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Medical Forum / Diseases and Disorders / Prostate BPH / October 2003

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Cardiovascular risk factors correlate with prostate size in men with bladder outlet obstruction

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Derek F - 20 Oct 2003 20:32 GMT
Has anyone come across this theory before?
Derek.
Sandfeldt L, Hahn RG.

Department of Urology, Huddinge University Hospital, and Karolinska
Institute, Stockholm, Sweden. Lars.Sandfeldt@cfss.ki.se

OBJECTIVE: To study whether the risk profile for cardiovascular disease
correlates with prostate size in elderly men seeking medical attention for
lower urinary tract symptoms (LUTS), by assessing physiological, biochemical
and personality traits. PATIENTS AND METHODS: Fifty-two men (mean age 68
years, range 52-85) with bladder outlet obstruction, as verified by
urodynamic testing, had their prostate size measured by transrectal
ultrasonography. Their blood and urine was also examined, and their
personality and heart rate variability tested. The measured variables were
assessed statistically in relation to whether the prostate volume was
smaller (22 men) or larger (30 men) than 50 mL. RESULTS: Patients with a
large prostate (mean 104 mL) had a higher mean arterial pressure (105 vs 95
mmHg, P < 0.01), and serum glucose (5.3 vs 4.8 mmol/L, P < 0.01) and serum
cortisol (423 vs 362 nmol/L, P = 0.06) concentrations than those with a
small gland (mean 31 mL). The personality test showed that they were also
less assertive than the others (P < 0.03). The components of the heart rate
variability indicated that men with a large prostate had increased
sympathetic activity. CONCLUSION: Men with LUTS caused by a very large
prostate have more risk factors for cardiovascular disease than those with a
smaller gland.
Derry Argue - 20 Oct 2003 22:27 GMT
> Fifty-two men (mean age 68
> years, range 52-85) with bladder outlet obstruction, as verified by
> urodynamic testing, had their prostate size measured by transrectal
> ultrasonography.

My first reaction is that this is a very small sample, too small on which
to base any meaningful conclusions.

Derry
Sullivans - 21 Oct 2003 04:43 GMT
> Has anyone come across this theory before?
> Derek.
[quoted text clipped - 22 lines]
> prostate have more risk factors for cardiovascular disease than those with a
> smaller gland.

Note that "correlation" is not equivalent to "causation"!

      Bob
c palmer - 21 Oct 2003 19:39 GMT
i guess i'm in a hell of a fix then.  i had LUTS by their definition.
then, i had prostate cancer.  then, i had bladder restrictions from the
surgery, and i've had two surgeries since my RP because of the bladder
restrictions and scarring.

i guess that means i'm going to die real soon - huh?  

well, i let everyone know ahead of time, because if it is true, i'll let
the newsgroup know two weeks ahead of time that i'm going to die.  :)

oh, and i do have a enlarged heart chamber and a leaking heart valve,
but it hasn't affected my lifestyle and i didn't even know about till
that did an echocardiogram from an unrelated event.  do you think that
it was because i weighed 325lbs that might have caused the heart to what
the hell????    good news on that front - lost 75lbs so far.  not
because i had to - but because i wanted to and that was a good reason.

~ curtis

peeing good now and enjoying it.

knowledge is power - growing old is mandatory - growing wise is optional
 
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