almost significantp = 0.056
No significant association between MetS and IPSS, and Qmax was found; however, there was an almost significant association with PSA (MD = 0.24 ng/ml, p = 0.056). 91 Li et al. 92 also significantly associated MetS with higher annual prostate growth rate and prostate volume; no association was found between MetS and IPSS/IPSS subgroups.