PMID- 31039569 OWN - NLM STAT- MEDLINE DCOM- 20200220 LR - 20200220 IS - 1423-0399 (Electronic) IS - 0042-1138 (Linking) VI - 103 IP - 2 DP - 2019 TI - The Effect of Intravesical Prostatic Protrusion in Patients with Benign Prostatic Hyperplasia: Controlled, Clinical Study. PG - 180-186 LID - 10.1159/000499437 [doi] AB - BACKGROUND: Although prostate cancer releases more prostate-specific antigen (PSA) per unit of prostate volume (PV), data are limited regarding the association between intravesical prostatic protrusion (IPP) and the PSA level. OBJECTIVES: The study aim was to evaluate the IPP effect in patients with benign prostatic hyperplasia. METHOD: This study included patients with (n = 119) and without (n = 121) IPP. The age, International Prostate Symptom Score (IPSS), PSA level, maximum and average flow rates, PV, hematuria, urinary retention, and post-void residual (PVR) volume were compared between the 2 groups. RESULTS: The mean ages were similar between the 2 groups (66.56 +/- 8.67 and 66.92 +/- 8.7 years, respectively, p = 0.747), and there were no statistically significant differences in the IPSS, maximum and average flow rates, hematuria, PVR volume, and urinary retention means (p > 0.05). However, the IPP patients had lower total PSA (tPSA) and free PSA (fPSA) levels than those without IPP (3.55 [4.18] vs. 5.26 [5.24] ng/mL, p = 0.013 and 0.7 [1.09] vs. 1.05 [1.23] ng/mL, p = 0.029, respectively). Moreover, there were strong positive correlations between the IPP grade and the tPSA and fPSA levels (r = 0.262, p = 0.001 and r = 0.254, p = 0.002 respectively). CONCLUSIONS: This study demonstrated that IPP results in a decreased PSA level, even with a higher PV. CI - (c) 2019 S. Karger AG, Basel. FAU - Kadihasanoglu, Mustafa AU - Kadihasanoglu M AD - Department of Urology, Istanbul Training and Research Hospital, Istanbul, Turkey, kadihasanoglu@gmail.com. FAU - Aydin, Mustafa AU - Aydin M AD - Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey. FAU - Taskiran, Mehmet AU - Taskiran M AD - MMT Amerikan Hastanesi, Gaziantep, Turkey. FAU - Kendirci, Muammer AU - Kendirci M AD - Department of Urology, Liv Hospital Ulus, Istinye University, Faculty of Medicine, Istanbul, Turkey. LA - eng PT - Clinical Study PT - Journal Article DEP - 20190430 PL - Switzerland TA - Urol Int JT - Urologia internationalis JID - 0417373 SB - IM MH - Aged MH - Humans MH - Male MH - Middle Aged MH - Prostate/*diagnostic imaging/*pathology MH - Prostatic Hyperplasia/*diagnostic imaging/*pathology MH - Retrospective Studies MH - Ultrasonography MH - Urinary Bladder/diagnostic imaging/pathology OTO - NOTNLM OT - Benign prostatic hyperplasia OT - Intravesical prostatic protrusion OT - Prostate OT - Prostate specific antigen OT - Ultrasound OT - Uroflowmetry EDAT- 2019/05/01 06:00 MHDA- 2020/02/23 06:00 CRDT- 2019/05/01 06:00 PHST- 2018/10/15 00:00 [received] PHST- 2019/02/04 00:00 [accepted] PHST- 2019/05/01 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] PHST- 2019/05/01 06:00 [entrez] AID - 000499437 [pii] AID - 10.1159/000499437 [doi] PST - ppublish SO - Urol Int. 2019;103(2):180-186. doi: 10.1159/000499437. Epub 2019 Apr 30.