Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences
We attempted to visualize the periurethral stiffness of prostatic urethras using strain elastography in the midsagittal plane of transrectal ultrasonography (TRUS) and to evaluate periurethral stiffness patterns in relation to lower urinary tract symptoms (LUTS). A total of 250 men were enrolled. Th...
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doaj-8b25494bf9374d15a8610c5dc1e5d9192020-11-25T02:29:51ZengMDPI AGJournal of Clinical Medicine2077-03832019-11-01811192910.3390/jcm8111929jcm8111929Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial ExperiencesJong Kyou Kwon0Do Kyung Kim1Joo Yong Lee2Jong Won Kim3Kang Su Cho4Department of Urology, Severance Check-Up, Health Promotion Center, Severance Hospital, Seoul 04527, KoreaDepartment of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul 04401, KoreaDepartment of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul 06273, KoreaDepartment of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul 06273, KoreaWe attempted to visualize the periurethral stiffness of prostatic urethras using strain elastography in the midsagittal plane of transrectal ultrasonography (TRUS) and to evaluate periurethral stiffness patterns in relation to lower urinary tract symptoms (LUTS). A total of 250 men were enrolled. The stiffness patterns of the entire prostate and individual zones were evaluated using strain elastography during a TRUS examination. After excluding 69 men with inappropriate elastography images, subjects were divided according to periurethral stiffness into either group A (low periurethral stiffness, <i>N</i> = 80) or group B (high periurethral stiffness, <i>N</i> = 101). There were significant differences in patient age (<i>p</i> = 0.022), transitional zone volume (<i>p</i> = 0.001), transitional zone index (<i>p</i> = 0.33), total international prostate symptom score (IPSS) (<i>p</i> < 0.001), IPSS-voiding subscore (<i>p</i> < 0.001), IPSS-storage subscore (<i>p</i> < 0.001), and quality of life (QoL) score (<i>p</i> = 0.002) between groups A and B. After adjusting for relevant variables, significant differences in total IPSS, IPSS-voiding subscore, and QoL score were maintained. Men with high periurethral stiffness were associated with worse urinary symptoms than those with low periurethral stiffness, suggesting that periurethral stiffness might play an important role in the development of LUTS.https://www.mdpi.com/2077-0383/8/11/1929prostatic hyperplasialower urinary tract symptomselastography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jong Kyou Kwon Do Kyung Kim Joo Yong Lee Jong Won Kim Kang Su Cho |
spellingShingle |
Jong Kyou Kwon Do Kyung Kim Joo Yong Lee Jong Won Kim Kang Su Cho Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences Journal of Clinical Medicine prostatic hyperplasia lower urinary tract symptoms elastography |
author_facet |
Jong Kyou Kwon Do Kyung Kim Joo Yong Lee Jong Won Kim Kang Su Cho |
author_sort |
Jong Kyou Kwon |
title |
Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences |
title_short |
Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences |
title_full |
Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences |
title_fullStr |
Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences |
title_full_unstemmed |
Relationship between Lower Urinary Tract Symptoms and Prostatic Urethral Stiffness Using Strain Elastography: Initial Experiences |
title_sort |
relationship between lower urinary tract symptoms and prostatic urethral stiffness using strain elastography: initial experiences |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2019-11-01 |
description |
We attempted to visualize the periurethral stiffness of prostatic urethras using strain elastography in the midsagittal plane of transrectal ultrasonography (TRUS) and to evaluate periurethral stiffness patterns in relation to lower urinary tract symptoms (LUTS). A total of 250 men were enrolled. The stiffness patterns of the entire prostate and individual zones were evaluated using strain elastography during a TRUS examination. After excluding 69 men with inappropriate elastography images, subjects were divided according to periurethral stiffness into either group A (low periurethral stiffness, <i>N</i> = 80) or group B (high periurethral stiffness, <i>N</i> = 101). There were significant differences in patient age (<i>p</i> = 0.022), transitional zone volume (<i>p</i> = 0.001), transitional zone index (<i>p</i> = 0.33), total international prostate symptom score (IPSS) (<i>p</i> < 0.001), IPSS-voiding subscore (<i>p</i> < 0.001), IPSS-storage subscore (<i>p</i> < 0.001), and quality of life (QoL) score (<i>p</i> = 0.002) between groups A and B. After adjusting for relevant variables, significant differences in total IPSS, IPSS-voiding subscore, and QoL score were maintained. Men with high periurethral stiffness were associated with worse urinary symptoms than those with low periurethral stiffness, suggesting that periurethral stiffness might play an important role in the development of LUTS. |
topic |
prostatic hyperplasia lower urinary tract symptoms elastography |
url |
https://www.mdpi.com/2077-0383/8/11/1929 |
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