PMID: 7544515Sep 1, 1995Paper

Natural history of benign prostatic hyperplasia: appropriate case definition and estimation of its prevalence in the community

Urology
J L BoschF H Schröder

Abstract

There is no consensus about a case definition of benign prostatic hyperplasia (BPH). In the present study, BPH prevalence rates were determined using various case definitions based on a combination of clinical parameters used to describe the properties of BPH: symptoms of prostatism, prostate volume increase, and bladder outflow obstruction. The aim of this study--in a community-based population of 502 men (55-74 years of age) without prostate cancer--was to determine the relative impact on prevalence rates of the inclusion of these different parameters (and of different cutoff values for these parameters) in a case definition of BPH. There is agreement that age is the dominant determinant of BPH. However, of 28 different case definitions that were formulated, only eight gave a statistically significant increase in the prevalence of BPH with age. The highest overall prevalence of 19% (95% confidence interval [CI], 15-23%) occurred using the definition that combines a prostate volume > 30 cm3 and an International Prostate Symptom Score (IPSS) > 7. The lowest prevalence rate of 4.3% (95% CI, 2-6%) occurred using the definition that combines a prostate volume > 30 cm3, an IPSS > 7, a maximum flow rate < 10 mL/s, and the presence o...Continue Reading

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Citations

Mar 26, 2004·European Urology·Michael MarbergerJean de la Rosette
Feb 25, 1998·The Journal of Urology·J A Chicharro-MoleroJ M Rodriguez-Vallejo
Jan 12, 1999·British Journal of Urology·A C Diokno
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Jan 1, 1997·International Journal of Urology : Official Journal of the Japanese Urological Association·Y HommaY Aso
May 1, 1997·International Journal of Urology : Official Journal of the Japanese Urological Association·T Tsukamoto, N Masumori
Nov 3, 2001·BMJ : British Medical Journal·M J Barry, C G Roehrborn
Feb 20, 2007·Postgraduate Medical Journal·Stephen S Connolly, John M Fitzpatrick
Apr 20, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Nishant D Patel, J Kellogg Parsons
Nov 6, 2009·Systems Biology in Reproductive Medicine·ZhiLong DongWenYuan Chen
Feb 24, 2006·Obesity·Sangyeoup LeeSung Soo Kim
Feb 24, 2015·Life Sciences·Olta Allkanjari, Annabella Vitalone
Jan 20, 2015·Korean journal of urology·Hyeok Jun GohHong Sang Moon
May 6, 2016·Nature Reviews. Disease Primers·Bilal ChughtaiSteven A Kaplan
Aug 9, 2005·The American Journal of Medicine·Steven B ZeliadtScott D Ramsey
Dec 28, 2005·The American Journal of Medicine·Mary McNaughton-Collins, Michael J Barry
Dec 22, 1999·The Journal of Urology·R O RobertsM M Lieber
Oct 22, 2019·International Journal of Clinical Practice·Jialin MengChaozhao Liang

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