic hyperplasia (2003). Chapter 1: diagnosis and treatment recommendations. J Urol2003; 170: 530. Link, Google Scholar 11 : The long-term effect of doxazosin, finasteride, and combination therapy on the clinical progression of benign prostatic hyperplasia. N Engl J Med2003; 349: 2387. Google Scholar 12 : Prevalence of urinary symptoms and other urological conditions in Spanish men 50 years old or older. J Urol1996; 155: 1965. Link, Google Scholar 13 : Prevalence and outcome of renal impairment at prostatectomy. Br J Urol1993; 71: 464. Google Scholar 14 : Benign prostatic hyperplasia: diagnosis and treatment. Clinical Practice Guideline, Number 8. Agency for Health Care Policy and Research. Publication No. 04-0583. Rockville, Maryland: Public Health Service, United States Department of Health and Human ServicesFebruary 1994. Google Scholar 15 : Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients. J Urol1989; 141: 243. Abstract, Google Scholar 16 : 5-Year outcome of surgical resection and watchful waiting for men with moderately symptomatic benign prostatic hyperplasia: a Department of Veterans Affairs cooperative study. J Urol1998; 160: 12. Link, Google Scholar 17 : Obstructive uropathy in patients with benign prostatic hyperplasia. J Urol1989; 141: 866. Link, Google Scholar 18 : Serum creatinine measurements in men with lower urinary tract symptoms secondary to benign prostatic hyperplasia. Urology1997; 49: 697. Google Scholar 19 : Occult progressive renal damage in the elderly male due to benign prostatic hypertrophy. J Am Geriatr Soc1979; 27: 403. Google Scholar 20 : Renal and bladder function recovery after prostatectomy in patients with a chronic residual urine of above 1,000 ml. Eur Urol1988; 14: 434. Google Scholar 21 : Late renal failure due to prostatic outflow obstruction: a preventable disease. BMJ1989; 298: 156. Google Scholar 22 : Is bladder outlet obstruction normal in elderly men without lower urinary tract symptoms?. Neurourol Urodyn1999; 18: 545. Google Scholar 23 : Renal function in prostatism. Lancet1957; 1: 1322. Google Scholar 24 : Renal function in prostatic hyperplasia. Urol Int1965; 20: 191. Google Scholar 25 : Correlation of transrectal ultrasound measurements of prostate and transition zone size with symptom score, bother score, urinary flow rate, and post-void residual volume. Urology1998; 52: 462. Google Scholar 26 : Is the conservative management of chronic retention in men ever justified?. BJU Int2003; 92: 581. Google Scholar 27 : Urodynamic risk factors for renal dysfunction in men with obstructive and nonobstructive voiding dysfunction. J Urol1997; 158: 181. Link, Google Scholar 28 : Chronic retention of urine. The relationship between upper tract dilatation and bladder pressure. Br J Urol1986; 58: 647. Google Scholar 29 : Long-term monitoring of bladder pressure in chronic retention of urine: the relationship between detrusor activity and upper tract dilatation. J Urol1988; 140: 330. Link, Google Scholar 30 : The outcome of renal ultrasound in the assessment of 556 consecutive patients with benign prostatic hyperplasia. J Urol1996; 155: 186. Link, Google Scholar 31 : Nondilated obstructive nephropathy. Arch Intern Med1983; 143: 696. Google Scholar 32 : Reversible hypertension associated with unrecognised high pressure chronic retention of urine. Lancet1987; 1: 1052. Google Scholar 33 : Unrecognised high pressure chronic retention of urine presenting with systemic arterial hypertension. BMJ1989; 298: 1626. Google Scholar 34 : Urinary tract obstruction. In: . Denver: Lippincott Williams & Wilkins2001: 757. sect. IV. Google Scholar 35 : Irreversible renal failure in men with outflow obstruction: is it a preventable disease?. Postgrad Med1990; 66: 996. Google Scholar 36 : High pressure chronic retention. Incidence, aetiology and sinister implications. Br J Urol1986; 58: 644. Google Scholar 37 : High pressure chronic retention. BMJ1983; 