Chronic kidney disease among men with lower urinary tract symptoms due to benign prostatic hyperplasia

Hong, Sung Kyu; Lee, Seung Tae; Jeong, Sung‐Jin; Byun, Seok‐Soo; Hong, Young Kwon; Park, Dong Soo; Hong, Jun; Son, Jeong Hwan; Kim, Cheil; Jang, Seok Heun; Lee, Sang Eun

doi:10.1111/j.1464-410x.2009.08975.x

Cited by 44 publications

(43 citation statements)

References 25 publications

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“…Likewise Gerber et al did not achieve any success in linking serum creatinine levels and LUTS (Gerber, Goldfischer et al 1997). Hong et al, reported that although there was no significant association between overall symptoms (IPSS score) with CKD, individual obstructive symptoms such as hesitancy and/or weak stream was significantly associated with CKD status (Hong, Lee et al 2010) Our clinical practice shows us that many men with LUTS do not value their symptoms, and do not seek medical care. Those older men often tolerate and disregard their lower urinary tract symptoms.…”

Section: Lower Urinary Tract Symptoms (Luts)mentioning

confidence: 78%

“…In another study by Hong et al (Hong, Lee et al 2010), the results showed that a decreased Qmax (Peak flow rate), with a history of hypertension and/or diabetes, were significantly associated with CKD in men seeking management for LUTS caused by BPH of various severity. Although the prevalence of CKD can be considered relatively low among men with BPH, the possibility of CKD should be considered in those who have a low Qmax, obstructive urinary symptoms, or have comorbidities such as hypertension and DM (Hong, Lee et al 2010). In this study the authors report 494 patients from a group of 2741 BPH patients that were classified as having CKD (eGFR < 60 mL/min/1,73 m 2 ).…”

Section: The Relationship Between Benign Prostatic Hyperplasia and Chmentioning

confidence: 95%

“…Peak urinary flow rate (PFR), or Qmax, appears to predict surgical outcome -patients with a preoperative Qmax > 15 mL/s have poorer outcomes than patients with preoperative Qmax < 15 mL/s do. PFR is an independent predictor for CKD rather than reported LUTS by standardized questionnaires (Hong, Lee et al 2010). A study conducted by Rule et al in community-dwelling men showed that men with CKD were more likely to have a slow urinary stream (Qmax < 15 mL/s) considering CKD as serum creatinine > 133 μmol/L or as eGFR < 60 mL/min/1,73 m 2 .…”

Section: Uroflowmetry / Peak Urinary Flow Ratementioning

confidence: 97%

“…Bladder outlet obstruction signs and symptoms (QMax, PVR, Obstructive LUTS) are significant predictors of CKD (Rule, Jacobson et al 2005;Yamasaki 2010), bladder outlet obstruction probably makes the bridge between CKD and BPH (Hong, Lee et al 2010). This is probably a reflection of the etiology of CKD secondary to BPH.…”

Section: The Relationship Between Benign Prostatic Hyperplasia and Chmentioning

confidence: 99%

See 3 more Smart Citations

Benign Prostate Hyperplasia and Chronic Kidney Disease

Leão¹,

Pereira²,

Coelho³

2012

Chronic Kidney Disease

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Section: Lower Urinary Tract Symptoms (Luts)mentioning

confidence: 78%

Section: The Relationship Between Benign Prostatic Hyperplasia and Chmentioning

confidence: 95%

Section: Uroflowmetry / Peak Urinary Flow Ratementioning

confidence: 97%

Section: The Relationship Between Benign Prostatic Hyperplasia and Chmentioning

confidence: 99%

See 2 more Smart Citations

Benign Prostate Hyperplasia and Chronic Kidney Disease

Leão¹,

Pereira²,

Coelho³

2012

Chronic Kidney Disease

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“…1 There have been studies demonstrating the association between BOO and renal failure. 1,21 Chronic BOO may require surgical treatment if BOO is at risk of inducing renal injury. Although upper tract dilatation in BOO is an indicator of the need for surgical intervention, its sensitivity is known to be low.…”

Section: Discussionmentioning

confidence: 99%

Perirenal fat stranding on CT: is there an association with bladder outlet obstruction?

Han¹,

Sung²,

Kim³

et al. 2016

BJR

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Objective: To determine the association between perirenal fat stranding (PFS) on CT and bladder outlet obstruction (BOO). Methods: CT scans from 122 patients who had undergone urodynamic study for lower urinary tract symptoms (LUTS) were registered after exclusion of patients with renal or retroperitoneal disease. Images were independently reviewed by two radiologists and compared with those of 244 age-and sex-matched control patients without LUTS. The PFS severity was scored on a fourpoint scale, and the interobserver agreement was assessed with kappa statistics. The severity score and incidence was compared between the groups, and the association with baseline characteristics was analyzed. For the LUTS group, an association between PFS severity and urodynamic and laboratory data was evaluated.Results: PFS was more frequent and more severe in the LUTS group than in the control group (p-value , 0.001); its presence was significantly associated with male gender and older age (p-value , 0.001). PFS was predominantly bilateral in both groups (80.1-93.2%). In the LUTS group, PFS severity scores were significantly correlated with the maximum flow rate, maximum detrusor pressure and estimated glomerular filtration rate (p-value , 0.001). Interobserver agreements were excellent for PFS presence (k 5 0.883) and severity (k 5 0.816). Conclusion: Severe PFS was observed in older, male patients with LUTS. PFS severity was associated with the degree of BOO and impaired renal function. Advances in knowledge: Recognition of PFS on the CT scan may warrant further evaluation of BOO and appropriate management to prevent renal impairment. INTRODUCTIONBladder outlet obstruction (BOO) is a common cause of lower urinary tract symptoms (LUTS) in males, and benign prostatic hyperplasia (BPH) is mainly attributable to BOO in male patients. Multiple mechanisms leading to increased pressure in the urinary bladder and the renal collecting system have been proposed to explain the association between chronic BOO and renal function impairment.1 Renal function impairment secondary to BOO is preventable if cases are recognized early, but it is often difficult to identify patients at risk of renal failure. Urodynamic study is the gold standard for the diagnosis of BOO.2 However, because of its invasiveness, its use for screening purposes is inappropriate.

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Bruskewitz¹

2014

Male Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia

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Chronic kidney disease among men with lower urinary tract symptoms due to benign prostatic hyperplasia

Abstract: Our results show that decreased peak flow rate and a history of hypertension and/or diabetes are significantly associated with CKD in men seeking management for LUTS from BPH of varying severity.

Cited by 44 publications

References 25 publications

Benign Prostate Hyperplasia and Chronic Kidney Disease

Benign Prostate Hyperplasia and Chronic Kidney Disease

Perirenal fat stranding on CT: is there an association with bladder outlet obstruction?

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