World J Phys Rehabil Med | Volume 6, Issue 1 | Research Article | Open Access

Association between Abdominal Aorta and Internal and Common Iliac Arteries Calcification with Symptoms of Lower Urinary Tract Syndrome

Besharat S, Karami S* and Akhoundi N

Department of Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran

*Correspondance to: Sonia Karami 

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Abstract

Background: The relationship between metabolic parameters as well as the activity of atherosclerotic and inflammatory processes with the incidence of Lower Urinary Tract Syndrome (LUTS) in the context of Benign Prostate Hyperplasia (BPH) has been extensively studied. The present study aimed to determine the association between abdominal aortic and internal and common iliac arteries calcification with symptoms of LUTS in patients with BPH.
Methods: This study was conducted on 75 male patients aged higher than 40 years with suspected LUTS/BPH referred to Modarres Hospital in Tehran in 2019 who underwent non-contrasted abdominopelvic CT scan. The International Prostate Symptom Score (IPSS) form was completed by the patients. The severity of LUTS progression was also classified as none, mild, moderate, and severe based on the IPSS score.
Results: Considering IPSS >7 as a diagnosis of LUTS, 62.7% of people had LUTS. We revealed significant positive correlation between IPSS score and calcification score in all studied arteries. According to the ROC curve analyses, calcification scores of all studied arteries could powerfully discriminate mild from moderate to severe LUTS (with AUC ranged 0.808 to 0.870) with high sensitivity (ranged 82.2% to 95.7%) and specificity (ranged 69.2% to 80.0%). The mean transverse size of prostate was 47.88 ± 10.54 mm that was strongly correlated with calcification score in all studied arteries.
Conclusion: There is a direct relationship of the severity of LUTS/BPH and prostate transverse diameter with calcification score in abdominal aorta, common iliac, and internal iliac arteries.

Keywords:

Abdominal aorta calcification score; Internal iliac calcification; Common iliac calcification; BPH; LUTS

Citation:

Besharat S, Karami S, Akhoundi N. Association between Abdominal Aorta and Internal and Common Iliac Arteries Calcification with Symptoms of Lower Urinary Tract Syndrome. World J Phys Rehabil Med. 2022; 6(1): 1023..

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