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• W52004720 abstract "No AccessJournal of Urology1 Aug 1993Relationship of Symptoms of Prostatism to Commonly Used Physiological and Anatomical Measures of the Severity of Benign Prostatic Hyperplasia Michael J. Barry, Abraham T.K. Cockett, H. Logan Holtgrewe, John D. McConnell, Stephen A. Sihelnik, and Howard N. Winfield Michael J. BarryMichael J. Barry Henry J. Kaiser Family Foundation Faculty Scholar in General Internal Medicine. More articles by this author , Abraham T.K. CockettAbraham T.K. Cockett More articles by this author , H. Logan HoltgreweH. Logan Holtgrewe More articles by this author , John D. McConnellJohn D. McConnell More articles by this author , Stephen A. SihelnikStephen A. Sihelnik More articles by this author , and Howard N. WinfieldHoward N. Winfield More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35482-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail In previous studies the severity of symptoms of prostatism in men with benign prostatic hyperplasia have not correlated well with prostate size, degree of bladder trabeculation, uroflowmetry or post-void residual volume. As part of a prospective cohort study of benign prostatic hyperplasia treatment effectiveness in 4 university-based urology practices, we correlated symptom severity and these commonly used measures of disease severity. Symptom severity was quantified using the American Urological Association symptom index. Analyses were based on 198 outpatients completing a standardized evaluation (84 of these men have completed 6 months of followup after treatment with prostatectomy, balloon dilation, terazosin or watchful waiting). At baseline, symptom severity was not correlated with uroflowmetry, post-void residual, prostate size and degree of bladder trabeculation. However, symptom severity was much more strongly related to overall health status than the other measures. Reduction in symptoms with treatment did correlate with improvements in uroflowmetry. This poor baseline correlation with symptoms may reflect unreliability in measurement of the physiological/anatomical variables. Alternatively, these parameters may be measuring different pathophysiological phenomena. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByChang I, Oh S and Kim S (2018) A Possible Relationship Between Testosterone and Lower Urinary Tract Symptoms in MenJournal of Urology, VOL. 182, NO. 1, (215-220), Online publication date: 1-Jul-2009.Truzzi J, Almeida F, Nunes E and Sadi M (2018) Residual Urinary Volume and Urinary Tract Infection—When are They Linked?Journal of Urology, VOL. 180, NO. 1, (182-185), Online publication date: 1-Jul-2008.St. Sauver J, Jacobson D, Girman C, Lieber M, McGree M and Jacobsen S (2018) Tracking of Longitudinal Changes in Measures of Benign Prostatic Hyperplasia in a Population Based CohortJournal of Urology, VOL. 175, NO. 3, (1018-1022), Online publication date: 1-Mar-2006.Belal M and Abrams P (2018) Noninvasive Methods of Diagnosing Bladder Outlet Obstruction in Men. Part 1: Nonurodynamic ApproachJournal of Urology, VOL. 176, NO. 1, (22-28), Online publication date: 1-Jul-2006.RULE A, JACOBSON D, McGREE M, GIRMAN C, LIEBER M and JACOBSEN S (2018) LONGITUDINAL CHANGES IN POST-VOID