Abstract:

Objective: To evaluate in detail, transurethral resection of prostate candidate, benign prostate hyperplasia BPH patients over age 40 for lower urinary tract symptoms LUTS and the other diagnostic parameters according to the presence of prostatic calcifications.Materials and Methods: Thirty nine patients admitted to our clinic with LUTS were included in the study. A complete urinalysis, serum total and free prostate-specific antigen levels, uroflowmetric measurements, the amount of residual urine, blood uria and creatinine levels, transrectal ultrasound prostate volumes of the patients were recorded. International prostate symptom scores IPSS with separate irritative and obstructive symptom assessment and quality of life scores of patients were also recorded. Pre-operative pelvic computed tomography CT was performed, prostate volumes and prostatic densities at 3 points anterior, posterior, and peripheral were measured and the average densities were calculated. According to CT, prostatic calcifications over 3mm were recorded. Fifteen of 39 patients 38.5 percent had had prostatic calcification, while the remaining 24 percent 61.5 had not. Patients were divided into two groups; those with calcification group1 and those without group2. And two groups were compared in terms of all parameters examined.Results: In group1, Qmax was significantly lower p=0.039 and urge incontinence were more frequent p=0.021 than group2. Between the two groups studied there was no significant difference in all other parameters. Conclusion: Urge incontinence is more common and Qmax is lower in BPH patients with prostatic calcifications. Separate obstructive and irritative symptom assessment in addition to total IPSS is more informative in this group of patients

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