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Comparative Studies | Urology | India | Volume 12 Issue 12, December 2023 | Rating: 5 / 10
Correlation of International Prostate Symptom Score with Intravesical Prostatic Protrusion in Men with Lower Urinary Tract Symptoms
Mebin Baby Thomas | Nazar M [2]
Abstract: Introduction: Bladder outlet obstruction (BOO) is defined as the obstruction of urinary flow at the base of the urinary bladder. In men, this is usually due to an enlarged prostate gland, which is one of the causes of lower urinary tract symptoms (LUTS). Gold standard for evaluation of BOO is urodynamics, but it is invasive and time consuming. In this study we would like to investigate the use of the transabdominal measurement of intravesical prostatic protrusion (IPP) with severity of LUTS in men. Methods: In a cross - sectional study, 76 male patients presenting with LUTS to Department of Genitourinary surgery, Govt. T D Medical college, Alappuzha were analysed. Patients brief history and clinical examination were recorded in a proforma. LUTS were quantified using IPSS questionnaire. Ultrasound scanning was done with the urinary bladder between 100 ? 200 ml volume with a transabdominal probe in the transverse plane. IPP was measured in millimetre's as the distance from the tip of the prostate's protrusion into the vesical lumen to the bladder neck. Results: 76 patients were considered for final analysis. Mean age in our study population was 71.08 years, they had a mean IPP of 9.6 mm with mean IPSS of 17.08. IPP showed strong positive correlation with IPSS (r = 0.674), irritative (r = 0.615) and voiding (r = 0.544) sub scores. Significant IPP (i. e., IPP > 10mm) had statistically significant higher IPSS compared to IPP < 10 mm group (non significant IPP). IPP showed only a weak positive correlation with quality of life index and total prostate volume. Conclusion: Intravesical prostatic protrusion is a non - invasive test that can be used in the evaluation of men with LUTS due to BPE. It is strongly associated with higher symptom scores. Addition of IPP to the current stratification process of BPE can aid in the evaluation and choosing of appropriate therapy for patients.
Keywords: Intravesical prostatic protrusion, Lower urinary tract symptoms, Benign Prostatic enlargement
Edition: Volume 12 Issue 12, December 2023,
Pages: 948 - 951