STRANGE BEDFELLOWS- PROSTATOMEGALY, CHOLELITHIASIS AND METABOLIC SYNDROME COMPONENTS- IS THERE A CORRELATION?
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 69
Abstract
BACKGROUND As life expectancy goes up, a noticeable increase in ageing populations are seen in both developed as well as developing nations. Prostatic enlargement and cholelithiasis are important causes of morbidity in the elderly with attendant demands on health care delivery systems. The aim of the study is to evaluate the frequency of urological and non-urological abnormalities on routine abdominal ultrasound scanning in patients with lower urinary tract symptoms and to determine if there is an association between the concomitant occurrence of prostatomegaly, cholelithiasis and components of the metabolic syndrome. MATERIALS AND METHODS Medical and ultrasound records of 509 male patients over the age of 40, who underwent abdominal ultrasonography for dyspeptic or lower urinary tract symptoms over a one-year period were analysed. RESULTS In 161 patients (31.6%), prostatomegaly was detected; 58 patients (11.4%) showed presence of cholelithiasis on ultrasound; 11 of those patients (18.9%) showed associated prostatomegaly. Other urological abnormalities were detected in 85 patients (16.7%) and in 8 patients (3.2%) non-urological abnormalities were detected by ultrasonography. Urological conditions detected included hydronephrosis (12 pts.), renal cysts (18 pts.) and renal calculi (55 pts.). Non-urological conditions included fatty liver (48 pts.), pancreatitis (4 pts.), splenomegaly (4 pts.); 86 out of 233 patients (36.8%) with diabetes mellitus, 90 out of 205 (43.9%) with hypertension and 58 out of 158 (36.7%) with hypercholesterolaemia also showed prostatomegaly on their ultrasound scan. CONCLUSION Prostatomegaly shows statistically significant associations with ultrasound of genitourinary system findings namely hydronephrosis, renal calculi and renal cortical cysts. Two non-urological conditions which were significantly associated with prostatomegaly were fatty liver and cholelithiasis. Strong associations are noted between diabetes mellitus, hypertension and hypercholesterolaemia and the presence of prostatomegaly.
Authors and Affiliations
Rodriguez Mario Jose, Sruthi Mankara Valson
Keywords
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- EP ID EP233243
- DOI 10.14260/Jemds/2017/1069
- Views 109
- Downloads 0
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