Ultrasonographic study of comparison of prostate volume and post void residual urine with age in north Indian population

Background: As men’s life expectancy increases, benign prostatic hyperplasia (BPH) is the significant cause of morbidity. BPH generally involves the central region of the prostate which gradually enlarges. Due to the central hypertrophic change of prostate the urethra is compressed and urinary outflow obstruction develops. Predictive risk factors associated with chance of developing urinary retention includes age, symptoms, urinary flow rate and prostate size. Estimation of accurate intravesical, residual urine has significant importance and serves as an index of adequacy of bladder emptying. Aims and Objectives: The study aimed to measure the post void residual urine volume with age in Prostate outflow obstruction and compare the prostate volume and post void residual urine with age by ultrasonography. Materials and Methods: The present study was performed in 100 patients. Transrectal ultrasonography was performed using 7.5 MHZ transrectal probe. Prostate volume was calculated with the help of inbuilt software, by measuring 3 dimensions of prostate in transverse and longitudinal sections. Transabdominal suprapubic ultrasound was done to measure post void residual urine. Results: It was seen that in the lower age groups, the prostate size was smaller, while in the higher age group it was higher (p>0.001). Minimum post void residual urine was seen in age group of 40-49 years (3.42 -+2.23ml). while maximum mean value was seen in the 70-79 years of age. Statistically a significant difference in mean was seen among different age groups (p<0.001). Conclusion: There is a significant correlation between age and post void residual urine volume and prostatic volume. The present study showed that PVRUV is a novel accurate non-invasive test for predicting prostate biopsyoutcome that can easily be used by clinicians, alone or in combination with Prostate Volume in the decision-making for treatment.

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15 years’ survey of safety and efficacy of Serenoa repens extract in benign prostatic hyperplasia patients with risk of progression

Urologia Journal ◽

10.1177/0391560318772466 ◽

2018 ◽

Vol 86 (1) ◽

pp. 17-22 ◽

Cited By ~ 4

Author(s):

Andrey Zinovievich Vinarov ◽

Leonid Grigorievich Spivak ◽

Darina Vladimirovna Platonova ◽

Leonid Mikhailovich Rapoport ◽

Dmitry Olegovich Korolev

Keyword(s):

Benign Prostatic Hyperplasia ◽

Plant Extract ◽

Prostate Volume ◽

Urine Volume ◽

Prostatic Hyperplasia ◽

Term Therapy ◽

Serenoa Repens ◽

Residual Urine Volume ◽

Residual Urine ◽

Study Results

Aim: The aim of this study is to investigate the efficacy and safety of long-term therapy with Serenoa repens extract with regard to halting benign prostatic hyperplasia progression. Material and methods: An open non-comparative observational study of the continuous use of S. repens plant extract at a dosage of 320 mg once a day for 15 years was performed in 30 patients at risk for benign prostatic hyperplasia progression. Changes in IPSS (International Prostatic Symptoms Scale) and QoL (Quality of life) scores and changes in Qmax, voided volume, residual urine volume, and prostate volume were evaluated during the study. Results: The study showed an absence of progression based on both subjective (the sum of scores on the IPSS and QoL scales) and objective (prostate volume, urination rate, residual urine volume) criteria. Furthermore, the patients had no adverse events related to the study drug, including prostate cancer. Conclusions: The 15 years’ study results suggest that taking S. repens plant extract continuously at a daily dose of 320 mg is an effective and safe way to prevent the progression of benign prostatic hyperplasia.

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Study of ultra-sonographic comparison of prostate size with post void residual urine volume at a tertiary care center

MedPulse International Journal of Radiology ◽

10.26611/10131315 ◽

2020 ◽

Vol 13 (1) ◽

pp. 20-23

Author(s):

Avinash D Kurdukar ◽

◽

Bhavesh P Popat ◽

Keyword(s):

Care Center ◽

Tertiary Care ◽

Urine Volume ◽

Tertiary Care Center ◽

Residual Urine Volume ◽

Residual Urine ◽

Prostate Size

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Effect of Premicturitional Bladder Volume on the Accuracy of Sonographic Assessment of Post Void Residual Urine Volume Measurement by Transabdominal Ultrasonography

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v18i1.19937 ◽

2019 ◽

Vol 18 (1) ◽

pp. 30-36

Author(s):

