The Predictive Value of the Systemic Immune-Inflammation Index for the Progression of Lower Urinary Tract Symptoms in Men

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Tarih

2023

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Yayıncı

Asian Pacific Organization for Cancer Prevention

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Introduction: This retrospective cross-sectional observational study aimed to investigate the predictive value of the systemic immune-inflammation index (SII) for the progression of lower urinary tract symptoms (LUTS) in men with benign prostatic hyperplasia (BPH). Material and method: A total of 280 patients diagnosed with LUTS were analyzed, and their demographic characteristics, laboratory results, urological parameters, and SII levels were recorded retrospectively. Results: Clinical progression of LUTS was observed in 43.2% of the patients, with 23.9% undergoing surgery and 21.4% progressing to acute urinary retention. The study found that elevated SII levels were significantly correlated with disease progression and worse outcomes. Multivariate analysis revealed that peak urinary flow rate, erectile function scores, and platelet levels were risk factors for predicting clinical progression in LUTS/BPH patients. Conclusion: The findings suggest that systemic inflammation and immune dysregulation play a role in BPH pathogenesis and the development of LUTS. Incorporating SII assessment into routine clinical practice could aid in risk stratification, treatment decision-making, and monitoring of disease progression in LUTS/BPH patients. This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License.

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Anahtar Kelimeler

Benign prostatic hyperplasia; Lower urinary tract symptoms; Systemic immune-inflammation index, complication; cross-sectional study; disease exacerbation; human; inflammation; lower urinary tract symptom; male; prostate hypertrophy; retrospective study; Cross-Sectional Studies; Disease Progression; Humans; Inflammation; Lower Urinary Tract Symptoms; Male; Prostatic Hyperplasia; Retrospective Studies

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