Determining the efficacy of Trans rectal Ultrasound (TRUS) in cases of Prostatic pathology when compared with Histopathological Examination of Patients coming for treatment in Rajendra Institute of Medical Sciences (RIMS) Ranchi.

Dr Rajeev Kumar Ranjan; Dr Suresh Kumar Toppo; Dr Paras Nath Ram; Dr Pulak Abhishek

Volume : VII, Issue : IV, April - 2018

Determining the efficacy of Trans rectal Ultrasound (TRUS) in cases of Prostatic pathology when compared with Histopathological Examination of Patients coming for treatment in Rajendra Institute of Medical Sciences (RIMS) Ranchi.

Dr Rajeev Kumar Ranjan, Dr Suresh Kumar Toppo, Dr Paras Nath Ram, Dr Pulak Abhishek

Abstract :

Background Diseases primarily affecting the prostate gland in men range from inflammation, benign hyperplasia, to malignant tumors. Prostatic Carcinoma is the most common non dermal cancer in the west and second leading cause of death among men. India has seen an increase in the incidences of prostatic pathology in various forms be it BPH or Ca Prostate owing to increased imaging facilities and awareness among doctors including the patients. The diagnosis is often achieved with a combination of Imaging modality, histopathological exam, lab indicators and clinical examination. This study was intended to ascertain the efficacy of diagnostic value for Trans rectal Ultrasound in comparison to histopathological findings. Methodology 110 patients coming for USG in the Radiology department were evaluated and their results matched with those obtained after Histopathological examination during the study period starting January 2017 to December 2017 in Rajendra Institute of Medical Sciences after prior approval from IEC and Consent from the patient. Results We obtained the diagnostic value of TRUS as specificity 77.78 % with 95% CI of 67.71% to 86.27% while sensitivity was 89.66% with 95% CI 72.65% to 97.81%, negative predictive value of the TRUS was calculated as 95.45% with 87.73% to 98.41%. The overall accuracy was 80.91% with a 95% CI 72.31% to 87.78%.Conclusion The present findings suggest that TRUS and Histopathological Examination coupled can be an effective tool to diagnose the prostatic pathologies prevalent in this area. The high Negative Predictive Value can avoid unnecessary diagnostic interventions.