286: 1780. Google Scholar 38 : Identification of the poor risk patient with “prostatism” and detrusor failure. Br J Urol1986; 58: 290. Google Scholar 39 : Relationship between bladder morphology and long-term outcome of treatment in patients with high pressure chronic retention of urine. Br J Urol1991; 67: 280. Google Scholar 40 : Hydronephrosis and renal deterioration in the elderly due to abnormalities of the lower urinary tract and ureterovesical junction. Int Urol Nephrol2000; 32: 119. Google Scholar 41 : Bladder compliance in patients with benign prostatic hyperplasia. Neurourol Urodyn1997; 16: 19. Google Scholar 42 : Natural history of prostatism: risk factors for acute urinary retention. J Urol1997; 158: 481. Link, Google Scholar 43 : Spectrum of renal diseases in the elderly: single center experience from a developing country. Int Urol Nephrol2001; 33: 227. Google Scholar 44 : Proteinuria and renal function during and after acute urinary retention. J Urol1999; 161: 1781. Link, Google Scholar 45 : Effect of acute urinary retention on glomerular filtration rate. Clin Nephrol2001; 56: 81. Google Scholar 46 : Long-term renal dysfunction in patients with acute urinary retention. Scand J Urol Nephrol2001; 35: 44. Google Scholar 47 : Tubule recovery after obstructive nephropathy relief: the value of enzymuria and microproteinuria. J Urol1987; 138: 24. Link, Google Scholar 48 : Benign prostatic hypertrophy and uraemia. A review of 315 cases. Br J Surg1970; 57: 561. Google Scholar 49 : The impact of renal impairment on the management of patients with lower urinary tract obstruction. Trop Doct1997; 27: 75. Google Scholar 50 : Urinary obstruction causes irreversible renal failure by inducing chronic tubulointerstitial nephritis. Clin Nephrol1997; 48: 125. Google Scholar 51 : Chronic interstitial nephritis: etiologic factors. Ann Intern Med1975; 82: 453. Google Scholar 52 : Utility of ultrasound of the upper urinary tract in elderly men with indicators of obstructive symptoms or abnormal flow: how often can silent hydronephrosis be detected in general practice?. Fam Pract1998; 15: 534. Google Scholar 53 : The value of ultrasound scanning of the upper urinary tract in patients with bladder outlet obstruction. Br J Urol1991; 68: 169. Google Scholar 54 : Excretory urography in patients with prostatism. AJR Am J Roentgenol1986; 147: 957. Google Scholar 55 : EAU Guidelines on benign prostatic hyperplasia (BPH). Eur Urol2001; 40: 256. Google Scholar 56 : The effect of prostatectomy on upper urinary tract function. Scand J Urol Nephrol1982; 16: 97. Google Scholar 57 : Intervention studies. In: Epidemiology in Medicine. Edited by . Boston: Little, Brown and Co.1987: 185. Google Scholar 58 : Prolonged recovery of renal function after prostatectomy for prostatic outflow obstruction. BMJ1990; 300: 1376. Google Scholar 59 : Reversibility of long-standing urinary tract obstruction requiring long-term dialysis. Arch Intern Med1992; 152: 177. Google Scholar From the Division of Nephrology, Department of Medicine (ADR), Department of Urology (MML) and Division of Epidemiology, Department of Health Science Research (ADR, SJJ), Mayo Clinic College of Medicine, Rochester, Minnesota© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byPonholzer A, Temml C, Obermayr R, Rauchenwald M and Madersbacher S (2018) The Association Between Lower Urinary Tract Symptoms and Renal Function in Men: A Cross-Sectional and 5-Year Longitudinal AnalysisJournal of Urology, VOL. 175, NO. 4, (1398-1402), Online publication date: 1-Apr-2006. Volume 173Issue 3March 2005Page: 691-696 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordskidneyprostatekidney failureprostatic hyperplasiaMetricsAuthor Information ANDREW D. RULE More articles by this author MICHAEL M. LIEBER More articles by this author STEVEN J. JACOBSEN More articles by this author Expand All Advertisement PDF downloadLoading ...