Cargando…
Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria
OBJECTIVES: To study the relationship between sonographically measured intravesical prostate protrusion and international prostate symptoms score (IPSS), as well as prostate volume, in men with benign prostatic hyperplasia at a single health facility. MATERIALS AND METHODS: This was a cross-sectiona...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204911/ https://www.ncbi.nlm.nih.gov/pubmed/37228883 http://dx.doi.org/10.4103/jwas.jwas_270_22 |
_version_ | 1785045929440575488 |
---|---|
author | Okedere, Tolulope Adebayo Idowu, Bukunmi Michael Onigbinde, Stephen Olaoluwa |
author_facet | Okedere, Tolulope Adebayo Idowu, Bukunmi Michael Onigbinde, Stephen Olaoluwa |
author_sort | Okedere, Tolulope Adebayo |
collection | PubMed |
description | OBJECTIVES: To study the relationship between sonographically measured intravesical prostate protrusion and international prostate symptoms score (IPSS), as well as prostate volume, in men with benign prostatic hyperplasia at a single health facility. MATERIALS AND METHODS: This was a cross-sectional observational study of one hundred men (age >40 years) diagnosed with benign prostatic hyperplasia. Their International Prostate Symptoms Score (IPSS) was assessed using the standardised IPSS instrument. Abdominal ultrasound was done to measure the intravesical prostatic protrusion (IPP), while prostate volume was estimated transabdominally and transrectally. Correlations between parameters were quantified with Spearman’s correlation test. P ≤ 0.05 was statistically significant. RESULTS: The mean age was 62.84 ± 9.0 years (Range =42–79 years). The mean IPSS was 20.99 ± 6.42 (range of 5–30). Seventy-three percent of the men in this study had intravesical prostatic protrusion on ultrasound. The mean IPP was 13.0 ± 4.0 mm. Of the 73 men with IPP, 17 (23.3%), 29 (39.7%), and 27 (37%) had grade I, grade II and grade III IPP, respectively. The mean transabdominal prostate volume (TPVA) and transrectal prostate volume (TPVT) were 71 ± 14 ml and 69 ± 13 ml, respectively. IPP had a statistically significant positive correlation with all the other parameters. The strongest correlation (very high correlation) was with the TPVA (r=0.797, P < 0.0001), followed by a moderate correlation with the IPSS (r =0.513, P < 0.0001). TPVT, transition zone volume, transition zone index, presumed circle area ratio, and quality of life score yielded slightly weaker moderate correlation with IPP, while IPP correlated weakly with age. CONCLUSION: IPP correlated well with multiple clinical and sonographic parameters. It correlated better with TPVA than TPVT. |
format | Online Article Text |
id | pubmed-10204911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-102049112023-05-24 Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria Okedere, Tolulope Adebayo Idowu, Bukunmi Michael Onigbinde, Stephen Olaoluwa J West Afr Coll Surg Original Article OBJECTIVES: To study the relationship between sonographically measured intravesical prostate protrusion and international prostate symptoms score (IPSS), as well as prostate volume, in men with benign prostatic hyperplasia at a single health facility. MATERIALS AND METHODS: This was a cross-sectional observational study of one hundred men (age >40 years) diagnosed with benign prostatic hyperplasia. Their International Prostate Symptoms Score (IPSS) was assessed using the standardised IPSS instrument. Abdominal ultrasound was done to measure the intravesical prostatic protrusion (IPP), while prostate volume was estimated transabdominally and transrectally. Correlations between parameters were quantified with Spearman’s correlation test. P ≤ 0.05 was statistically significant. RESULTS: The mean age was 62.84 ± 9.0 years (Range =42–79 years). The mean IPSS was 20.99 ± 6.42 (range of 5–30). Seventy-three percent of the men in this study had intravesical prostatic protrusion on ultrasound. The mean IPP was 13.0 ± 4.0 mm. Of the 73 men with IPP, 17 (23.3%), 29 (39.7%), and 27 (37%) had grade I, grade II and grade III IPP, respectively. The mean transabdominal prostate volume (TPVA) and transrectal prostate volume (TPVT) were 71 ± 14 ml and 69 ± 13 ml, respectively. IPP had a statistically significant positive correlation with all the other parameters. The strongest correlation (very high correlation) was with the TPVA (r=0.797, P < 0.0001), followed by a moderate correlation with the IPSS (r =0.513, P < 0.0001). TPVT, transition zone volume, transition zone index, presumed circle area ratio, and quality of life score yielded slightly weaker moderate correlation with IPP, while IPP correlated weakly with age. CONCLUSION: IPP correlated well with multiple clinical and sonographic parameters. It correlated better with TPVA than TPVT. Wolters Kluwer - Medknow 2023 2023-03-20 /pmc/articles/PMC10204911/ /pubmed/37228883 http://dx.doi.org/10.4103/jwas.jwas_270_22 Text en Copyright: © 2023 Journal of the West African College of Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Okedere, Tolulope Adebayo Idowu, Bukunmi Michael Onigbinde, Stephen Olaoluwa Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria |
title | Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria |
title_full | Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria |
title_fullStr | Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria |
title_full_unstemmed | Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria |
title_short | Ultrasonographic Intravesical Prostatic Protrusion in Men with Benign Prostatic Hyperplasia in Southwest Nigeria |
title_sort | ultrasonographic intravesical prostatic protrusion in men with benign prostatic hyperplasia in southwest nigeria |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204911/ https://www.ncbi.nlm.nih.gov/pubmed/37228883 http://dx.doi.org/10.4103/jwas.jwas_270_22 |
work_keys_str_mv | AT okederetolulopeadebayo ultrasonographicintravesicalprostaticprotrusioninmenwithbenignprostatichyperplasiainsouthwestnigeria AT idowubukunmimichael ultrasonographicintravesicalprostaticprotrusioninmenwithbenignprostatichyperplasiainsouthwestnigeria AT onigbindestephenolaoluwa ultrasonographicintravesicalprostaticprotrusioninmenwithbenignprostatichyperplasiainsouthwestnigeria |