Correlation of Benign Prostatic Hyperplasia Diagnosed on Transabdominal Ultrasound with Urinary Retention Checked with Post Micturition Residual Volume on Ultrasound

Authors

  • Awon Abbas Malik University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Muhaammad Yousaf Farooq University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Muhammad Uzair University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Irzam Hassan Raza University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Osama Tanwer Khan University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Abdul Mughani University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • M. Mohsin Ali University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • M. Osama Rehan University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Zain ul Hasan University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of allied Health Sciences, The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i1.317

Keywords:

Benign prostate hypertrophy, bladder outlet obstruction, central obstruction, post-micturition residual volume, urinary reflux.

Abstract

Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is a histologic disease in proliferation of the cellular elements of the prostate occurs, leading to an enlarged prostate gland. Chronic BOO due to BPH may cause urinary retention, impaired kidneys, repetitive urinary tract infections, high degree hematuria, and bladder stones.

 

Objective:To study the interconnection of prostatic volumes with post micturitiing residual urine volume (PMR) in males with benign prostatic hyperplasia (BPH). Methods: It was a cross-sectional research comprising of 220 subjects who underwent Ultrasonography scan over duration of 4 months. This study was performed in Sanabil Health Services Hospital Lahore, from 15-6-2021 to 16-10-2021. Men of all ages diagnosed for BPH were a part of this research. The subjects with prostatic malignancies, who underwent mild urinary tract and/or prostate surgeries and men with UTI or bladder calculi, were included in this experiment. Abdominal ultrasonography was conducted using a curved array probe of 3.5-5 MHz frequency. The outcomes were Prostate volumes and post PMR volumes. Results: In total, 220 subjects were evaluated. Out of these, benign prostatic hyperplasia was not found in 60(27.3%) and was present in 160(72.7%). Normal PMRV was found in 75(34.1%) and was raised in 145(65.9%). A remarkable mean difference of pre-void volume was observed in patients with BPH and without BPH. The p-value was 0.000<0.05. A significant mean difference of post void volume was observed in patients with BPH as p-value is 0.000<0.05.Conclusion:Ultrasound has been proven to diagnose early prostatic enlargement and other prostate related pathologies, our study found out that there is a remarkable connection between PMR Volume and BPH i.e., with increasing prostatic weight, urinary retention increases.

References

Abdelmajid MM. Sonographic Assessment of Residual Urine Volume in Benign Prostatic Hyperplasia patients in Sudan (Doctoral dissertation, Alzaeim Alazhari University).

Salako AA, Badmus TA, Owojuyigbe AM, David RA, Ndegbu CU, Onyeze CI. Open prostatectomy in the management of benign prostate hyperplasia in a developing economy. Open Journal of Urology. 2016;6(12):179.

https://doi.org/10.4236/oju.2016.612029

Egan KB. The epidemiology of benign prostatic hyperplasia associated with lower urinary tract symptoms: prevalence and incident rates. Urologic Clinics. 2016 Aug 1;43(3):289-97.

https://doi.org/10.1016/j.ucl.2016.04.001

Saigal CS, Joyce G. Economic costs of benign prostatic hyperplasia in the private sector. The Journal of urology. 2005 Apr;173(4):1309-13.

https://doi.org/10.1097/01.ju.0000152318.79184.6f

Hyperplasia BP. Diagnosis and Treatment. Clinical Practice Guideline, Number 8. AH-CPR Publication No. 94-0582. Rockville, Maryland: Agency for Health Care Policy and Research, Public Health Service, United States Department of Health and Human Services February. 1994.

Meigs JB, Mohr B, Barry MJ, Collins MM, McKinlay JB. Risk factors for clinical benign prostatic hyperplasia in a community-based population of healthy aging men. Journal of clinical epidemiology. 2001 Sep 1;54(9):935-44.

https://doi.org/10.1016/S0895-4356(01)00351-1

SAITO M, MIYAGAWA I. Bladder dysfunction after acute urinary retention in rats. The Journal of urology. 2001 May;165(5):1745-7.

https://doi.org/10.1016/S0022-5347(05)66406-3

Kuwertz-Bröking E, von Gontard A. Clinical management of nocturnal enuresis. Pediatric Nephrology. 2018 Jul;33(7):1145-54.

https://doi.org/10.1007/s00467-017-3778-1

Veeratterapillay R, Pickard RS, Harding C. The role of uroflowmetry in the assessment and management of men with lower urinary tract symptoms-revisiting the evidence. Journal of Clinical Urology. 2014 May;7(3):154-8.

https://doi.org/10.1177/2051415813498874

Pesce F, Rubilotta E, Righetti R, D Amico A, Frigo M, Martinelli N, Artibani W. Results in 522 patients assessed in a" flow-clinic". Urodinamica. 2002;12(3):154-5.

