Affiliation:
1. Senior resident Mch (urology) RIMS imphal.
2. Prof, HOD department of urology RIMS imphal.
Abstract
Introduction: International Prostate Symptom score (IPSS) which is identical to AUA symptom index, is recommended as a symptom scoring
instrument to be used for baseline assessment of symptoms severity in men presenting with Lower Urinary Tract Symptoms.The correlation of
prostate volume PV, IPP and IPSS has been extensively investigated. It was generally accepted that there was weak correlation of PV with IPSS and
strong correlation of IPP with IPSS.We conducted this study to nd out whether this generally accepted correlation holds true for our patients from
north east region of india
Materials and Methods:This was a prospectively designed study conducted in the department of Urology, Regional institute of medical sciences
imphal to To correlate lower urinary tract symptoms due to benign prostatic hyperplasia with prostate volume and intravesical prostatic protrusion.
A total of 154 patients of BPH were included in the study. Statistical analysis was done by using IBM SPSS Version 21 for windows.Chi square
test/scher exact test was used as a test of signicance of the study for comparing the outcome variables. P-value <0.05 was taken as signicant.
Spearman correlation coefcient for categorical data and Pearson's correlation coefcient analysis for continuous variables was carried out
Results and Observations:In our study maximum number of patients were in the moderate IPSS grade category 89 patients(58.00%) were having
moderate symptoms,55 patients(36.0%) were having severe symptoms and 10 patients(6.0%) were having mild symptoms.There was statistically
signicant and strong correlation between intraprostatic protrusion and International Prostate Symptoms Score with ('p' value <0.0001 and r
=0.78). There was statistically signicant and strong correlation between Prostate volume (PV) and International Prostate Symptoms Score with
('p' value <0.001 and r =0.56).
Conclusion:This study concludes that both IPP and PV have strong correlation with symptoms of BOO measured by IPSS. IPP is easy to acquire
and non invasive. IPP can also helps in predicting some times the high IPSS score despite of a small prostate volume
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