Evaluation of Non-invasive Parameters for the Detection of Bladder Outflow Obstruction in Patients with Symptomatic Benign Prostatic Hyperplasia Semptomatik Benign Prostatik Hiperplazili Hastalarda Mesane Çıkış Obstruksiyonunun Tespitinde Non-invazif Parametrelerin Değerlendirilmesi
Medical Journal of Bakirkoy, cilt.21, sa.2, ss.215-220, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/bmj.galenos.2025.2024.4-4
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.215-220
- Anahtar Kelimeler: Benign prostatic hyperplasia, bladder outflow obstruction, non-invasive parameters, ultrasonography, urodynamic
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To identify sonographic and morphological parameters of the prostate and bladder that predict bladder outlet obstruction (BOO) in benign prostate hyperplasia patients with lower urinary tract symptoms (LUTS). Methods: The data of patients evaluated for LUTS between 2019-2023 were retrospectively screened. Following the inclusion and exclusion criteria, 320 patients were included in the study. The patient’s medical history, physical examination, laboratory findings, ultrasonography findings, and urodynamic examination results were recorded. In the urodynamic examination, participants were divided into two groups: Group 1 (n=180) with a BOO index (BOOI) ≥40, and Group 2 (n=140) with a BOOI <40. These two groups were then compared. Results: There was no statistical difference in age and international prostate symptom score results between the two groups. In univariate analysis, maximal flow rate (Qmax), post-void residual urine volume, serum Prostate specific antigen, intravesical prostate protrusion (IPP), ultrasound estimated bladder weight, and bladder wall thickness were found to be significant predictors, while in multivariate analysis Qmax and IPP were determined as significant predictive factors. Conclusion: IPP and Qmax can be used as non-invasive tests to predict BOO in patients evaluated with LUTS.