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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
FLORES-AGUILAR, Aarón et al. Relationship between lower urinary tract symptoms and prostatic anatomic characteristics in patients with obesity and severe obesity. Cir. cir. [online]. 2020, vol.88, n.6, pp.698-702. Epub 08-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19001209.
Objective:
The objective of the study was to compare lower urinary tract symptoms and prostatic anatomic characteristic with prostatic enlargement in obese patients.
Materials and methods:
A comparative and cross-sectional study was conducted from October 2018 to November 2018. Lower urinary tract symptoms were compared in patients with body mass index (BMI) 30-34.9 and BMI 35-39. To evaluate these symptoms, the International Prostatic Symptom Score (IPSS) was used on 537 patients. The variables were age, weight and size, BMI, prostatic volume measurement by ultrasound, prostate-specific antigen (PSA), and finasteride treatment. Descriptive statistic was used, Cronbach's alpha, Fisher's exact test, and Chi-square.
Results:
One hundred fulfilled inclusion criteria. Mean values were age 68.73 years, weight 84.98 kg, size 1.61 m, BMI 32.62, ultrasonographic prostatic size was 69.09 cm3, and PSA 1.94 ng/dl. The IPSS was severe in 3.6% (Group 1), 17.6% (Group 2); moderate 72% (Group 1), 70.5% (Group 2); and mild 33.3% (Group 1), 11.7% (Group 2), with significant differences between both groups (p = 0.05). Differences between values of prostatic volume and BMI did not show statistical significance (p ≥ 0.05).
Conclusion:
Statistical association between obesity and severe obesity and lower urinary tract symptoms is positive.
Palabras llave : Benign prostatic hyperplasia; Obesity; Urinary symptoms.