Nigerian Postgraduate Medical Journal (Jan 2013)
Benign Prostate Hyperplasia: Average Volume in Southwestern Nigerians and Correlation with Anthropometrics
Abstract
Objectives: To determine the prevalent age of symptomatic benign prostate hyperplasia (BPH), the average BPH volume, and the association between BPH volumes and the age, and anthropometrics in our immediate black community. Patients, Materials and Method: Selected patients with lower urinary tract symptoms (LUTS) due to BPH with tissue diagnosis, and adult men of similar age group with no irritative or obstructive LUTS were prospectively studied from July 2003 to June 2009. The age, height and weight were recorded, prostate volumes determined with ultrasound, body mass index (bmi) calculated, and correlations determined between the prostate volume and the age, and anthropometrics. Results: 105 patients aged 43-88yrs (mean=64.4, 8.88SD) managed for BPH were studied with 93 asymptomatic men aged 43-80yrs (mean=56.15, 9.89SD). The mean(SD) prostate volume, height, weight and bmi were 83.8(37.7)ml, 1.67(0.07)m, 63.6(9.32)kg and 22.8(3.03)kg/m2, and 24.5(9.2)ml, 1.69(0.06)m, 68.9(10.6)kg and 24.2(3.44)kg/m2 respectively for symptomatic and asymptomatic groups. In the symptomatic group, BPH volume showed significant positive correlation with the age (p=0.030), but no correlation with the weight (p=0.550), height (p=0.375) and bmi (p=0.840). In the asymptomatic group, prostate volume also showed significant positive correlation with the age (p=0.041), but no correlation with the weight (p=0.434), height (p= 0.394), and bmi (p=0.203). Conclusion: The prevalent age of symptomatic BPH in our community is 43- 88years with 83.79(37.66)ml mean(SD) volume in symptomatic patients and 24.45(9.21)ml in asymptomatic men. BPH volume correlates with age but not with anthropometrics. Lack of correlation with BPH volume suggests that anthropometrics may not be risk factors for development of BPH in our community.
