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Correlation between Symptomatology, Digital and Sonographic Prostatic Size with Post Voidal Residual Urine in Benign Prostatic Hyperplasia

Om Pal Singh , Amarish Pravinchandra Mehta1 , Om Pal Singh2 , Dixit Prajapati3 , Mehul M. Tadvi4

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New Indian Journal of Surgery 10(3):p 273-276, May-June 2019. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10319.6

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Amarish Pravinchandra Mehta, Om Pal Singh, Dixit Prajapati et al. Correlation between Symptomatology, Digital and Sonographic Prostatic Size with Post Voidal Residual Urine in Benign Prostatic Hyperplasia. New Indian J Surg. 2019;10(3):273-276
 

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Abstract

 This Prospective study included 100 patients having urinary complains studied under the Department of General Surgery, M.P. Shah Medical College, Jamnagar from October 2017 to December 2018. Commonest in 50-75 years of age, burning micturation (45%) was the most common complain followed by lower abdominal pain (35%), urinary retention (21%). Hematuria (17%). Symptoms included nocturia (96%), increase in urinary frequency (84%), straining during urination (71.0%), weak stream during urination (84.0%), urgency (95.0%), incomplete emptying (81.0%) and intermittency (86.0). Most of the subjects presented with moderate severity of symptoms (42%) belonged to 50-75 years of age group. DRE revealed, prostatic size normal (13%), +1(57%), +2 (30%). Median sulcus obliterated (24%), overlying mucosa fixed (8%). Consistency was firm ( 86%), elastic (8%) and nodular (6%). IPSS Score - mild (19%) moderate (73%) and severe (8%). (2%) had prostatic volume <20cc, (20%) between 21-30cc, (38%) between 31-50cc, (33%) between 51-80cc, (7%) >80cc. Average MLP for prostatic <20 cc is1.1 cm, 21- 30 cc is1.04 cm, 31-50 cc is 1.326 cm and 51-80 cc is1.65 cm. Average PVRU for prostate < 20 cc is 5cc, 21-30 cc is 19.8 cc, 31-50cc is 32.05cc , 51-80 cc is 44.59 and > 80 cc is 69.86 cc. The person’s coefficient of correlation between the sonographic prostatic size and PVRU r1=0.54072 and between IPSS with PVRU r2=0.681461

 

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Cite this article

Amarish Pravinchandra Mehta, Om Pal Singh, Dixit Prajapati et al. Correlation between Symptomatology, Digital and Sonographic Prostatic Size with Post Voidal Residual Urine in Benign Prostatic Hyperplasia. New Indian J Surg. 2019;10(3):273-276
 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10319.6

Keywords

Benign Prostate Hypertrophy; Digital Rectal Examination (DRE); Post Voidal Residual Urine (Pvru); Median Lobe Projection (MLP)

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