Role of Ultrasonography in Evaluating Prostate Obstruction using Prostate Size and Post Void Residual Urine Volume: A Study from Western India
Authors/Creators
- 1. Assistant Professor, Department of Radiodiagnosis, GMERS Medical College, Junagadh Gujarat, India
- 2. Assistant Professor, Department of Radiodiagnosis, GMERS Medical College, Himatnagar, Gujarat
Description
Background: Benign prostatic hyperplasia (BPH) is one of the primary causes of morbidity in older adults. Without timely intervention, the risk of developing urinary obstruction is 2.5% higher in men with BPH. Prostate size or volume and reduced urinary flow rate are significant predictors of prostate obstruction and can be visualized on a real-time basis using ultrasonography (USG). Aims and Objectives: To evaluate the relationship between prostate volumes (PV) and post-void residual volume (PVRV) to predict the degree of obstruction. Materials and Methods: A tertiary care center in Gujarat studied fifty symptomatic and asymptomatic male patients with BPH (age ≥50 years) were studied at a tertiary care center in Gujarat. Sociodemographic details were recorded. The prostate size was measured by planimetric USG with the patient resting in a lateral decubitus position. Post-void residual volume was assessed with transabdominal USG. Results: Mean age of patients with BPH were 62.78±12.56, the majority being 51- 60 years (48%) of age. PV showed a significant increase in mean size in different age groups (P<0.001). An increasing trend in PVRV was observed with age; mean PVRV in patients with 51-60, 61-70, and >70 years age group was 54.82±18.21, 68.26±12.28, and 112.42±8.34 respectively (p<0.001). On Pearson correlation a significant positive correlation was obtained between prostate size and mean PVRV (p=0.001, r=0.575) and between age and PVRV (r = 0.623, p = 0.008). Conclusion: Post void residual urine volume and PV using USG can serve as a novel accurate non-invasive test for predicting prostate obstruction in patients with BPH in decision making. USG provides real-time transabdominal scanning and has no risk of ionizing radiation like other methods.
Abstract (English)
Background: Benign prostatic hyperplasia (BPH) is one of the primary causes of morbidity in older adults. Without timely intervention, the risk of developing urinary obstruction is 2.5% higher in men with BPH. Prostate size or volume and reduced urinary flow rate are significant predictors of prostate obstruction and can be visualized on a real-time basis using ultrasonography (USG). Aims and Objectives: To evaluate the relationship between prostate volumes (PV) and post-void residual volume (PVRV) to predict the degree of obstruction. Materials and Methods: A tertiary care center in Gujarat studied fifty symptomatic and asymptomatic male patients with BPH (age ≥50 years) were studied at a tertiary care center in Gujarat. Sociodemographic details were recorded. The prostate size was measured by planimetric USG with the patient resting in a lateral decubitus position. Post-void residual volume was assessed with transabdominal USG. Results: Mean age of patients with BPH were 62.78±12.56, the majority being 51- 60 years (48%) of age. PV showed a significant increase in mean size in different age groups (P<0.001). An increasing trend in PVRV was observed with age; mean PVRV in patients with 51-60, 61-70, and >70 years age group was 54.82±18.21, 68.26±12.28, and 112.42±8.34 respectively (p<0.001). On Pearson correlation a significant positive correlation was obtained between prostate size and mean PVRV (p=0.001, r=0.575) and between age and PVRV (r = 0.623, p = 0.008). Conclusion: Post void residual urine volume and PV using USG can serve as a novel accurate non-invasive test for predicting prostate obstruction in patients with BPH in decision making. USG provides real-time transabdominal scanning and has no risk of ionizing radiation like other methods.
Files
IJPCR,Vol15,Issue6,Article233.pdf
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Additional details
Dates
- Accepted
-
2023-06-10
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue6,Article233.pdf
- Development Status
- Active
References
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