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Medical Forum / Diseases and Disorders / Prostate BPH / December 2005

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Grms/ccs conversion

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Tom Harms - 10 Dec 2005 18:31 GMT
Sorry if this is a repeat, but my prostate is 60 cc ~ what does that convert
to in grms.  I did a search and couldn't anything.  It seems to me to ccs
are referring to size and grms are referring to weight.  Is this a
conversion of the weight of ccs of water?  Thanks for any clarification.
Tom
Pete - 10 Dec 2005 22:43 GMT
> Sorry if this is a repeat, but my prostate is 60 cc ~ what does that
> convert to in grms.  I did a search and couldn't anything.  It seems
> to me to ccs are referring to size and grms are referring to weight. Is
> this a conversion of the weight of ccs of water?  Thanks for any
> clarification. Tom

Tom...Here is a useful metric and English conversion utility that should
help with at least some of the basic conversions.

http://www.psinvention.com/zoetic/convert.htm

Cc's are cubic centimeters, and usually a liquid volume in medicine (but
could be non liquid also as in the size of your prostate).  One cc equals
one milli-liter (ml) in metric and when your Rx says to take a teaspoon of
something liquid,  you are taking approx. 5 cc's or 5 ml's (I have been to
doctors who don't know that an ml is very close to a cc - duh!).  Many
liquid medicines (drops, etc.) have strengths that are given as so many
mgs/ml - which I am sure you have seen.  One ounce (English liquid volume)
equals approx. 29.57 cc's or ml's.  And of course an ounce is also an
English weight.  Go ahead and play with the table.  It should be in
everyone's favorites or bookmarks  :-) .

You can not convert cc's (volume) to grams (weight) since this gets into
density factors (i.e. a cubic foot of feathers weighs a hell of lot less
than a cubic foot of lead).  I switched to cubic feet just to get my point
across (you could have a cubic foot of either a liquid, or a solid, or a
gas, or a combination thereof).

The density factor for water (e.g. how many pounds per cubic foot - which
varies depending on sea water, versus fresh water, versus other variables
like pressure) has nothing to do with the weight or volume of your prostate
per se, although your prostate consists of a large amount of water, like the
rest of the human body.

The uro's might have some kind of ball park drummed up conversion table for
converting cc's of prostate to grams (I'll ask the next time I go), based on
some arbitrary density factor for a nominal prostate (whatever the hell that
may be - because everyone's prostate would be different) - but I doubt it.

Didn't mean to get into all this (I hate it when that happens - lol), but I
was just trying to be helpful.  If you have any more questions about
conversion factors, just post back and I'll try to help.

Pete
Tom Harms - 10 Dec 2005 23:10 GMT
Thanks Pete ~ Ultrasounds can measure the size (cubic centimeters) of a
prostate.  How can the weight (grams) of a prostate be measured without
taking it out and putting it on a scale?  Tom

>> Sorry if this is a repeat, but my prostate is 60 cc ~ what does that
>> convert to in grms.  I did a search and couldn't anything.  It seems
[quoted text clipped - 41 lines]
>
> Pete
Pete - 11 Dec 2005 00:06 GMT
> Thanks Pete ~ Ultrasounds can measure the size (cubic centimeters) of
> a prostate.

I know that Tom.  An ultrasound is also used by the tech to check your PVR,
as you know.

How can the weight (grams) of a prostate be measured
> without taking it out and putting it on a scale?  Tom

That is a good question Tom.  Make sure to ask your uro next time you go.
My best guess is they use the drummed up density factor for a nominal
prostate that I mentioned (e.g. so many grams per cc).  It may be close to a
one to one relationship.  I just checked the density factor for water and it
is one gram/ml, and I don't know what % of the prostate is water, but the
remainder that is not water may still have a density factor close to water,
if you follow me.

