Benign prostatic hyperplasia is a common condition. Little is known about the criteria for selecting patients subjected to prostatic surgery. The aim of the study is to define obstruction. Two-hundred fourteen patients underwent a serum prostatic specific antigen (PSA) determination, a rectal exam, a transrectal ultrasound, a uroflow and filled questionnaires for symptom score analysis. Patients with peak or mean flow below two standard deviations from the mean from the nomograms described by Siroky should be treated for BPH especially if they also present one of the following: obstructive score (AUA part A) $ ge$ 14, irritative score (AUA part A) $ ge$ 12, total objective score (AUA part A) $ ge$ 22 or a urethral resistance $ ge$ 42 cm H$ sb2$O. The transrectal ultrasound should be reserved for those with a suspicious rectal exam with a serum PSA $ ge$ 4 ng./cc. Six sextants biopsies of peripheral zone should be done in those with a PSA prostate $ ge$.2 ng./cc./gr. to rule out adenocarcinoma.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.69542 |
| Date | January 1992 |
| Creators | Péloquin, François |
| Contributors | Hassouna, Magdy (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Division of Surgical Research.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001319496, proquestno: AAIMM87842, Theses scanned by UMI/ProQuest. |
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