RESIDUAL AND VOIDED VOLUME AMONG COMMUNITY DWELLING MENJournal of Urology, VOL. 174, NO. 4 Part 1, (1317-1322), Online publication date: 1-Oct-2005.SHARIAT S, ASHFAQ R, ROEHRBORN C, SLAWIN K and LOTAN Y (2018) EXPRESSION OF SURVIVIN AND APOPTOTIC BIOMARKERS IN BENIGN PROSTATIC HYPERPLASIAJournal of Urology, VOL. 174, NO. 5, (2046-2050), Online publication date: 1-Nov-2005.Wadie B, Ebrahim E and Gomha M (2018) The Relationship of Detrusor Instability and Symptoms With Objective Parameters Used for Diagnosing Bladder Outlet Obstruction: A Prospective StudyJournal of Urology, VOL. 168, NO. 1, (132-134), Online publication date: 1-Jul-2002.FUSCO F, GROUTZ A, BLAIVAS J, CHAIKIN D and WEISS J (2018) VIDEOURODYNAMIC STUDIES IN MEN WITH LOWER URINARY TRACT SYMPTOMS: A COMPARISON OF COMMUNITY BASED VERSUS REFERRAL UROLOGICAL PRACTICESJournal of Urology, VOL. 166, NO. 3, (910-913), Online publication date: 1-Sep-2001.HYMAN M, GROUTZ A and BLAIVAS J (2018) DETRUSOR INSTABILITY IN MEN: CORRELATION OF LOWER URINARY TRACT SYMPTOMS WITH URODYNAMIC FINDINGSJournal of Urology, VOL. 166, NO. 2, (550-553), Online publication date: 1-Aug-2001.SECH S, MONTOYA J, GIRMAN C, RHODES T and ROEHRBORN C (2018) INTEREXAMINER RELIABILITY OF TRANSRECTAL ULTRASOUND FOR ESTIMATING PROSTATE VOLUMEJournal of Urology, VOL. 166, NO. 1, (125-129), Online publication date: 1-Jul-2001.WADIE B, IBRAHIM E, de la ROSETTE J, GOMHA M and GHONEIM M (2018) THE RELATIONSHIP OF THE INTERNATIONAL PROSTATE SYMPTOM SCORE AND OBJECTIVE PARAMETERS FOR DIAGNOSING BLADDER OUTLET OBSTRUCTION. PART I: WHEN STATISTICS FAILJournal of Urology, VOL. 165, NO. 1, (32-34), Online publication date: 1-Jan-2001.RODRIGUES P, LUCON A, FREIRE G and ARAP S (2018) URODYNAMIC PRESSURE FLOW STUDIES CAN PREDICT THE CLINICAL OUTCOME AFTER TRANSURETHRAL PROSTATIC RESECTIONJournal of Urology, VOL. 165, NO. 2, (499-502), Online publication date: 1-Feb-2001.STEELE G, SULLIVAN M, SLEEP D and YALLA S (2018) COMBINATION OF SYMPTOM SCORE, FLOW RATE AND PROSTATE VOLUME FOR PREDICTING BLADDER OUTFLOW OBSTRUCTION IN MEN WITH LOWER URINARY TRACT SYMPTOMSJournal of Urology, VOL. 164, NO. 2, (344-348), Online publication date: 1-Aug-2000.ROEHRBORN C, McCONNELL J, BONILLA J, ROSENBLATT S, HUDSON P, MALEK G, SCHELLHAMMER P, BRUSKEWITZ R, MATSUMOTO A, HARRISON L, FUSELIER H, WALSH P, ROY J, ANDRIOLE G, RESNICK M and WALDSTREICHER J (2018) SERUM PROSTATE SPECIFIC ANTIGEN IS A STRONG PREDICTOR OF FUTURE PROSTATE GROWTH IN MEN WITH BENIGN PROSTATIC HYPERPLASIAJournal of Urology, VOL. 163, NO. 1, (13-20), Online publication date: 1-Jan-2000.ROBERTS R, JACOBSEN S, JACOBSON D, RHODES T, GIRMAN C and LIEBER M (2018) LONGITUDINAL CHANGES IN PEAK URINARY FLOW RATES IN A COMMUNITY BASED COHORTJournal of Urology, VOL. 163, NO. 1, (107-113), Online publication date: 1-Jan-2000.CORICA F, JACOBSEN S, KING B, BOSTWICK D, JACOBSON D, GIRMAN C and LIEBER M (2018) PROSTATIC CENTRAL ZONE VOLUME, LOWER URINARY TRACT SYMPTOM SEVERITY AND PEAK URINARY FLOW RATES IN COMMUNITY DWELLING MENJournal of Urology, VOL. 161, NO. 3, (831-834), Online publication date: 1-Mar-1999.KOLMAN C, GIRMAN C, JACOBSEN S and LIEBER M (2018) DISTRIBUTION OF POST-VOID RESIDUAL URINE VOLUME IN RANDOMLY SELECTED MENJournal of Urology, VOL. 161, NO. 1, (122-127), Online