I did a search on your previous posts.  How are you doing.  I hope you are
improving...Pete

>>> Sorry if this is a repeat, but my prostate is 60 cc ~ what does that
>>> convert to in grms.  I did a search and couldn't anything.  It seems
[quoted text clipped - 40 lines]
>> questions about conversion factors, just post back and I'll try to
>> help. Pete
Tom Harms - 11 Dec 2005 00:33 GMT
I'm not talking about a bladder scan ultrasound.  I had a Renal Ultrasound
that measured my "prostate volume to be 61.6 cc.   The bladder is enlarged
with a 669 cc prevoid volume.  The postvoid volume is identical.  The distal
abdominal aorta is normal in caliber.  No focal lesions are seen within the
bladder.  The kidneys appear normal.  The right kidney measures 10.6 cm, and
the left kidney, 10.7 cm longitudinally."
This is the kind of ultrasound I was referring to.
My urologist has a chart in her office showing the size of prostates in
terms of cubic centimeters.
Maybe some on this forum, who refer to their prostate in terms of grams
could enlighten us.  :-)  Tom

>> Thanks Pete ~ Ultrasounds can measure the size (cubic centimeters) of
>> a prostate.
[quoted text clipped - 60 lines]
>>> questions about conversion factors, just post back and I'll try to
>>> help. Pete
Pete - 11 Dec 2005 02:42 GMT
> I'm not talking about a bladder scan ultrasound.  I had a Renal
> Ultrasound that measured my "prostate volume to be 61.6 cc.   The
[quoted text clipped - 4 lines]
> kidney, 10.7 cm longitudinally." This is the kind of ultrasound I was
> referring to.

That's fine Tom.  An ultrasound is just a high frequency sound wave device.
An abdominal ultrasound checks five organs plus blood vessels (I've had
several in my life along with a whole shitload of catscans and MRI's).  I
was just saying that they use a simple ultrasound to do your PVR.  There is
also a trans rectal ultra sound (TRUS) which I have never had.  Was your
renal ultrasound just for your kidneys or did they do the other organs also.

> My urologist has a chart in her office showing the size of prostates
> in terms of cubic centimeters.
> Maybe some on this forum, who refer to their prostate in terms of
> grams could enlighten us.  :-)

I think Lee's response hits it right on the head, so I guessed right about
the one to one ratio.  Take care, and you forgot to tell me how you are
doing...Pete

 Tom

>>> Thanks Pete ~ Ultrasounds can measure the size (cubic centimeters)
>>> of a prostate.
[quoted text clipped - 60 lines]
>>>> questions about conversion factors, just post back and I'll try to
>>>> help. Pete
Tom Harms - 11 Dec 2005 13:06 GMT
Hi Pete, I posted below that my incontinence is 50% improved and getting
better, but I'm now taking Detrol to see if that helps.  Thanks for asking.
Tom

>> I'm not talking about a bladder scan ultrasound.  I had a Renal
>> Ultrasound that measured my "prostate volume to be 61.6 cc.   The
[quoted text clipped - 88 lines]
>>>>> questions about conversion factors, just post back and I'll try to
>>>>> help. Pete
Derek F - 11 Dec 2005 00:51 GMT
An experienced Uro can judge the weight when he does a DRE.
Derek.
> Thanks Pete ~ Ultrasounds can measure the size (cubic centimeters) of a
> prostate.  How can the weight (grams) of a prostate be measured without
[quoted text clipped - 45 lines]
>>
>> Pete
Lee M. - 10 Dec 2005 23:33 GMT
Since tissue is mostly water and since 1cc of water weighs 1 gram, I think
the conversion is assumed to be about 1 to 1.  Urologists estimate weight
from the DRE but it's just a guess based on experience.  I had one uro tell
me mine was 50g, another 30-35g, and the ultrasound said 21 cc.

> Sorry if this is a repeat, but my prostate is 60 cc ~ what does that
> convert to in grms.  I did a search and couldn't anything.  It seems to me
> to ccs are referring to size and grms are referring to weight.  Is this a
> conversion of the weight of ccs of water?  Thanks for any clarification.
> Tom
Pete - 11 Dec 2005 02:44 GMT
> Since tissue is mostly water and since 1cc of water weighs 1 gram, I
> think the conversion is assumed to be about 1 to 1.  Urologists
> estimate weight from the DRE but it's just a guess based on
> experience.  I had one uro tell me mine was 50g, another 30-35g, and
> the ultrasound said 21 cc.

I wonder how accurate the ultrasound is.  Hmmmm!

