Relationship between serum sex hormones levels and degree of benign prostate hyperplasia in Chinese aging men

作     者：Qin-Song Zeng Chuan-Liang Xu Zhi-Yong Liu Hui-Qing Wang Bo Yang Wei-Dong Xu Tai-Le Jin Cheng-Yao Wu Gang Huang Zheng Li Bo Wang Ying-Hao Sun 

作者机构：Department of UrologyChanghai HospitalSecond Military Medical UniversityShanghai 200433China Department of UrologyGeneral Hospital of Guangzhou Military Command of PLAGuangzhou 510010China Department of UrologyRenji HospitalShanghai Jiaotong University School of MedicineShanghai 200127China Family Planning Research Institute of Shanghai CityShanghai 200032China 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2012年第14卷第5期

页      面：773-777页

核心收录：

学科分类：0710[理学-生物学] 1007[医学-药学(可授医学、理学学位)] 071010[理学-生物化学与分子生物学] 1002[医学-临床医学] 081704[工学-应用化学] 07[理学] 08[工学] 0817[工学-化学工程与技术] 10[医学] 

基　　金：funded by the Science and Technology Commission of Shanghai Municipality 

主　　题：benign prostatic hyperplasia International Prostate Symptom Scores(IPSS) sex hormone testosterone 

摘      要：Benign prostatic hyperplasia （BPH） is one of the most common medical conditions in middle aged and older men. This study investigated the relationship between serum levels of sex hormones and measures of BPH in the aging male population of China. Prostate symptoms were assessed as part of a free health screening program for men ~40 years of age. The examination included digital rectal examination, determination of serum prostate-specific antigen levels, International Prostate Symptom Score （IPSS） and transrectal ultrasonography. Serum levels of total testosterone （TT）, sex hormone binding globulin （SHBG）, free testosterone （FT）, luteinizing hormone （LH）, follicle-stimulating hormone （FSH）, prolactin （PRL） and estradiol （E2） were evaluated. The men also completed a health and demographics questionnaire and received a detailed physical examination. The final study population consisted of 949 men with a mean age of 58.9 years. Pearson correlation analysis indicated that there were significant correlations between age and levels of all sex hormones except TT, and between age and prostate volume （PV; r=0.243; P〈0.01） or IPSS （r=0.263; P〈0.01）. Additional significant correlations were found between IPSS and serum levels of LH （r=0. 112; P〈0.01） and FSH （r=0.074; P〈0.05）, but there were no significant correlations between sex hormone levels and PV. Multivariate linear regression analysis showed significant correlations between age and body mass index （BMI） with PV （P〈0.0001）. In addition, there was a significant correlation between age and PV with IPSS （P〈0.0001）. Serum sex hormone levels did not correlate with PV or IPSS. The effects of endocrine changes on measures of BPH in aging men require further investigation in longitudinal and multicenter studies that include oatients with all severities of BPH.