[Clinical and ultrasonographic characteristics of XXXX diagnosed with transrectal biopsy].

@entity1 @entity263 @entity5 @entity1067 @entity189
OBJECTIVE: To analyze the clinical, ultrasound and pathological characteristics of @entity1 with @entity263 diagnosed by ultrasound-guided transrectal biopsy who consulted for lower urinary tract symptoms compatible with @entity1067 . METHODS: From 1994 to 1998 ultrasound-guided transrectal biopsy of the prostate was performed in 1,548 @entity1 aged 49-90 years (mean age 70 +/- 7). Of these, 613 (40%) were diagnosed with @entity5 . Biopsy was performed in 161 @entity1 (60%) with elevated PSA but no suspicion of @entity5 on digital rectal examination, and 452 @entity1 with a suspicious DRE. Only 10 of these 452 @entity1 (2%) had a PSA value within the normal ranges. Ninety-seven percent of the @entity1 with @entity5 were diagnosed at the first biopsy. RESULTS: The DRE findings were compatible with locally advanced @entity5 in 25% of the @entity1 . An echogenic nodule was detected in 79%; the nodule was hypoechoic in 93% of the cases. Ninety-four percent of the @entity1 with a suspicious DRE versus 37% of those with a normal DRE showed a nodule on ultrasound (p < 0.001). According to the ultrasound and DRE findings, 41% of the @entity1 had a @entity5 . @entity5 was diagnosed in 70% of the @entity1 with a nodule; 51% of the cases had high grade @entity189 (score 8, 9 or 10). Sixty percent of the @entity1 with a suspicious DRE had high grade @entity5 versus 30% of the @entity1 with a normal DRE (p < 0.001). Twenty-three percent of the @entity1 underwent radical prostatectomy. Only 34% of the @entity1 had a localized @entity5 . CONCLUSIONS: Most of the @entity5 of the prostate diagnosed in @entity1 who presented with lower urinary tract symptoms compatible with BHP were high grade and locally advanced and therefore not susceptible to cure. PSA determination and digital rectal examination at the primary care level can be useful in detecting @entity263 in the early stages without significantly increasing costs.