Roshani Pathak ◽

Sunil Pradhan ◽

Abhushan Tuladhar ◽

Amit Shrestha ◽

Riwaz Acharya

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Urine Volume ◽

Bladder Volume ◽

Residual Urine Volume ◽

Residual Urine ◽

Urinary Tract Symptoms ◽

Significant Difference ◽

Lower Urinary

Introduction: The Post Void Residual Urine volume (PVRU) is frequently significant in patients with bladder outflow obstruction; especially in patients with enlarged prostate and prostatism. The PVRU forms an important part of radiological investigation. Accurate measurement of the residual urine volume changes observed serially over a period of time may indicate clinical progress. The purpose of this study was to evaluate the effect of pre-void bladder volume on PVRU measurements. Methods: A prospective study was conducted to determine the accuracy of PVRU measurement in patient presenting with lower urinary tract symptoms (LUTS). 50 patients with LUTS were assessed ultrasonographically for pre void and post void bladder volumes during the study period of March 2017 till August 2017. PVRU measurements done in patients with bladder filling sensation at moderate to full capacity resulted in high estimations of PVRU which was quite significant in this study. Results: There was significant difference in the estimated PVRU between patients having high initial premicturitional volume (546±144 ml) than those with lower or moderate filling volume (261±58 ml) with mean of 173 ml and 35 ml respectively. The difference in estimated PVRU was highly significant with p value of < 0.0001. Conclusions: Measurement of pre void urinary bladder volume with an uncomfortably full bladder results in high post micturitional (PMRU) values even in most patients without lower urinary tract symptoms which may be false-positive. We advise that initial or pre-void urine volume be measured when the patient has initial or moderate feeling of bladder fullness.

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The International Prostate Symptom Score in a community-based sample of men between 55 and 74 years of age: prevalence and correlation of symptoms with age, prostate volume, flow rate and residual urine volume

British Journal of Urology ◽

10.1111/j.1464-410x.1995.tb07421.x ◽

1995 ◽

Vol 75 (5) ◽

pp. 622-630 ◽

Cited By ~ 169

Author(s):

J.L.H.R. Bosch ◽

W.C.J. Hop ◽

W.J. Kirkels ◽

F.H. Schröder

Keyword(s):

Symptom Score ◽

Flow Rate ◽

International Prostate Symptom Score ◽

Prostate Volume ◽

Volume Flow Rate ◽

Urine Volume ◽

Volume Flow ◽

Residual Urine Volume ◽

Community Based ◽

Residual Urine

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Effects of Acupuncture on Hospitalized Patients with Urinary Retention

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2020/2520483 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Suhui Chen ◽

Hua Sun ◽

Hong Xu ◽

Yamin Zhang ◽

Huanyuan Wang

Keyword(s):

Urinary Retention ◽

Acupuncture Treatment ◽

Urine Volume ◽

Hospitalized Patients ◽

Controlled Study ◽

Efficacy Rate ◽

Large Sample Size ◽

Residual Urine Volume ◽

Residual Urine ◽

Significant Difference

Objective. The aim of this study was to investigate the effects of acupuncture on urinary retention and provide treatment suggestions. Methods. A total of 113 hospitalized patients with urinary retention were included in this study. The GV20, CV6, CV4, CV3, ST28, SP6, and SP9 points were selected as the main acupoints. Acupuncture therapy was conducted for 30 minutes per session. The total number of treatment sessions was determined by the symptoms and the length of hospital stay. Bladder postvoid residual urine volume (PVR) was measured pretreatment and posttreatment by ultrasonic. Efficacy defined as spontaneous urination and a residual urine volume <50 mL was measured. Results. The median number of acupuncture treatment sessions was 3 (range, 1–12 times). Acupuncture treatment significantly reduced the PVR (545.1 ± 23.9 mL vs 67.4 ± 10.7 mL; p<0.001). Among the 113 patients, 99 (87.6%) patients were cured and 8 (7.1%) patients were improved of their urinary retention. The remaining 6 (5.3%) patients’ urinary retention did not improve. The effective rate was 94.7%. There was significant difference in the efficacy rate between patients with one urinary catheterization and with two or more. Acupuncture treatment was not associated with side effects. Conclusion. Acupuncture is an effective and safe treatment option for urinary retention. Early application of acupuncture treatment should be considered in clinic, and repeated urinary catheter insertion and removal should be avoided. Our study suggests that a randomized controlled study with a large sample size to verify the efficacy of acupuncture for the treatment of urinary retention is warranted.

