Volume 19 Issue 1
Jan.  2021
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ZHOU Hao, SUN Chao, LI Bo, GUAN Han, CHEN Zhi-jun. The predictive value of serum prostate-specific antigen on prostate volume in patients with benign prostatic hyperplasia[J]. Chinese Journal of General Practice, 2021, 19(1): 46-48. doi: 10.16766/j.cnki.issn.1674-4152.001726
Citation: ZHOU Hao, SUN Chao, LI Bo, GUAN Han, CHEN Zhi-jun. The predictive value of serum prostate-specific antigen on prostate volume in patients with benign prostatic hyperplasia[J]. Chinese Journal of General Practice, 2021, 19(1): 46-48. doi: 10.16766/j.cnki.issn.1674-4152.001726

The predictive value of serum prostate-specific antigen on prostate volume in patients with benign prostatic hyperplasia

doi: 10.16766/j.cnki.issn.1674-4152.001726
Funds:

 KJ2019A0355

  • Received Date: 2020-07-15
    Available Online: 2022-02-19
  •   Objective  To evaluate the value of predicting prostate volume by analyzing the relationship between serum total prostate specific antigen (tPSA), free prostate specific antigen (fPSA), age and prostate volume (PV).  Methods  The clinical data of 111 patients with benign prostatic hyperplasia admitted to the Department of Urology, Bengbu Third People's Hospital from January 2018 to December 2019 were compiled. All patients underwent prostatectomy and pathologically confirmed benign glandular hyperplasia. Variance analysis and LSD multiple comparison method were used to analyze the differences in prostate volume, tPSA, fPSA of different age groups, and the differences in serum tPSA and fPSA of different prostate volumes. Pearson correlation analysis was further used to describe the difference between patient age, tPSA, fPSA and PV, and evaluate the value of age, tPSA, and fPSA in predicting PV.  Results  The differences in prostate volume, tPSA, and fPSA among the three age groups were statistically significant (F=5.137, P=0.007; F=7.551, P=0.001; F=5.186, P=0.007). After pairwise comparison, it was found that prostate volume, tPSA, and fPSA were not completely statistically significant, but there were statistical differences in serum tPSA and fPSA values of prostate volumes of different sizes (F= 8.187, P < 0.001; F=7.318, P=0.001), the serum tPSA and fPSA values increased with the increase of the anterior gland volume (all P < 0.05). The patient's age, serum tPSA and blood fPSA were positively correlated with PV (r=0.259, P=0.006; r=0.375, P < 0.001; r=0.339, P < 0.001).  Conclusion  The detection of serum tPSA and fPSA levels can be used to predict PV, which is helpful for judging the degree of disease development of patients with benign prostatic hyperplasia (BPH), assessing surgical risk and prognostic follow-up.

     

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