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Alta prevalencia de hipertrofia prostática benigna en la comunidad
W M Garraway1, G N Collins, R J Lee
1Department of Public Health Sciences, Edinburgh University, UK.
Lancet (London, England)
|August 24, 1991
Resumen
La hiperplasia prostática benigna (HBP) es más común de lo que se pensaba, ya que afecta a 253 de cada 1000 hombres de entre 40 y 79 años. Este estudio pone de relieve la alta prevalencia de BPH en la comunidad en general.
Área de la Ciencia:
- Urología Urología Urología.
- Epidemiología La epidemiología.
Sus antecedentes:
- Los estudios clínicos retrospectivos y de necropsia sugieren que las tasas de prevalencia de hiperplasia prostática benigna (HBP) son más bajas de lo que sospechan los urólogos.
- Puede existir una mayor prevalencia de HBP en la comunidad, lo que afecta a una parte significativa de la población masculina envejecida.
Objetivo del estudio:
- Para determinar la prevalencia real de la hiperplasia prostática benigna (HBP) dentro de una comunidad definida.
- Evaluar la prevalencia de la HPB en diferentes grupos de edad en hombres de 40 a 79 años.
Principales métodos:
- Un estudio basado en la comunidad que involucra a hombres de 40 a 79 años.
- Los participantes completaron un cuestionario de síntomas urinarios y se sometieron a una urofluometría.
- La ecografía transrectal (TRUS) se utilizó para evaluar el volumen de la próstata en hombres con síntomas de disfunción prostática.
Principales resultados:
- El estudio incluyó a 705 hombres, de los cuales 214 se sometieron a TRUS.
- La prevalencia de la HPB (peso de próstata > 20g con síntomas urinarios o flujo máximo < 15 ml/s) fue de 253 por cada 1000 hombres (95% IC 221-285).
- La prevalencia aumentó con la edad, de 138 por 1000 en hombres de 40 a 49 años a 430 por 1000 en hombres de 60 a 69 años.
Conclusiones:
- La hiperplasia prostática benigna (HBP) es significativamente más prevalente en la comunidad de lo que se informó anteriormente en estudios clínicos.
- Un número sustancial de hombres experimentan BPH, incluso sin diagnóstico previo o síntomas graves.
- Los hallazgos subrayan la necesidad de aumentar la conciencia y la detección potencial de la HPB en los entornos de atención primaria.
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