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Updated: Jul 6, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Urologic diseases in america project: benign prostatic hyperplasia
John T Wei1, Elizabeth Calhoun, Steven J Jacobsen
1Department of Urology, University of Michigan, Ann Arbor, Michigan 48109, USA. Jtwei@umich.edu
Benign prostatic hyperplasia (BPH) affects millions of aging men, leading to significant healthcare costs and impacting quality of life. Research is needed to explore BPH risk factors and optimize treatment effectiveness and cost-benefit.
Area of Science:
- Urology
- Public Health
Background:
- Benign prostatic hyperplasia (BPH) is a prevalent condition in aging men, causing lower urinary tract symptoms.
- It affects a substantial portion of men in their seventh decade of life, with millions requiring treatment discussions.
Purpose of the Study:
- To analyze the trends in BPH diagnosis, treatment, and associated healthcare costs in the United States.
- To highlight the evolving management strategies for BPH.
Main Methods:
- Analysis of physician office visit data and inpatient procedures for BPH diagnosis and treatment.
- Review of trends in BPH management during the 1990s and early 2000s.
Main Results:
- In 2000, BPH accounted for approximately 4.5 million primary diagnosis visits and 8 million total diagnosis visits.
- While outpatient visits increased, transurethral prostatectomy, inpatient hospitalizations, and hospital stays decreased, reflecting a shift towards pharmacological agents and minimally invasive therapies.
- The direct cost of BPH treatment in 2000 was estimated at $1.1 billion, excluding outpatient pharmaceuticals.
Conclusions:
- BPH significantly impacts men's quality of life and healthcare expenditures.
- Further research into BPH risk factors, diagnostic and therapeutic resource utilization, and cost-effectiveness of treatments is essential.
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