Süleyman BULUT, Binhan Kağan AKTAŞ, Tağmaç DEREN, Cüneyt ÖZDEN, Öztuğ ADSAN, Ali MEMİŞ

Medikal veya cerrahi tedavi adayı benign prostat hiperplazili hastalarda prostatik rezistif indeks düzeyleri

Amaç: Daha önce yapılan çalışmalarda benign prostat hiperplazili BPH hastalarda power Doppler ultrasonografide prostatik rezistif indeks PRİ düzeylerinin artmış olduğu tespit edilmiştir. Gereç ve Yöntem: Bu çalışmada medikal ya da cerrahi tedavi adayı olan BPH’li hastaların PRİ düzeyleri değerlendirildi. Çalışmamıza BPH’li toplam 91 hasta dahil edildi ve üç gruba ayrıldı. Semptomları hafif olan 45 BPH hastasına medikal tedavi doksazosin 4mg/gün planlandı grup 1 . Şiddetli alt üriner sistem semptomları bulunan 28 grup 2 ve akut üriner retansiyon nedeniyle sonda takılan 18 grup 3 toplam 46 hasta cerrahi tedavi grubuna alındı. Bu üç grup klinik, laboratuvar değerleri ve PRİ düzeyleri bakımından karşılaştırıldı.Bulgular: Grup 1 ile hem grup 2 hem de 3 arasında istatistiksel olarak anlamlı fark varken, grup 2 ve 3 arasında ortalama PRİ düzeyi bakımından fark bulunmadı.Sonuç: Çalışmadan elde ettiğimiz sonuçlar, cerrahi endikasyonu bulunan BPH hastalarının medikal tedavi planlananlardan daha yüksek PRİ değerlerine sahip olduğunu göstermiştir

Anahtar Kelimeler:

Benign prostat hiperplazisi, power Doppler görüntüleme, prostatik rezistif indeks, transrektal ultrasonografi

Prostatic resistive ındex of benign prostatic hyperplasia patients candidate for surgery or medical therapy

Objective: Prostatic resistive index PRI on power Doppler ultrasonography has been previously shown to be risen in patients with benign prostatic hyperplasia BPH . In the present study, we have evaluated PRI values of BPH patients who would be treated either surgically or medically. Materials and Methods: A total of 91 BPH patients included in our study. The patients divided into 3 groups: Group 1: Fourty five medical therapy candidates, Group 2: Twenty eight patients who had severe lower urinary tract symptoms, Group 3: Eighteen catheterized patients due to acute urinary retention. Fourty five patients in group 1 were planned to be given doxazocine 4mg daily and 46 patients in group 2 and 3 28+18=46 were considered candidates for surgery. Three groups were compared regarding clinical, laboratory data and PRI levels. Results: Statistically significant differences were observed between group 1 and both group 2 and group 3 while no difference existed between group 2 and 3.Conclusion: Our results showed that BPH patients candidate for surgery had higher PRI than medical therapy candidates

Keywords:

Benign prostatic hyperplasia, power Doppler imaging, prostatic resistive index, transrectal ultrasonography,

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