Correlation between Age, IPSS, Prostate size with histopathological findings and management of patients of prostatism
Introduction: Benign prostatic obstruction/enlargement (BPO/BPE) is one of the important aetiology for Bladder outlet obstruction (BOO) in men. The study has been planned to measure various parameters of bladder dysfunction by using Cystometry in patients of Prostatism and to find out the correlation between various parameters like age, prostate size, IPSS, management of patients with Prostatism, choice of operative procedure performed and various histopathological findings. Methods: This was an observational study. A total of 75 patients with age> 50 years and IPSS > 19 having symptoms of Prostatism were included in the study. A patient detailed history was taken and demographic parameters with IPSS, histopathological findings, management plan, Ultrasonography findings were recorded in structured proforma. Results: It is seen that the maximum i.e. 39 (52%) cases of prostatism are observed in the age group of 60 to 70 years. The average age was 67.29 years. Maximum i.e. 31 (41.33%) cases of prostatism had a prostate size in 50-70 gms.36 patients were managed by catheterization while surgery was performed in the remaining 39 patients. Transurethral resection of the prostate (TURP) was performed in 36 of 39 patients. IPSS was decreased significantly from an average of 26 to an average of 22 after 2 weeks of operation/catheterization. Conclusion: Prevalence of BPE increases with age as there found to be positive correlation between age and Prostate size. TURP was the preferred procedure in our tertiary center for the treatment of BPE. A significant decrease in IPPS suggests improvement in symptoms of BPE after operation/catheterization.
Copyright (c) 2019 Tushar Chandrakant Baheti, Shelke C V, Amar Deshmukh
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