A CLINICAL STUDY TO CORRELATE LOWER URINARY TRACT SYMPTOMS DUE TO BENIGN PROSTATIC HYPERPLASIA WITH THE PROSTATE VOLUME AND THE INTRAVESICAL PROSTATIC PROTRUSION

2021 ◽  
pp. 16-18
Author(s):  
Arpan Yadav ◽  
Akoijam kaku Singh ◽  
Nawaz Ali
Keyword(s):  
Urinary Tract ◽  
Benign Prostatic Hyperplasia ◽  
Strong Correlation ◽  
Lower Urinary Tract ◽  
Prostate Volume ◽  
Prostatic Hyperplasia ◽  
P Value ◽  
Urinary Tract Symptoms ◽  
Intravesical Prostatic Protrusion ◽  
Lower Urinary

Introduction: International Prostate Symptom score (IPSS) which is identical to AUA symptom index, is recommended as a symptom scoring instrument to be used for baseline assessment of symptoms severity in men presenting with Lower Urinary Tract Symptoms.The correlation of prostate volume PV, IPP and IPSS has been extensively investigated. It was generally accepted that there was weak correlation of PV with IPSS and strong correlation of IPP with IPSS.We conducted this study to nd out whether this generally accepted correlation holds true for our patients from north east region of india Materials and Methods:This was a prospectively designed study conducted in the department of Urology, Regional institute of medical sciences imphal to To correlate lower urinary tract symptoms due to benign prostatic hyperplasia with prostate volume and intravesical prostatic protrusion. A total of 154 patients of BPH were included in the study. Statistical analysis was done by using IBM SPSS Version 21 for windows.Chi square test/scher exact test was used as a test of signicance of the study for comparing the outcome variables. P-value <0.05 was taken as signicant. Spearman correlation coefcient for categorical data and Pearson's correlation coefcient analysis for continuous variables was carried out Results and Observations:In our study maximum number of patients were in the moderate IPSS grade category 89 patients(58.00%) were having moderate symptoms,55 patients(36.0%) were having severe symptoms and 10 patients(6.0%) were having mild symptoms.There was statistically signicant and strong correlation between intraprostatic protrusion and International Prostate Symptoms Score with ('p' value <0.0001 and r =0.78). There was statistically signicant and strong correlation between Prostate volume (PV) and International Prostate Symptoms Score with ('p' value <0.001 and r =0.56). Conclusion:This study concludes that both IPP and PV have strong correlation with symptoms of BOO measured by IPSS. IPP is easy to acquire and non invasive. IPP can also helps in predicting some times the high IPSS score despite of a small prostate volume

scholarly journals Clinical Considerations for Intravesical Prostatic Protrusion in the Evaluation and Management of Bladder Outlet Obstruction Secondary to Benign Prostatic Hyperplasia

2018 ◽  
Vol 12 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Jason Gandhi ◽  
Steven J. Weissbart ◽  
Albert N. Kim ◽  
Gunjan Joshi ◽  
Steven A. Kaplan ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Benign Prostatic Hyperplasia ◽  
Lower Urinary Tract Symptoms ◽  
Bladder Outlet Obstruction ◽  
Lower Urinary Tract ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Urinary Tract Symptoms ◽  
Intravesical Prostatic Protrusion ◽  
Lower Urinary

Background: Intravesical prostatic protrusion (IPP) is a manifestation of benign prostatic hyperplasia marked by overgrowth of the prostatic median lobe into the bladder, producing bladder outlet obstruction and related storage and voiding symptoms. Methods: A MEDLINE® database search of the current literature was guided using combination of “prostate” with the following terms: intravesical prostatic protrusion, bladder trabeculation, bladder outlet obstruction, lower urinary tract symptoms, alpha blockers, transrectal ultrasonography, and prostatectomy. Results: Although IPP can be identified via a variety of imaging modalities, it is easily detected via transrectal ultrasonography (TRUS). Failing to detect IPP promptly by TRUS may result in refractory symptoms of benign prostatic hyperplasia, as the condition may not respond to typical α1-adrenoceptor antagonist therapy. In addition, depending on grade, IPP can influence outcomes and complications of prostatectomies. Conclusion: Upon report of lower urinary tract symptoms, initial performance of TRUS along with digital rectal examination prevents delay in the appropriate evaluation and management of prostatic diseases.

scholarly journals Effect of preoperative prostate volume on the improvement of lower urinary tract symptoms in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate

2019 ◽  
Vol 9 (2) ◽  
pp. e18-e18
Author(s):  
Behzad Lotfi ◽  
Sajjad Farazhi ◽  
Mohammadreza Mohammadi Fallah ◽  
Mansour Alizadeh ◽  
Rohollah Valizadeh ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Lower Urinary Tract ◽  
Prostate Volume ◽  
Prostatic Hyperplasia ◽  
Urinary Tract Symptoms ◽  
Significant Difference ◽  
Lower Urinary

Introduction: Benign prostate hyperplasia, pathophysiology contributes to bladder outlet obstruction due to functional obstruction caused by gland size enlargement resulting in the lower urinary tract symptoms (LUTS). Objectives: To determine the correlation of the prostate volume with surgical outcomes and postoperative LUTS in patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP). Patients and Methods: Patients with BPH who were refractory for medical treatment enrolled in the study. Patients divided into three groups with attention to their prostate volume conducted by transabdominal ultrasonography. To evaluate patients’ LUTS, the International Prostate Symptom Score (IPSS) questionnaire was filled for all patients preoperatively and during the first and third months follow up sessions. Results: In the current study, mean age of the patients was 66.92 ± 1.08 years. Of 111 patients, eight patients (7.2%) had prostate volume less than 30 cc, 59 patients (53.2%) had prostate volume between 30-60 cc, and 44 patients (39.6%) had prostate volume more than 60 cc. During first month postoperative, mean decrease in IPSS scores in patients with prostate volume less than 30 cc, prostate volume between 30–60 cc and prostate volume more than 30 cc were 27.72 ± 3.53, 27.32 ± 3.37 and 27.45 ± 2.87, respectively. The ANOVA test showed no significant difference between the groups (P= 0.93). Mean decrease in IPSS score during third month postoperative, had no significant difference between the three groups, too (P=0.71). Symptoms alleviation observed in 94.6% and 95.5% of the patients, during first and third months follow-up, respectively. Conclusion: There was no correlation between the IPSS scores decrease and patients’ symptoms recovery and preoperative prostate volume in patients with BPH who underwent TRUP.

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