To Know the Correlation of Prostate Size on Ultrasound with International Prostate Symptom Score and Uroflowmetry in Benign Prostatic Hyperplasia

ABSTRACT

Introduction: Benign prostatic hyperplasia (BPH) is an extremely common condition in elderly men and is a major cause ofbladder outflow obstruction. An enlarged prostate may also be incidentally found on imaging of the pelvis or on rectal examination.Lower urinary tract symptoms (LUTSs) are one of the commonest presentations in urology clinics. Clinical diagnosis of BPHis made by the assessment of international prostate symptom score (IPSS), prostate size or volume, and reduced urinary flowrate. Uroflowmetry is one of the simplest and non-invasive urodynamic investigations used in the measurement of urinary flowrate using a flowmeter for the evaluation of obstructive LUTS. The IPSS is widely used to assess the severity of LUTS in menwith bladder outlet obstruction and to evaluate the response to medical or surgical therapy for benign prostatic obstruction.Materials and Methods: This prospective study was conducted on patients with LUTS to evaluate (1) Prostate size onultrasound, (2) correlate prostate size with IPSS, and (3) correlate prostate size with uroflowmetry. A total of 60 patients wereincluded in the study attending the outpatient department of general surgery in Government Doon Medical College betweenJune 2018 and September 2019.Result: Our study states that maximum flow rate and prostate volume show a positive significant correlation having P < 0.01.Considering all the three grades of BPH, a positive correlation was found between prostate volume and maximum flow rate. Asignificant correlation was found between mean prostate volume and maximum flow rate signifying that the higher the prostatevolume, the lower the maximum flow rates. The statistical analysis of prostate volume versus IPSS showed strongly significantcorrelation between the two parameters. Mean prostate volume was higher in patients with PSS of 18–35. It denotes that higherthe prostate volume higher is severity index in patients with BPH.Conclusion: On the basis of data, which were obtained after evaluation of 60 patients with BPH, it can be concluded thatprostate volume and its relationship with peak flow of output can help predict the degree and cause of obstruction. The higherthe prostate volume, the higher the possibility of the cause to be obstructive due to BPH. Uroflowmetry, IPSS, and ultrasoundare non-invasive, easy, and cheap investigation in evaluation of LUTS, mainly due to BPH.