Introduction: In this study, we aimed to investigate the relation between intravesical prostatic protrusion (IPP) and prostate volume in patients with benign prostate hyperplasia and effects of IPP grade and prostate volume on clinical signs. Materials and Methods: We evaluated 83 consecutive patients with LUTS suggestive of BPH via the international prostate symptom score (IPSS) and uroflowmetry parameters. The volume of prostate, IPP and postvoid urine were also measured by transabdominal ultrasound. Ultrasound findings, uroflowmetry results and IPSS were compared between groups constituted according to prostate volume and IPP grade. Results: IPP was detected in 57.8% of the patients. IPP was seen higher (77.1%) in the patients with a prostate volume higher than 40 cc (p=0,005). Patients with prostate volumes higher than 40 cc had significantly higher age, IPSS, and lower maximum urine flow (Qmax), quality of life (Qol). Patients with IPP had significantly higher prostate volume and IPSS than patients without IPP. When patients were grouped according to IPP vertical size (Group 1: 0-4.9 mm, Group 2: 5-9.9 mm, Group 3: >10 mm); significant differences were found between first and third group in prostate volume, IPSS and postvoid urine. There were significant correlation between Qmax and IPSS, prostate volume and IPSS, prostate volume and IPP. Conclusion: IPP caused statistically significant difference in prostate volume and IPSS. The other parameters like uroflow, postvoid urine and quality of life were worse in patients who had IPP with no statistically significance. Except postvoid urine, the correlation was higher between the investigated parameters and prostate volume than IPP. Patients with higher prostate volumes tend to have IPP, because of this high correlation with prostate volume; we thought that worsening symptoms and findings with IPP was due to the elevating prostate volumes.
|Translated title of the contribution
|Relation between intravesical prostate protrusion and prostate volume and their clinical effects in patients with benign prostate hyperplasia
|Number of pages
|Turk Uroloji Dergisi
|Published - Jun 2008
- Intravesical Prostatic Protrusion
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