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Age-stratified normal values for prostate volume, PSA, maximum urinary flow rate, IPSS, and other LUTS/BPH indicators in the German male community-dwelling population aged 50 years or older

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Abstract

Purpose

To establish age-stratified normal values for prostate volume, serum total prostate-specific antigen (PSA) concentration, maximum urinary flow rate (Q max), micturition and postvoid residual urine volumes, IPSS, and quality of life. These community-derived values of healthy older men are necessary to correctly judge patients with lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH).

Methods

Analysis of LUTS/BPH-related determinants in community-dwelling men in the city of Herne, Germany after exclusion of subgroups with co-morbidities or co-medications with possible influence on the key items.

Results

The analysis is based on 1,763 participants. In these men aged 50–80 years, mean total prostate volume continuously increased from 24 to 38 cc and mean PSA concentration from 1.1 to 2.5 ng/ml. PSA concentration in men with a prostate volume <25 cc also showed a continuous increase with aging, starting at 0.8 in the youngest and ending at 1.9 ng/ml in the oldest age group. Mean Q max of free uroflowmetry (from 22.1 to 13.7 ml/s) and mean micturition volume (from 329 to 193 cc) showed a continuous decrease that was dependent on prostate size. Mean postvoid residual urine was nearly unchanged over the age groups at approximately 20–30 cc. Although IPSS increased continuously with aging (from 4 to 7), QoL remained unchanged at 2 over the age groups. Prostate size had a minor impact on IPSS.

Conclusions

Normal values for investigated LUTS/BPH-related determinants and the influence of aging hereon should serve as references during the assessment of Caucasian patients in Europe.

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Abbreviations

BPE:

Benign prostatic enlargement

BPH:

Benign prostatic hyperplasia

5ARI:

5α-reductase inhibitor

IPSS:

International prostate symptom score

LUTS:

Lower urinary tract symptoms

PSA:

Prostate-specific antigen

PV:

Prostate volume

Q max :

Maximum urinary flow rate

QoL:

Quality of life derived from IPSS

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Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Urology, PAN-Klinik, Zeppelinstr. 1, 50667, Cologne, Germany

    Richard Berges

  2. Department of Urology, Hannover Medical School, Hannover, Germany

    Matthias Oelke

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  1. Richard Berges
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  2. Matthias Oelke
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Correspondence to Richard Berges.

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Berges, R., Oelke, M. Age-stratified normal values for prostate volume, PSA, maximum urinary flow rate, IPSS, and other LUTS/BPH indicators in the German male community-dwelling population aged 50 years or older. World J Urol 29, 171–178 (2011). https://doi.org/10.1007/s00345-010-0638-z

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  • DOI: https://doi.org/10.1007/s00345-010-0638-z

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