Benign Hyperplasia of Prostate:A Correlation Between.

ABSTRACT

We evaluated 50 conscutive patients of benign hyperplasia of prostate admitted for surgery according to a standard protocol noting down specific details of history, physical examination and sonographic findings in each patient. All patients were operated upon via the transvesical route. Ultrasonography proved to be the be the best predictor of actual prostatic weight. Digital rectal examination seems to be a reasonably accurate method of assessment of prostatic size. Clinically the age of the patient, the severity of obstructive or irritative symptoms and the presence or absence of urinary retention do not correlate well with the size of the prostate. The severity of the symptoms of their duration proved to be poor predictors of eventual development of urinary retention. Due the presence of associated medical problems in these patients and with the advent of trans urethral resection of prostate ( TURP) and nonsurgical means of therapy, a proper preoperative assessment of size of prostate clinically and by sonography is recommended so as to assess the need and the type of surgery.