Author/Authors :
Malkoç, Ercan Çorlu Asker Hastanesi - Üroloji Bölümü, Turkey , Ateş, Ferhat Gülhane Askeri Tıp Akademisi - Haydarpaşa Eğitim Hastanesi - Üroloji Bölümü, Turkey , Uğuz, Sami Ağrı Asker Hastanesi - Üroloji Bölümü, Turkey , Dursun, Furkan Gülhane Askeri Tıp Akademisi - Haydarpaşa Eğitim Hastanesi - Üroloji Bölümü, Turkey , Karademir, Ahmet Kenan Gülhane Askeri Tıp Akademisi - Haydarpaşa Eğitim Hastanesi - Üroloji Bölümü, Turkey , Adayener, Cüneyt Gülhane Askeri Tıp Akademisi - Haydarpaşa Eğitim Hastanesi - Üroloji Bölümü, Turkey , Baykal, Kadir Vehbi Gülhane Askeri Tıp Akademisi - Haydarpaşa Eğitim Hastanesi - Üroloji Bölümü, Turkey
Abstract :
Aim: Prostate-specific antigen (PSA) may elevate in case of prostate cancer, benign prostatic hyperplasia (BPH) as well as chronic prostatitis. In chronic prostatitis and BPH distinction PSA, free / total PSA ratio isn’t usefull.The aim of this study is to question the place of PSA density in the distinction of BPH and prostatitis.Materials and Methods: In our clinic BPH pre-diagnosed, data of transurethral resection of prostate (TUR-P) performed and histologically diagnosed as no chronic prostatitis observed (group 1), with TUR-P performed but chronic prostatitis diagnosed (group 2) patients were retrospectively analyzed.The age, PSA, biopsy history, prostate size and PSA density (PSAD =PSA level / prostate volume) of patients were recorded.Results: Chronic prostatitis was determined in 100 of 641 patients (%15.6). Biopsy before TUR-P was performed to 28 patients in the chronic prostatitis group, and 27 patients in BPH group (n=100) and in only 4 patients (%14. 3) in the chronic prostatitis group pathological evidence of prostatitis was determined. PSA (p 0.001) and prostate volume (p=0.017) was larger in the chronic prostatitis group when compared with the BPH group. Also PSA density (p 0.001) was higher. Conclusion: PSA density was higher in patients with chronic prostatitis.
