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Relationship with psa prostate size in patients with benign prostatic hyperplasia and its impact self-esteem

Author: 
Betty Sarabia Alcocer, Ana Rosa Can Valle, Luz Virginia Pacheco Quijano, Betty Mónica Velázquez Sarabia, Rogelio Medina Rosales, Yolib Ramos Olivera, Kevin Jesús Chuc Villegas and José Ricardo Can Cruz
Subject Area: 
Health Sciences
Abstract: 

The benign prostatic hyperplasia (BPH) is a (noncancerous) malignant growth in the size of the prostate. This enlargement of the prostate gland is produced by a relative increase in estrogen (female hormones) on testosterone (male hormone), which appears in men with age. Objective: To determine the relationship of PSA, with the size of the prostate in patients with benign prostatic hyperplasia admitted to General Hospital de Candelaria Campeche during the period from September 2015 to June 2016. Method: patients were studied with the diagnosis of benign prostatic hyperplasia 50 years of age and older and excluded those who had other diseases that may alter prostate specific antigen, subsequently classified by age determined through PSA ultrasound prostate-specific and the average size of the prostate in grams and the average PSA for each age range and the relationship between them, while describes how it affects their self-esteem was determined. Results: Of the patients studied, 22 belong to the range of 50 to 59 years old (51.16%), 14 to range from 60 to 69 years old (32.55%) and 7 to range from 70 to 79 years old ( 16.27%). 44.1% of patients presented a prostate of 50 grams, the 51.16% prostates 60 grams and 4.6% a prostate gland of 70 grams. The average size of the prostate in grams was 50 grams in the range 50 to 59 years old, 60 g in the range 60 to 69 years old and 60 grams in the range of 70 to 79 years, and the average value of PSA was 5.5 ng / ml, 6 ng / ml and 7.5 ng / ml respectively. In the range 50 to 59 years of age every gram prostate equivalent to 0.11 ng / ml of PSA in the range 60 to 69 years of age every gram prostate equivalent to 0.1 ng / ml of PSA and the range 70 to 79 years old every gram of prostate equivalent to 0.125 ng / ml of PSA. Similarly we find that the entire population 72% have low self-esteem and problems with its image. Conclusion: In our environment in the group of 50-59 years old is the highest number of patients with benign prostatic hyperplasia. According to data from INEGI in Mexico 55% of the population with benign prostatic hyperplasia is greater than 64 years and 30% are between 55 and 64 years, which is equivalent in our population to 8% of the total, with a life expectancy of 70 years. In this study the amount of prostate-specific antigen was determined for each gram of prostate and age range being useful this to make an estimate of the amount of prostate antigen only know the size of the prostate using ultrasound prostate especially for patients with low socioeconomic level. Importantly, most they had low self-esteem and this situation affects you emotionally about their sexuality and their innermost feelings with these findings we consider advisable to implement programs that address strengthening self-esteem and other psychological factors involved in pathologies prostatic.

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