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Updated: Jun 5, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
[Clinical features of benign prostatic hyperplasia complicated by chronic prostatitis]
De-gui Chang1, Guang-sen Li, Pei-hai Zhang
1Department of Urology and Andrology, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, China.
Benign prostatic hyperplasia (BPH) often co-occurs with chronic prostatitis (CP). Elevated prostate-specific antigen (PSA) levels and PSA density (PSAD) may indicate this complication, though not definitively.
Area of Science:
- Urology
- Andrology
- Pathology
Context:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men.
- Chronic prostatitis (CP) can coexist with BPH, potentially altering clinical presentations.
- Accurate differentiation is crucial for effective patient management.
Purpose:
- To investigate the clinical and biochemical differences between BPH and BPH complicated by CP.
- To evaluate the utility of prostate-specific antigen (PSA) parameters in identifying BPH with CP.
Summary:
- A study compared 120 transurethral resection of the prostate (TURP) cases, categorizing them into BPH (n=75) and BPH with CP (n=45).
- Analysis of pre-operative transrectal ultrasonography and PSA tests (free PSA [f-PSA], total PSA [t-PSA], PSA density [PSAD]) revealed significant increases in f-PSA, t-PSA, and PSAD in the BPH + CP group.
- Receiver Operating Characteristic (ROC) curve analysis indicated moderate discriminatory power for these markers.
Impact:
- Findings suggest that elevated f-PSA, t-PSA, and PSAD are potential indicators for BPH complicated by CP.
- This research aids in understanding the clinical profile of coexisting BPH and CP.
- Further studies may refine diagnostic criteria for this common urological condition.
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