>> Sorry if this is a repeat, but my prostate is 60 cc ~ what does that
>> convert to in grms.  I did a search and couldn't anything.  It seems
>> to me to ccs are referring to size and grms are referring to weight.
>> Is this a conversion of the weight of ccs of water?  Thanks for any
>> clarification. Tom
Richard - 11 Dec 2005 17:33 GMT
> I wonder how accurate the ultrasound is.  Hmmmm!

For what it's worth, DREs by two separate urologists underestimated the
size of my prostate, and so did a bladder ultrasound (done from the
front). That (and a flexible cystoscopy a couple of years earlier which
had, oddly, reported 'not much enlargement')eventually led to a biopsy,
because the feeling was that I seemed to be producing rather more PSA
than I should with an apparently uninfected prostate of that size.
Interestingly, the higher estimate produced by the TRUS (in the 40cc
range) was in line with the impression of two urologists who did rigid
cystoscopies soon after, shortly before my RF treatment (Targis) - one
then wanted to do a TURP, and the other instead did the Targis
procedure.

In my case, at least, the transrectal ultrasound seemed to give a
fairly accurate estimate; bladder ultrasound and DREs by two
experienced urologists didn't. Maybe the shape of the prostate - i.e.
the direction(s) it enlarges in - are a relevant factor.

Actually, I don't think there is a direct relationship in any case
between prostate size and degree of obstruction; it was the pretty
obvious obstruction shown at cystoscopy which made it clear something
needed to be done in my case, not the relatively moderate increase in
the size estimate.

Prostate size can be a factor at the time of operation, though; a large
prostate means a longer operating time and some increased potential for
later problems such as strictures.

By the way, it's my impression too that the ratio of volume in ccs to
weight in grams is taken as 1:1. I agree that working in ccs seems more
rational, given that the measurement which can be estimated via DREs
and ultrasound is of volume and not weight.

Richard
Richard - 11 Dec 2005 17:50 GMT
> I wonder how accurate the ultrasound is.  Hmmmm!

For what it's worth, DREs by two separate urologists underestimated the
size of my prostate, and so did a bladder ultrasound (done from the
front). That (and a flexible cystoscopy a couple of years earlier which
had, oddly, reported 'not much enlargement')eventually led to a biopsy,
because the feeling was that I seemed to be producing rather more PSA
than I should with an apparently uninfected prostate of that size.
Interestingly, the higher estimate produced by the TRUS (in the 40cc
range) was in line with the impression of two urologists who did rigid
cystoscopies soon after, shortly before my RF treatment (Targis) - one
then wanted to do a TURP, and the other instead did the Targis
procedure.

In my case, at least, the transrectal ultrasound seemed to give a
fairly accurate estimate; bladder ultrasound and DREs by two
experienced urologists didn't. Maybe the shape of the prostate - i.e.
the direction(s) it enlarges in - are a relevant factor.

Actually, I don't think there is a direct relationship in any case
between prostate size and degree of obstruction; it was the pretty
obvious obstruction shown at cystoscopy which made it clear something
needed to be done in my case, not the relatively moderate increase in
the size estimate.

Prostate size can be a factor at the time of operation, though; a large
prostate means a longer operating time and some increased potential for
later problems such as strictures.

By the way, it's my impression too that the ratio of volume in ccs to
weight in grams is taken as 1:1. I agree that working in ccs seems more
rational, given that the measurement which can be estimated via DREs
and ultrasound is of volume and not weight.

Richard
fgomsan@gmail.com - 11 Dec 2005 10:08 GMT
There are several formulas to translate cc in grams introducing an
estimation of prostate density, but in most urologists minds cc and
grams are roughly equivalent. Prostate size can be estimated by digital
rectal examination, abdominal ultrasound and transrectal ultrasound.
The last option is the best. Abdominal ultrasound is not very reliable,
neither is DRE. Also, the determination of volume in ultrasound is
based in formulas that assume that the prostate is an ellipsoid, but
this is not necessarily true. e.g. a median lobe renders these formulas
inaccurate. It is very usual to estimate the size of the prostate by
DRE and abdominal ultrasound and then find in theatre that the prostate
is much bigger or smaller than previously thought. If you have three
ultrasounds made by different doctors with different bladder fill you
will get different prostate sizes. All the best, Fernando
http://drgomezsancha2.blogspot.com
 
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