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Joao Zambon describes for SIIC the most significant aspects of his article describe para SIIC los aspectos relevantes de su artículo The correlation between uroflometry, IPSS and prostate size UROFLOWMETRY IN A LARGE POPULATION OF ASYMPTOMATIC MEN TThe aim of this study was to assess the uroflowmetry data in a large population of asymptomatic Brazilian men submitted to a health check up program and correlate this data with prostate symptoms and prostate size. A total of 1041 men between 40 and 70 men, with IPSS< 7 and PSA < 4.0 ng/ml were included in this analysis. The average population age was 49 years and the average flow rate was 17.4 ml/s. Despite of prostate size and symptoms increase with age, there was a weak correlation between different Qmax cutoffs (10 ml/s and 15 ml/s). Even men above 60 years old had average Qmax higher than 15 ml/s. We believe that the establishment of a normal uroflow cutoff seems to be complicated and uroflowmetry data should be interpreted with caution in order to avoid misdiagnosis. Qmax: maximum flow rate The article was published by El artículo fue publicado por
Principal institution where the research took place Institución principal de la investigación Hospital Israelita Albert Einstein - Unidade de Check Up, Sao Paulo, SP, Brazil  Authors' Report Crónica del Autor Bibliographic references Referencias bibliográficas 1. Al-Hayek S, Thomas A, Abrams P: Natural history of detrusor contractility--minimum ten-year urodynamic follow-up in men with bladder outlet obstruction and those with detrusor. Scand J Urol Nephrol Suppl. 2004; 215: 101-8. 2. Thomas AW, Cannon A, Bartlett E, Ellis-Jones J, Abrams P: The natural history of lower urinary tract dysfunction in men: minimum 10-year urodynamic follow-up of untreated detrusorunderactivity. BJU Int. 2005; 96: 1295-300. 3. Rosario DJ, Woo HH, Chapple CR: Definition of normality of pressure-flow parameters based on observations in asymptomatic men. Neurourol Urodyn. 2008; 27: 388-94. 4. Nitti VW: Pressure flow urodynamic studies: the gold standard for diagnosing bladder outlet obstruction. Rev Urol. 2005; 7 Suppl 6: S14-21. 5. Siroky MB, Olsson CA, Krane RJ: The flow rate nomogram: II. Clinical correlation. J Urol. 1980; 123: 208-10. 6. Haylen BT, Ashby D, Sutherst JR, Frazer MI, West CR: Maximum and average urine flow rates in normal male and female populations--the Liverpool nomograms. Br J Urol. 1989; 64: 30-8. 7. Walker RM, Romano G, Davies AH, Theodorou NA, Springall RG, Carter SS: Pressure flow study data in a group of asymptomatic male control patients 45 years old or older. J Urol. 2001; 165: 683-7. 8. Reynard JM, Yang Q, Donovan JL, Peters TJ, Schafer W, de la Rosette JJ, et al.: The ICS-’BPH’ Study: uroflowmetry, lower urinary tract symptoms and bladder outlet obstruction. Br J Urol. 1998; 82: 619-23. 9. de la Rosette JJ, Witjes WP, Schäfer W, Abrams P, Donovan JL, Peters TJ, et al.: Relationships between lower urinary tract symptoms and bladder outlet obstruction: results from the ICS-”BPH” study. Neurourol Urodyn. 1998; 17: 99-108. 10. McLoughlin J, Gill KP, Abel PD, Williams G: Symptoms versus flow rates versus urodynamics in the selection of patients for prostatectomy. Br J Urol. 1990; 66: 303-5. 11. Gerstenberg TC, Andersen JT, Klarskov P, Ramirez D, Hald T: High flow infravesical obstruction in men: symptomatology, urodynamics and the results of surgery. J Urol. 1982; 127: 943-5. 12. Abrams P, Bruskewitz R, de La Rossette J: The diagnosis of bladder outlet obstruction: urodynamics. In: Cockett ATK, Khouri S, Aso Y, et al., eds. Proceedings, the 3rd Consultation on BPH. World Health Organization. 1995; 299-367. SIIC System of Assisted Editing (SSEA) / Sistema SIIC de Edición Asistida (SSEA)
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Information about the full text Acerca del trabajo completo Uroflowmetry in a Large Population of Brazilian Men Submitted to a Health Check Up Program and Its Correlation With Ipss and Prostate Size Author / Autor Joao Zambon1, Nelson Batezini2, Amir Karam3, Raquel Conceicao4, Jose Maluf Carvalho5, Fernando Almeida6 6 Md Phd, Universidade Federal de Sao Paulo, Professor Access to the original source International Brazilian Journal of Urology Article URL: / URL del artículo: http://www.brazjurol.com.br/ URL of Abstract page in Medline: / URL del abstract en Medline: http://www.ncbi.nlm.nih.gov/pubmed/24456775 siic DB: / siic DB: http://www.siicsalud.com/main/distriprinrel.php |
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