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Updated: Nov 12, 2025

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Published on: March 29, 2024
Association between hyperlipidemia and prostatic enlargement: A case-control study.
1Urology Clinic, Faculty of Medicine, Karamanoglu Mehmetbey University, Karaman, Turkey.
Hyperlipidemia, characterized by high LDL-cholesterol and total cholesterol, is linked to an enlarged prostate. This suggests that abnormal lipid levels may contribute to benign prostatic enlargement (BPE) progression.
Area of Science:
- Urology
- Endocrinology
- Cardiovascular Science
Background:
- Benign prostatic enlargement (BPE) is associated with high-fat diets.
- The specific role of hyperlipidemia in BPE development remains unclear.
Purpose of the Study:
- To investigate whether hyperlipidemia is a risk factor for benign prostatic enlargement (BPE).
Main Methods:
- Compared 265 BPE patients with lower urinary tract symptoms (LUTS) to 248 age-matched healthy controls.
- Assessed fasting serum glucose, serum lipid profiles, prostate-specific antigen (PSA), and prostate size via ultrasonography.
Main Results:
- BPE patients exhibited significantly larger prostates and higher PSA levels than controls.
- Elevated total cholesterol and LDL-cholesterol, with lower HDL-cholesterol, were observed in BPE patients.
- Prostate size correlated positively with total and LDL-cholesterol and negatively with HDL-cholesterol.
Conclusions:
- Increased LDL-cholesterol and total cholesterol are significantly associated with prostate enlargement.
- Hyperlipidemia emerges as a potential risk factor in prostatic growth and progression.
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