publication date: 1-Jan-1999.MEIGS J, BARRY M, GIOVANNUCCI E, RIMM E, STAMPFER M and KAWACHI I (2018) INCIDENCE RATES AND RISK FACTORS FOR ACUTE URINARY RETENTION: THE HEALTH PROFESSIONALS FOLLOWUP STUDYJournal of Urology, VOL. 162, NO. 2, (376-382), Online publication 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HyperplasiaJournal of Urology, VOL. 158, NO. 1, (85-88), Online publication date: 1-Jul-1997.Masumori N, Tsukamoto T, Kumamoto Y, Miyake H, Rhodes T, Girman C, Guess H, Jacobsen S and Lieber M (2018) Age-Related Differences in Internal Prostatic Architecture on Transrectal Ultrasonography: Results of a Community Based Survey in JapanJournal of Urology, VOL. 157, NO. 5, (1718-1722), Online publication date: 1-May-1997.Sanda M, Doehring C, Binkowitz B, Beaty T, Partin A, Hale E, Stoner E and Walsh P (2018) Clinical and Biological Characteristics of Familial Benign Prostatic HyperplasiaJournal of Urology, VOL. 157, NO. 3, (876-879), Online publication date: 1-Mar-1997.Kaplan S and Reis R (2018) Significant Correlation of the American Urological Association Symptom Score and a Novel Urodynamic Parameter: Detrusor Contraction DurationJournal of Urology, VOL. 156, NO. 5, (1668-1672), Online publication date: 1-Nov-1996.El Din K, Kiemeney L, De Wildt M, Rosier P, Debruyne F and De La Rosette J (2018) The Correlation Between Bladder Outlet Obstruction and Lower Urinary Tract Symptoms as Measured by the International Prostate Symptom ScoreJournal of Urology, VOL. 156, NO. 3, (1020-1025), Online publication date: 1-Sep-1996.Kaplan S, Bowers D, Te A and Olsson C (2018) Differential Diagnosis of Prostatism: a 12-year Retrospective Analysis of Symptoms, Urodynamics and Satisfaction with TherapyJournal of Urology, VOL. 155, NO. 4, (1305-1308), Online publication date: 1-Apr-1996.Masumori N, Tsukamoto T, Kumamoto Y, Miyake H, Rhodes T, Girman C, Guess H, Jacobsen S and Lieber M (2018) Japanese Men Have Smaller Prostate Volumes But Comparable Urinary Flow Rates Relative to American Men: Results of Community Based Studies in 2 CountriesJournal of Urology, VOL. 155, NO. 4, (1324-1327), Online publication date: 1-Apr-1996.Reynard J, Lim C, Swami S and Abrams P (2018) The Obstructive Effect of a Urethral CatheterJournal of Urology, VOL. 155, NO. 3, (901-903), Online publication date: 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152, NO. 5 Part 1, (1498-1500), Online publication date: 1-Nov-1994. Volume 150Issue 2 Part 1August 1993Page: 351-358 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordssymptomsprostatic hypertrophyurodynamicsMetricsAuthor Information Michael J. Barry Henry J. Kaiser Family Foundation Faculty Scholar in General Internal Medicine. More articles by this author Abraham T.K. Cockett More articles by this author H. Logan Holtgrewe More articles by this author John D. McConnell More articles by this author Stephen A. Sihelnik More articles by this author Howard N. Winfield More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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• W52004720 title "Relationship of Symptoms of Prostatism to Commonly Used Physiological and Anatomical Measures of the Severity of Benign Prostatic Hyperplasia" @default.
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