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Songraphic Comparison of Prostate Size with Post void Residual Urine Volume

International Journal of Radiology ◽

10.17554/j.issn.2313-3406.2019.06.60 ◽

2019 ◽

Vol 6 (1) ◽

pp. 208-211

Author(s):

Birendra Raj Joshi ◽

◽

Dwivedi SK

Keyword(s):

Urine Volume ◽

Residual Urine Volume ◽

Residual Urine ◽

Prostate Size

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Preoperative and Postoperative Postvoid Residual Urine Volume in Urogenital Prolapse: A Comparative Study

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1466 ◽

2017 ◽

Vol 9 (2) ◽

pp. 92-94

Author(s):

NS Shashikumar

Keyword(s):

Vaginal Hysterectomy ◽

Urine Volume ◽

Anterior Colporrhaphy ◽

Age Group ◽

Residual Urine Volume ◽

Urogenital Prolapse ◽

Postvoid Residual ◽

Residual Urine ◽

Postvoid Residual Urine

ABSTRACT Objectives The objectives of the present study were to compare pre- and postoperative postvoid residual urine (PVR) volume, to know the correlation of PVR to urinary symptoms and prolapse, and also to assess the role of vaginal hysterectomy and anterior colporrhaphy in relieving urinary disturbances. Materials and methods The study was done at the Department of Obstetrics and Gynaecology, Adichunchanagiri Institute of Medical Sciences, B.G. Nagara, Mandya, India, from November 2010 to May 2012. In this study, 100 women with pelvic organ prolapse were included. Detailed history was noted, and thorough examination was done. Ultrasound measurements of PVR urine volume was done to all cases preoperatively and on 5th postoperative day. All cases underwent vaginal hysterectomy and anterior colporrhaphy. The PVR urine volume >50 mL was considered significant. Results Patients belonged to the age group of 30 to 75 years. Majority were in the age group of 50 to 59 years. Out of 100 cases, 42 had preoperative PVR volume >50 mL and 58 cases <50 mL. Out of 100 cases, 58 had third-degree descent, 21 had second-degree descent, and 21 had procidentia according to Shaw's classification. Urinary symptoms like incomplete emptying (57 cases), straining to void (52 cases), poor stream (34 cases), need to reduce prolapse before voiding (32 cases), hesitancy (25 cases), and intermittent stream (11 cases) were associated with prolapse. Stress incontinence and urge incontinence were present in 28 and 46 cases respectively. Urinary disturbances were associated with majority of the cases who had PVR > 50 mL. Postoperatively, 9 cases had PVR volume > 50 mL. Out of those, 8 cases developed stress urinary incontinence (SUI) during follow-up. One case was lost to follow-up. Conclusion Urinary disturbances are more commonly seen in genital organ prolapse. Raised PVR was significantly associated with increased degrees of prolapse as well as urinary disturbances. The SUI increases with increasing PVR volume. Vaginal hysterectomy and anterior colporrhaphy were effective procedures in reducing elevated PVR and urinary disturbances in prolapse patients. There is a need for long-term follow-up for these cases. How to cite this article Shashikumar NS, Dutta I. Preoperative and Postoperative Postvoid Residual Urine Volume in Urogenital Prolapse: A Comparative Study. J South Asian Feder Obst Gynae 2017;9(2):86-88.

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Safety and efficacy of prostatic artery embolization for large benign prostatic hyperplasia in elderly patients

Journal of International Medical Research ◽

10.1177/0300060520986284 ◽

2021 ◽

Vol 49 (1) ◽

pp. 030006052098628

Author(s):

Chen Xu ◽

Gang Zhang ◽

Jin-jin Wang ◽

Chun-xian Zhou ◽

Min-jun Jiang

Keyword(s):

Benign Prostatic Hyperplasia ◽

Elderly Patients ◽

Prostate Volume ◽

Specific Antigen ◽

Urine Volume ◽

Prostatic Hyperplasia ◽

Antigen Level ◽

Residual Urine Volume ◽

Safety And Efficacy ◽

Total Prostate Specific Antigen

Objective To assess the safety and efficacy of prostatic arterial embolization (PAE) for elderly patients with lower urinary tract symptoms secondary to large benign prostatic hyperplasia. Methods Twenty-eight patients (>80 years of age) with prostate volume >80 mL were enrolled from October 2016 to October 2019. PAE was performed using microspheres and functional results were evaluated at 1, 3, 6, and 12 months postoperatively. The following data were recorded: International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urine flow rate (Qmax), post-void residual urine volume, prostate volume and total prostate-specific antigen level. Results Selective prostatic arterial catheterization and embolization were achieved in 27 of 28 patients. Follow-up data were available for those 27 patients until 12 months postoperatively. Significant improvements were found at all postoperative time points in terms of the mean IPSS, mean QoL score, mean Qmax, mean post-void residual urine volume, mean total prostate-specific antigen level, and mean prostate volume. The overall complication rate was 46.4%. Conclusions PAE is an efficacious and safe treatment for elderly patients with large prostate volume; it may offer an effective approach for patients who are not candidates for open or endoscopic surgical procedures because of comorbidities.

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