Prostate Volume Measurement by Transrectal Ultrasonography in the Healthy Korean Men in Thirties

건강한 30대 한국인 남성에서 경직장초음파를 이용한 전립선 용적 측정

  • 김연민 (삼성서울병원 영상의학과) ;
  • 정정윤 (삼성서울병원 건강의학센터) ;
  • 한동균 (을지대학교 보건과학대학 방사선학과)
  • Received : 2012.05.09
  • Accepted : 2012.06.13
  • Published : 2012.06.28


Benign prostatic hyperplasia (BPH) is increasing in Korea owing to the westernized eating habits and changes in living environment. However, very few studies have been made to determine the standard value of the prostate volume as a diagnostic reference. Also, most of the previous studies have been focusing on the elder population over 40 years old. This study retrospectively analyzes the results of prostate volume measured by transrectal ultrasonography in the healthy Korean men in their 30's who visited our institution's center for health promotion for routine checkups. The mean age of the total of 157 men enrolled was $34.6{\pm}2.9$ years, and the mean prostate volume was $19.4{\pm}4.0ml$. Prostate volume of these men was correlates proportionally to their age, prostate specific antigen, body mass index, body surface area, and abdominal girth. Among these, the strongest correlation is between the prostate volume and the abdominal girth (r=0.317, p<0.001).


Transrectal Ultrasonography;Prostate Volume;Body Mass Index;Abdominal Girth


  1. W. Bushman, "Etiology, epidemiology, and natural history of benign prostatic hyperplasia," The Urologic clinics of North America, Vol.36, pp.403-415, 2009.
  2. D. S. Coffey and P. C. Walsh, "Clinical and experimental studies of benign prostatic hyperplasia," The Urologic clinics of North America, Vol.17, pp.477-486, 1990.
  3. W. A. Ricke, K. Ishiii, and E. A. Ricke, "Steroid hormones stimulate human prostate concer progression and metastasis," International journal of cancer, Vol.118, pp.2123-2131, 2006.
  4. C. G. Roehrborn, "Benign prostatic hyperplasia : an overview," Rev Urology, Vol.7, pp.3-14, 2005.
  5. J. K. Parsons, H. B. Carter, and A. W. Partin, "Metabolic factors associated with benign prostatic hyperplasia," The Journal of clinical endocrinology and metabolism, Vol.91, pp.2562-2568, 2006.
  6. J. E. Oesterling, S. J. Jacobsen, and C. G. Chute, "Serum prostate specific antigen in a community-based population of healthy men. Establishment of age-specific reference ranges," JAMA, Vol.270, pp.860-864, 1993.
  7. J. E. Oesterling, Y. Kumamoto, and T. Tsukamoto, "Serum prostate specific antigen in a community-based population oh healthy Japanese men. : lower values than for similarly aged white men," Br J Urol, Vol.75, pp.347-353, 1995.
  8. 설승훈, 박연원, 박종윤, "경직장초음파를 이용한 한국 젊은 성인의 전립선 연구", 대한비뇨기과학회지, 제49권, 제8호, pp.720-725, 2008.
  9. 김동욱, 이형래, 김원재, "연령에 따른 전립선 크기의 변화: 충청북도지역의 무작위 역학조사", 대한비뇨기과학회지, 제39권, 제8호, pp.762-765,1998.
  10. 이상은, 김대영, 곽철, "수도권 지역 한국인 남성에 있어서 연령, 전립선특이항원 및 전립선용적의 상관관계", 대한비뇨기과학회지, 제40권, 제10호, pp.1311-1317, 1999.
  11. S. B. Park, J. K. Kim, and H. N. Noh, "Prostate Volume Measurement by TRUS Using Heights Obtained by Transaxial and Midsagittal Scanning: Comparison with Specimen Volume Following Radical Prostatectomy," Korean J Radiol, Vol.1, pp.110-113, 2000.
  12. J. L. Peter, R. W. Cjarles, and K. E. Thomas, "Determination of prostate volume with transrectal US for cancer screening, Part 2, Accuracy of in vitro and in vivo techniques," Radiology, Vol.179, pp.49-53, 1991.
  13. D. DuBois and E. F. DuBois, "A formula to estimate the approximate surface area if height and weight be known," Arch Intern Med, Vol.17, pp.863-871, 1916.
  14. Y. Wang, J. Moss, and R. Thisted, "Predictors of body surface area," J Clin Anesth, Vol.4, pp.4-10, 1992.
  15. M. J. Barry, F. J. Jr Fowler, and M. P. O'Leary, "The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association," J Urol Vol.148, No.5, pp.1549-1557, 1992.
  16. P. J. Littrup, R. A. Kane, and C. R.Williams, "Determination of prostate volume with transrectal US for cancer screening, Part I, Comparison with prostate-specific antigen assays," Radiology, Vol.178, pp.537-542, 1991.
  17. S. J. Berry, D. S. Coffey, and P. C. Walsh, "The development of human benign prostate hyperplasia with age," J Urol, Vol.132, pp.474-479, 1984.
  18. A. Tewari, R. Indudhara, and K. Shinohara, "Comparison of transrectal ultrasound prostatic volume estimation and surgical specimen weight in patients with benign prostatic hyperplasia," J Clin Ultrasound, Vol.24, pp.169-174, 1996.<169::AID-JCU2>3.0.CO;2-D
  19. R. J. Glynn, E. W. Campion, G. R. Bouchard, and J. E. Silbert, "The development of benign prostatic hyperplasia among volunteers in the normative aging study," Am J Epidemiol Vol.121, pp.78-90, 1985.
  20. S. J. Freedland, E. A. Platz, and J. C. Presti, "Obesity, serum prostate specific antigen and prostate size: implications for prostate cancer detection," J Urol, Vol.175, pp.500-504, 2006.
  21. 김윤동, 양원재, 송윤섭 등, "건강증진센터를 방문한 성인 남성에 있어서 전립선용적과 대사성인자, 인체측정학적 지수와의 상관성", 대한비뇨기과학회지, 제49권, 제2호, pp.139-144, 2008.
  22. 배상열, 고대식, 노지숙 등, "한국 노인의 신체활동과 건강관련 삶의 질의 관계", 한국콘텐츠학회논문지, 제10권, 제10호, pp.255-266, 2010.