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Establishing normal reference ranges for prostate volume change with age in the population‐based Krimpen‐study: Prediction of future prostate volume in individual men
Author(s) -
Bosch J.L.H.R.,
Tilling K.,
Bohnen A.M.,
Bangma C.H.,
Donovan J.L.
Publication year - 2007
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.20663
Subject(s) - prostate , prostate cancer , medicine , urology , hyperplasia , lower urinary tract symptoms , volume (thermodynamics) , prostate diseases , gynecology , cancer , physics , quantum mechanics
BACKGROUND We aim to establish the normal pattern of prostate volume change with age to provide a baseline from which accelerated prostate growth might be identified in patients with lower urinary tract symptoms/benign prostatic hyperplasia (LUTS/BPH). METHODS In a community‐based study, prostate volume was determined at baseline and after 2.1 and 4.2 years in men without prostate cancer. A bivariate multilevel growth curve model was used to estimate the pattern of change of prostate volume with age. RESULTS The average percentage increase of total prostate volume and transition zone volume per year of follow‐up was 2.2% and 3.5%, respectively. The final model showed that prostate volume was related to age only. The future prostate volume of an individual can be predicted based on his age and known history of prostate volume. The model was also used to calculate time needed for the prostate volume to increase with a certain percentage, for men with different baseline prostate volume values at different ages. CONCLUSIONS This method establishes normal prostate volume values by age using prostate volume history in men without prostate cancer. The model provides baseline data from which disease progression might be detected. Prostate 67: 1816–1824, 2007. © 2007 Wiley‐Liss, Inc.