Effect of lower urinary tract anatomy measured on three-dimensional reconstruction using magnetic resonance imaging on the treatment of benign prostatic hyperplasia decision
Background: To examine the impact of urinary tract anatomical parameters on treatment decisions for benign prostatic hyperplasia (BPH) in patients with lower urinary tract symptoms (LUTS). Methods: Male patients with a prostate volume (PV) greater than 25 mL, presenting with LUTS/BPH, and treated...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2025-01-01
|
| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20250124-471/pdf/JOMH2024091001.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background: To examine the impact of urinary tract anatomical parameters on treatment
decisions for benign prostatic hyperplasia (BPH) in patients with lower urinary
tract symptoms (LUTS). Methods: Male patients with a prostate volume (PV) greater than 25
mL, presenting with LUTS/BPH, and treated at Jinhua People’s Hospital between
June 2021 and May 2024 were included in this study. Patients were categorized
into surgery-required (NS) and non-surgery-required (non-NS) groups based on
uroflowmetry results and the International Prostate Symptom Score (IPSS).
Magnetic Resonance Imaging (MRI) with three-dimensional (3D) reconstruction was
utilized to accurately measure urinary tract anatomical parameters. Results: A total of
119 patients were included, with 51.3% requiring surgery. Binary logistic
regression analysis identified bladder wall volume (BWV) Odds Ratio (OR) 1.286;
95% Confidence Internal (95% CI), 1.105 to 1.497; p = 0.001),
intravesical prostatic protrusion (IPP) (OR 1.585; 95% CI, 1.165 to 2.157;
p = 0.003), and prostatic urethral angle (PUA) (OR 1.158; 95% CI, 1.036
to 1.294; p = 0.01) as significant predictors of the need for surgery.
Receiver operating characteristic curve analysis revealed optimal cutoff values
for distinguishing the need for surgery: BWV of 47 mL (area under the curve
(AUC): 0.837), PUA of 47.15° (AUC: 0.903), and IPP of 8.45 mm (AUC:
0.922). The sensitivity, specificity, and accuracy of BWV, IPP and PUA were
68.9%, 86.2% and 75.6%; 86.9%, 82.8% and 82.4%; and 82.2%, 87.9% and
81.5%, respectively. The combined area under the curve for the three parameters
was 0.979. Conclusions: Measurements of BWV, PUA and IPP are effective in determining whether
patients with LUTS/BPH require surgery. |
|---|---|
| ISSN: | 1875-6867 1875-6859 |