Effectiveness of Prostatic Capsular Artery Resistive İndex in the Evaluation of Benign Prostatic Hyperplasia Treatment

Yıl 2019, Cilt: 4 Sayı: 2, 200 - 209, 30.06.2019

Bekir Turgut Mustafa Bilal Hamarat

https://doi.org/10.26453/otjhs.465637

Öz

We aimed to evaluate whether the
prostatic capsular artery resistive index can be a parametric criterion in
evaluating the efficacy of α-blocker treatment and the severity of the disease
in patients with benign prostatic hyperplasia. The clinical and diagnostic
investigation findings and the radiographic images were recorded during the
treatment and during the application of procedures in the patients who
presented to our hospital with lower urinary system symptoms. Then, these data
and the information of the respective patients recorded in the hospital
database were examined retrospectively. A total of 66 patients were included in
the study. Of the patients, 36 with higher IPSS were recommended to be treated
and had a mean resistive index of 0.68±0.09, and the patients with lower IPSS
had a mean resistive index of 0.65±0.05. The difference between these two
values was found to be statistically significant (p<0.05).  In 36 patients who were treated for lower
urinary system symptoms, the mean resistive index before the treatment was
0.68±0.09. After the treatment, the mean resistive index decreased to
0.64±0.07. This decrease was statistically significant (p<0.05). The mean
IPSS was 20.38±4.03 before the treatment and it decreased to 14.38±3.69  after the treatment, showing a statistically
significant difference, similarly (p<0.05). We are of the opinion that the
resistive index of the posterior capsular artery of the prostate gland is a
parametric indicator to determine the severity of the benign prostatic
hyperplasia and to assess the efficacy of the treatment with alpha-blocker
medications.

Anahtar Kelimeler

Benign prostatic hyperplasia, transrectal colour doppler ultrasound, international prostate symptom score, prostatıc capsular artery resistive index

Benign Prostat Hiperplazisi Tedavisinin Değerlendirmesinde Prostat Kapsüler Arter Rezistif İndeks Değerinin Etkinliği

Öz

Benign prostat hipertrofisi olan hastalarda  prostat kapsüler arter rezistif indeksin
hastalığın şiddetini belirleme ve uygulanan α-bloker tedavi etkinliğini
değerlendirmede parametrik bir ölçüt olup olamayacağını değerlendirmeyi
amaçladık. Hastanemize başvuran ve tedavi olan 
alt üriner sistem semptomları olan 
hastaların tedavi, işlem, tetkik aşamasında hasta bulguları ve
görüntüleri kayıt altına alındı. Daha sonra retrospektif olarak bu kayıtlar ve
hastanemiz verileri incelendi. Çalışmaya 
66 hasta dahil edildi.  IPSS skoru
yüksek olup tedavi önerilen 36 hastanın rezistif indeks ortalama değeri
0,68±0,09  ,  IPSS skoru düşük olan hastaların rezistif
indeks ortalama değeri 0,65±0,05  dır. Bu
iki değer arasındaki fark istatiksel olarak anlamlı bulunmuştur(p<0,05).   Alt 
üriner  sistem  semptomları 
olan  ve  tedavi 
verilen  36  tedavi öncesi rezistif indeks değeri ortalama
0,68±0,09 ’dir. Tedavi sonrasında ortalama 0,64±0,07 değere gerilemiştir. Bu
gerileme istatistiksel olarak anlamlı bulunmuştur (p<0,05). Aynı
şekilde  tedavi  öncesi ortalama  20,38±4,03 olan  IPSS  değeri  tedavi sonrasında  ortalama 
14,38±3,69  ’e  gerilemiş 
ve  istatistiksel  olarak anlamlı bulunmuştur (p<0,05).
Prostat kapsüler arter rezistif indeks değeri benign prostat hipertrofisinin
şiddetini saptama ve uygulanan alfa bloker tedavi etkinliğinin
değerlendirilmesinde  parametrik bir
belirteç olduğunu düşünüyoruz.

Anahtar Kelimeler

Benign prostat hiperplazisi, transrektal renkli doppler ultrason, uluslararası prostat semptom skoru, prostatik kapsüler arter rezistif indeksi

Kaynakça

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