RESUMO
To study the prevalence of prostatic disorders among men above 50 years of age in the out patient urology service .This study includes 400 male patients more than 50 years of age [range 50 - 81] with the mean of 65.5 in every patient a thorough urologic history was obtained stressing upon the items of the international prostatic symptom scores [IPPS], clinical assesment was performed including digital rectal examination and the laboratory investigations including serum PSA. urine analysis, s.creatinine, KUB and TRUS with or without biopsy. Out of the 400 screened patients. 152 [38%] were complaining of lower urinary disorders mainly irritative in 100 patients [25%] and obstructive in 52 patients [13%]. The irritative symptoms were mainly dysuria, frequency and precipitancy while obstructive symptoms were difficulty, drippling and hesitancy.87 patients [22%] were complaining of symptoms related to sexual dysfunction, out of them 26 patients [6.5%] were diabetics while 16 patients [4%] were hypertensive under medications and the remaining 32 patients [11%] were of unexplained causes digital rectal examination [DRE] showed evidence of prostatic enlargement of benign feeling in 100 patients [25%], 45 patients had an evidence of urinary tract infection furthermore vesical stones were encountered in 7 patients [1.9%]. PSA was more than 4ng/ml in 20 patients [5%] including 10 patients out of 12 had suspecious prostate in DRE. Transrectal ultrasound [TRUS] was performed in 30 patients [7.5%], where suspecious of malignancy was in 11 patients [2.7%.]. Transrectal 6 core biopsy revealed prostate cancer in 3 patients [0.74]. Although the number of screened patients is small. However, it gives an impression of the importance of screening in early detection and then treatment of prostatic disorders