Correlation of Prostatic volume assessed by Transabdominal USG with IPSS and PSA level in Blood in Benign Prostatic Hyperplasia

•          Methods: This is a HOSPITAL BASED COMPARATIVE STUDY conducted in the department of Surgery, Silchar Medical College, SILCHAR.The duration of the study was 12 months starting from 1st June 2014 to 31st May 2015..There were 60 patients aged 47 to 85 years attending to surgery OPD or those who were admitted in surgery ward with Lower Urinary Tract Symptoms with Inclusion criteria: 1. male patients of age above 40 years 2. patients with lower urinary tract symptoms viz, incomplete voiding, frequency, intermittency, urgency, weak stream, straining, nocturia, burning micturition and with Exclusion criteria:1. All male patients of age <40 years 2. known cases of prostatic carcinoma3. patients with blood PSA >10ng/ml 4. patients who have undergone previous prostatic surgery. All patients were investigated with all routine blood and urine examination ,serum PSA ,ultrasonography abdomen and pelvis.

•          Results: This study included 60 male patients with age ranging from 47 to 85 years with mean age of 67.48 years. Maximum numbers of patients were in the seventh decade of life constituting 38.33%.Commonest clinical presentation was increased frequency of micturition observed in 34 patients (27.4%), followed by nocturia observed in 30 patients (24.1%).

•         Maximum numbers of patients were in the moderate IPSS category. patients maximum number of patients had the prostate volume measuring 20–30cc observed in 17 patients(28.3%), followed by 16 patients (26.7%) who had the prostatic volume more than 50cc. The median lobe enlargement was observed in 7 patients and mean IPSS score in these patients was 26.14. in the remaining 53 patients there was no median lobe enlargement with mean PSS score of 17.30.50 patients (83.3%) had the PSA value less than 4 ng/ml, whereas only 10 patients (16.7%) had the PSA value >4ng/ml .In our study there was statistically significant correlation between prostatic volume and following symptoms of IPSS: incomplete emptying, intermittency, increased frequency of micturition, and nocturia.There was statistically significant correlation between blood PSA levels and the following symptoms of IPSS: incomplete emptying, increased frequency, intermittency and nocturia.In our study there was statistically significant correlation of prostate volume with blood PSA , prostate volume with IPSS and showed p value of <0.05.There was no correlation of prostate volume with age, IPSS with age and blood PSA level with age and showed p value of >0.05.

•         Conclusions: There is statistically significant correlation of prostate volume with blood prostate specific antigen and international prostate symptoms score in patients with benign prostatic hyperplasia. There is statistically significant correlation of international prostate symptoms score and blood prostate specific antigen in patients with benign prostatic hyperplasia. Prostate volume may be used as a surrogate marker for PSA levels in blood. Transabdominal ultrasonography is an easy tool for the assessment of prostate size in patients presenting with lower urinary tract symptoms.