KMID : 0358320150560010068
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Korean Journal of Urology 2015 Volume.56 No. 1 p.68 ~ p.75
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Community-based research on the benign prostatic hyperplasia prevalence rate in Korean rural area
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Goh Hyeok-Jun
Kim Shin-Ah Nam Ji-Won Choi Bo-Youl Moon Hong-Sang
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Abstract
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Purpose: We investigated the prevalence rate of benign prostatic hyperplasia (BPH) among Korean males in a rural area through a cross-sectional, community-based epidemiologic survey and analyzed the correlation with epidemiologic factors.
Materials and Methods: A total of 779 males who lived in Yangpyeong County participated in a prostate examination campaign. Targeting these men, we collected the International Prostate Symptom Score (IPSS), medical history, demographic information, serum prostate-specific antigen, and prostate volume as measured by transrectal ultrasonography. The data for 599 participants were analyzed, excluding 180 men who had a possibility of prostate cancer. BPH was defined as an IPSS of 8 points or higher and a prostate volume of 25 mL or more.
Results: The prevalence rate of BPH was 20.0%. The prevalence rate increased with age. There were 2 subjects (4.4%) in the age group of 40-49 years, 18 subjects (10.9%) in the age group of 50-59 years, 44 subjects (22%) in the age group of 60-69 years, and 56 subjects (26.6%) in the age group of over 70 years; this increase with age was statistically significant (p<0.001). In the BPH group, the average IPSS was 14.67¡¾5.95, the average prostate volume was 37.04¡¾11.71 g, and the average prostate-specific antigen value was 1.56¡¾0.88 ng/mL. In the analysis of correlations between the epidemiologic factors and the risk of BPH, smoking was the only statistically significant factor.
Conclusions: The total prevalence rate of BPH in this study was 20.0%, which was a little lower than the rate reported in other cities or rural areas.
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KEYWORD
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Prevalence, Prostatic hyperplasia
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