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Urology, Nephrology and Andrology International

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Study of Correlation of Anatomical Parameters with Clinical Features and Treatment Outcome in Patients of Benign Enlargement of Prostate

Yaser Ahmad, Junior Resident, Department of Urology, Institute of Urology, Sakhri Road, Dhule, Maharashtra 424001, India. , Yaser Ahmada , Uzma Gulzarb , Ashish Patilc , Lokesh Patnid

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Urology, Nephrology and Andrology International 2(2):p 67-73, Jul-Dec 2017. | DOI: N/A

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Abstract

Context: Compared to other modalities, the advantage of IPP in assessing BOO may be its easy applicability and non-invasive nature. Therefore, there is a consideration for a larger role of IPP in bedside assessment and management of BOO in daily practice. Aims: To Study of correlation of anatomical parameters with clinical features and treatment outcome in patients of benign enlargement of prostate. Settings and Design: A hospital based follow up study was carried out at Institute of Urology. Methods and Material: Study was carried out among men above 50 years of age with BEP with lower urinary tract symptoms presenting in outpatient department. Out of 106 patients 55 were in Medical treatment group and 51 in Surgical treatment group. Patients were selected for medical and surgical treatment on the basis of IPSS Score, prostate volume, uroflow parameters and patient willingness based on international literature. Statistical Analysis: Inferential Statistics “t”- test; ANOVA was used to find the significant difference between continuous outcome variables. Results: Significant negative correlation of prostate volume (PV) with peak urinary flow rate (PUFR) and post void residual urine was observed. Significant positive correlation of intra-vesical prostatic protrusion (IPP) with PV was observed, simultaneously significant negative correlation was present between IPP and PUFR. Negative correlation was noted between IPSS score and PUFR, however we found a weak positive correlations of IPSS score with PV and IPP. More significant improvement was noted in patients with IPP > 10 mm and treated surgically. Conclusion: Both medical therapy and surgical treatment are effective in management of BEP as they improve the patient’s quality of life in terms of improving  their PUFR and IPSS Score.

 

Keywords: Prostate Volume; Correlation; Post Void Residual Urine. 

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