Treatment for benign prostatic hyperplasia among community dwelling men : The olmsted county study of urinary symptoms and health status.
We describe treatments for benign prostatic hyperplasia (BPH) among men participating in the Olmsted County study of urinary symptoms and health status among men during 10,000 person-years of followup.
Materials and Methods
A cohort of 2,115 men 40 to 79 years old was randomly selected from an enumeration of the Olmsted County, Minnesota population (55% response rate).
Participants completed a previously validated baseline questionnaire to assess symptom severity and voided into a portable urometer.
A 25% random subsample underwent transrectal sonographic imaging of the prostate to determine prostate volume and measurement of serum prostate specific antigen.
Followup included retrospective review of community medical records and completion of a biennial questionnaire to determine the occurrence of medical and surgical treatment for BPH in the subsequent 6 years.
During more than 10,000 person-years of followup 167 men were treated, yielding an overall incidence of 16.0/1,000 person-years.
There was a strong age related increase in risk of any treatment from 3.3/1,000 person-years for men 40 to 49 years old to more than 30/1,000 person-years for those 70 years old or older.
Men with moderate to severe symptoms (American Urological Association symptom index greater than 7), depressed peak urinary flow rates (less than 12 ml. per second), enlarged prostate (greater than 30 ml.) or elevated serum prostate specific antigen (1.4 ng./ml. (...)
Mots-clés Pascal : Adénome, Prostate, Prostatisme, Prostatectomie, Exploration, Traitement, Epidémiologie, Adulte, Homme, Mâle, Etats Unis, Amérique du Nord, Amérique, Appareil urinaire pathologie, Appareil génital mâle pathologie, Prostate pathologie, Tumeur bénigne, Chirurgie
Mots-clés Pascal anglais : Adenoma, Prostate, Prostatism, Prostatectomy, Exploration, Treatment, Epidemiology, Adult, Human, Male, United States, North America, America, Urinary system disease, Male genital diseases, Prostate disease, Benign neoplasm, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0494886
Code Inist : 002B14D02. Création : 22/03/2000.