In order to investigate the endocrine etiology of benign prostatic hyp
erplasia (BPH), we conducted a case-control study in Athens, Greece us
ing 52 patients with histologically confirmed BPH and 52 healthy contr
ols matched according to age and town of residence. Blood samples were
collected from all participants and analyzed blindly in Boston, Mass.
regarding testosterone (T), dihydrotestosterone, estradiol (E2), sex
hormone-binding globulin, and dehydroepiandrosterone sulfate (DHEAS).
Results from logistic regression models, adjusting for age, height, bo
dy mass index, years of schooling, and mutually among the measured hor
mones, indicate that DHEAS is significantly positively associated with
the risk of BPH [odds ratio = 3.10 per standard deviation (60 mu g/dl
), 95% confidence interval (1.28, 7.50)]. T and E2 were not significan
tly related to the risk of BPH.