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Updated: Aug 26, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
[Serum PSA and transition zone index as predictors of acute urinary retention in benign prostate hyperplasia]
Shaoxing Zhu1, Shiping Chen, Qiyong Li
1Department of Urology, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, China. ZSXING2002@hotmail.com
Objective:
To evaluate prostate specific antigen (PSA) and transition zone index (TZI) as predictors of acute urinary retention (AUR) in men with benign prostate hyperplasia(BPH).
Methods:
The complete data of 602 cases of BPH were reviewed and analyzed.
Results:
Mean serum PSA and TZI were (6.60 +/- 3.4) microgram/L and (0.71 +/- 0.14) in AUR group, (3.51 +/- 2.3) microgram/L and (0.46 +/- 0.21) in non-AUR group, respectively. There were significant differences in serum PSA and TZI between the two groups(P < 0.05). The difference in incidence of AUR between serum PSA < 4.0 micrograms/L, 4.0-10.0 micrograms/L and PSA > 10.0 micrograms/L was significant (P < 0.05). There was significant positive correlation between serum PSA and TZI(r = 0.213, P < 0.01).
Conclusion:
Serum PSA and TZI were powerful predictors of the risk of AUR in men with BPH.