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PREVALENCE OF BENIGN PROSTATIC HYPERPLASIA IN SPANISH MEN 40 YEARS OLD OR OLDER

1998; Lippincott Williams & Wilkins; Volume: 159; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(01)63760-1

1527-3792

J.A. CHICHARRO-MOLERO, R. Burgos-Rodriguez, José Juan Sánchez-Cruz, J.M. DEL ROSAL-SAMANIEGO, P. RODERO-CARCIA, José M. Rodríguez-Vallejo,

Pelvic floor disorders treatments

No AccessJournal of UrologyClinical Urology: Original Articles1 Mar 1998PREVALENCE OF BENIGN PROSTATIC HYPERPLASIA IN SPANISH MEN 40 YEARS OLD OR OLDER J.A. CHICHARRO-MOLERO, R. BURGOS-RODRIGUEZ, J.J. SANCHEZ-CRUZ, J.M. DEL ROSAL-SAMANIEGO, P. RODERO-CARCIA, and J.M. RODRIGUEZ-VALLEJO J.A. CHICHARRO-MOLEROJ.A. CHICHARRO-MOLERO , R. BURGOS-RODRIGUEZR. BURGOS-RODRIGUEZ , J.J. SANCHEZ-CRUZJ.J. SANCHEZ-CRUZ , J.M. DEL ROSAL-SAMANIEGOJ.M. DEL ROSAL-SAMANIEGO , P. RODERO-CARCIAP. RODERO-CARCIA , and J.M. RODRIGUEZ-VALLEJOJ.M. RODRIGUEZ-VALLEJO View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63760-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We estimate the prevalence of benign prostatic hyperplasia (BPH) according to symptoms as well as prostate obstruction determined by uroflowmetry and prostate size. Materials and Methods: A cross-sectional study was performed at the autonomous community of Andalusia in 1,106 men 40 years old or older. The International Prostate Symptom Score (I-PSS) questionnaire was used to establish symptoms, abdominal and transrectal ultrasonography was done to measure prostate size and uroflowmetry was performed to measure urinary flow obstruction. Results: The prevalence of moderate or severe symptoms was 24.94% and it increased with age. Of the 1,106 subjects 4.19% had severe prostatism, while 12.45% had poor quality of life (I-PSS greater than 3). Average prostate size was greater than 30 gm. in men 60 years old or older. Maximum urine flow was less than 10 and 15 ml. per second in 25.97 and 55.67% of the men, respectively. The prevalence of BPH, defined as I-PSS greater than 7, maximum flow less than 15 ml. per second and prostate size greater than 30 gm., was 11.77% (range 0.75 to 30 at ages 40 to 49 and greater than 70 years, respectively). Conclusions: The prevalence of BPH increases with age. Moderate prostatism is perceived as resulting in poor quality of life by young subjects and good quality of life by some older subjects. In some men there were symptoms and obstruction but no prostate enlargement. This percentage persists with age after 50 years, when the prevalence of BPH starts to increase. References 1 : Prevalence of urinary symptoms and other urological conditions in Spanish men 50 years old or older. J. Urol.1996; 155: 1965. Link, Google Scholar 2 : Results of an epidemiological survey using a modified American Urological Association symptom index for benign prostatic hyperplasia in France. J. Urol.1994; 151: 1266. Abstract, Google Scholar 3 : Prevalence of prostatism in Japanese men in a community-based study with comparison to a similar American study. J. Urol.1995; 154: 391. Link, Google Scholar 4 : The prevalence of prostatism: a population-based survey of urinary symptoms. J. Urol.1993; 150: 85. 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Google Scholar 11 : A comparison of the AUA symptom index in unselected males and females between the ages of 55-79 years. Urology1993; 42: 36. Google Scholar 12 : The development of human benign prostatic hyperplasia with age. J. Urol.1984; 132: 474. Link, Google Scholar 13 : Cultural and linguistic validation, in Spanish, of the International Prostatic Symptom Scale (I-PSS). Actas Urol. Esp.1994; 18: 841. Google Scholar 14 : A new look at bladder neck obstruction by the Food and Drug Administration regulators: guidelines for investigation of benign prostatic hypertrophy. Trans. Amer. Ass. Genito-Urin. Surg.1977; 68: 29. Google Scholar 15 : Benign prostatic hyperplasia: antecedents and natural history. Epidemiol. Rev.1992; 14: 131. Google Scholar 16 : Natural history of benign prostatic hyperplasia: appropriate case definition and estimation of its prevalence in the community. Urology1995; 46: 34. Google Scholar From the Department of Urology, Hospital Carlos Haya, Malaga, Department of Statistics, Andalusian Institute of Public Health, Granada and Merck Research Laboratories, Madrid, Spain.© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWADIE B, IBRAHIM E, de la ROSETTE J, GOMHA M and GHONEIM M (2018) THE RELATIONSHIP OF THE INTERNATIONAL PROSTATE SYMPTOM SCORE AND OBJECTIVE PARAMETERS FOR DIAGNOSING BLADDER OUTLET OBSTRUCTION. PART I: WHEN STATISTICS FAILJournal of Urology, VOL. 165, NO. 1, (32-34), Online publication date: 1-Jan-2001. Volume 159Issue 3March 1998Page: 878-882 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information J.A. CHICHARRO-MOLERO More articles by this author R. BURGOS-RODRIGUEZ More articles by this author J.J. SANCHEZ-CRUZ More articles by this author J.M. DEL ROSAL-SAMANIEGO More articles by this author P. RODERO-CARCIA More articles by this author J.M. 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