Hricak H, Choyke PL, Eberhardt SC, Leibel SA, Scardino PT. Imaging prostate cancer: a multidisciplinary perspective. Radiology. 2007 Apr;243(1):28-53.

https://doi.org/10.1148/radiol.2431030580

Fütterer JJ, Heijmink SW, Spermon JR. Imaging the male reproductive tract: current trends and future directions. Radiologic Clinics of North America. 2008 Jan 1;46(1):133-47.

https://doi.org/10.1016/j.rcl.2008.01.005

Barry MJ, Cockett AT, Holtgrewe HL, McConnell JD, Sihelnik SA, Winfield HN. Relationship of symptoms of prostatism to commonly used physiological and anatomical measures of the severity of benign prostatic hyperplasia. The Journal of urology. 1993 Aug 1;150(2):351-8.

https://doi.org/10.1016/S0022-5347(17)35482-4

Agrawal CS, Chalise PR, Bhandari BB. Correlation of prostate volume with international prostate symptom score and quality of life in men with benign prostatic hyperplasia. Nepal Med Coll J. 2008 Jun 1;10(2):104-7.

Singla S, Garg R, Singla A, Sharma S, Singh J, Sethi P. Experience with uroflowmetry in evaluation of lower urinary tract symptoms in patients with benign prostatic hyperplasia. Journal of clinical and diagnostic research: JCDR. 2014 Apr;8(4):NC01.

Udeh EI, Ozoemena OF, Ogwuche E. The relationship between prostate volume and international prostate symptom score in Africans with benign prostatic hyperplasia. Nigerian Journal of Medicine. 2012;21(3):290-5.

Dabhoiwala N, Osawa D, Lim AT, Abrams P. The ICS-'BPH'Study: uroflowmetry, lower urinary tract symptoms and bladder outlet obstruction. Br. J. Urol. 1998;82:619-23.

https://doi.org/10.1046/j.1464-410X.1998.00813.x

de la Rosette JJ, Alivizatos G, Madersbacher S, Perachino M, Thomas D, Desgrandchamps F, de Wildt M. EAU Guidelines on benign prostatic hyperplasia (BPH). European urology. 2001;40(3):256-63.

https://doi.org/10.1159/000049784

Roehrborn CG. BPH progression: concept and key learning from MTOPS, ALTESS, COMBAT, and ALF‐ONE. BJU international. 2008 Mar;101:17-21.

https://doi.org/10.1111/j.1464-410X.2008.07497.x

Trumbeckas D, Milonas D, Jievaltas M, Matjosaitis AJ, Kincius M, Grybas A, Kopustinskas V. Importance of prostate volume and urinary flow rate in prediction of bladder outlet obstruction in men with symptomatic benign prostatic hyperplasia. Central European journal of urology. 2011;64(2):75.

https://doi.org/10.5173/ceju.2011.02.art5

Chuang FP, Lee SS, Wu ST, Yu DS, Chen HI, Chang SY, Sun GH. Change in International Prostate Symptom Score after transurethral prostatectomy in Taiwanese men with benign prostate hyperplasia: use of these changes to predict the outcome. Archives of andrology. 2003 Jan 1;49(2):129-37.

https://doi.org/10.1080/01480510390129250

Lee S, Min HG, Choi SH, Kim YJ, Oh SW, Kim YJ, Park Y, Kim SS. Central obesity as a risk factor for prostatic hyperplasia. Obesity. 2006 Jan;14(1):172-9.

https://doi.org/10.1038/oby.2006.21

Yue L, Ge Y, Wang T, Ge M, Zhang C, Zhang W. The correlation between body mass index and prostatic-related parameters in men 40 years or older in Zhengzhou. The Aging Male. 2018 Nov 17.

https://doi.org/10.1080/13685538.2018.1530754

Parsons JK, Sarma AV, McVary K, Wei JT. Obesity and benign prostatic hyperplasia: clinical connections, emerging etiological paradigms and future directions. The Journal of urology. 2009 Dec;182(6S):S27-31.

https://doi.org/10.1016/j.juro.2009.07.086

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Published

2022-01-31
CITATION
DOI: 10.54393/pbmj.v5i1.317
Published: 2022-01-31

How to Cite

Malik, A. A., Farooq, M. Y., Uzair, M. ., Raza, I. H. ., Khan, O. T. ., Mughani, A. ., Ali, M. M. ., Rehan, M. . O. ., & Hasan, Z. ul . (2022). Correlation of Benign Prostatic Hyperplasia Diagnosed on Transabdominal Ultrasound with Urinary Retention Checked with Post Micturition Residual Volume on Ultrasound. Pakistan BioMedical Journal, 5(1), 366–369. https://doi.org/10.54393/pbmj.v5i1.317

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