Correlation between international prostate symptom score and uroflowmetry in patients with benign prostatic hyperplasia

Oranusi, CK; Nwofor, AE; Mbonu, Okechukwu Obiora

doi:10.4103/1119-3077.196120

Cited by 18 publications

(23 citation statements)

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“…The findings of this study thus re-enforce the assertion of Bozlu et al [9] that worsening of IPSS is transient in the patients. The result of this research also revealed that the patient sub-group with moderate IPSS values (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)) at baseline had a significant increase in mean total IPSS scores 7 days after the biopsy, while those with mild or severe symptoms did not experience a significant change in their symptom score. Voiding dysfunction is defined by an IPSS voiding to storage symptoms ratio of greater than 1.0 [12].…”

Section: Discussionmentioning

confidence: 68%

“…This instrument has a set of 7 questions assessing three storage symptoms of frequency, urgency and nocturia, and four voiding symptoms of incomplete emptying, intermittency, weak stream and straining. These are scored from zero to five points with the total IPSS score ranging from 0 to 35 and its symptom severity graded as mild (0-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)) and severe (20-35). The eighth question in this questionnaire, known as bother score which is scored from zero to six points, evaluates the disease-specific quality of life of the patient [5].…”

Section: Study Protocolmentioning

confidence: 99%

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A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

et al. 2020

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Background Biopsy-related inflammatory edema, urethral blood clots and sphincteric spasm could lead to post-biopsy voiding dysfunction. This study examines the impact of trans-rectal prostate biopsy on the voiding function of patients in our institution. Methods Between February 2017 and July 2018, quasi-experimental study was carried out on 68 patients with indication(s) for prostate biopsy. Prior to the biopsy, IPSS (International Prostate Symptoms Score) and Qmax (peak flow rate) of each patient were determined. These were re-assessed 7 and 14 days after biopsy, and compared to baseline data. Analysis was done using Statistical Package for Social Science with p < 0.05 considered significant. Results Post-biopsy acute urinary retention occurred in 4.4% of the patients. The total IPSS (12.5 vs. 14.7, p = 0.003), IPSS storage sub-score (6.7 vs. 8.3, p = 0.001), bother score (3.3 vs. 3.6, p = 0.025) and Qmax (18.7 vs. 15.9 ml/s, p = 0.001) significantly deteriorated from the baseline value on the 7th day post-biopsy. However, there was no significant difference in these variables in comparison with baseline by the 14th day after the biopsy. Patients with moderate IPSS and normal Qmax at baseline had significantly worsened values by the 7th post-biopsy day (p = 0.002 and p = 0.001, respectively) while those with lower baseline bother score had a higher tendency for worsening of their bother score. Conclusions Trans-rectal prostate biopsy causes significant worsening of lower urinary tract symptoms and associated deterioration in quality of life, which spontaneously resolved by the second week in the patients.

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Section: Discussionmentioning

confidence: 68%

Section: Study Protocolmentioning

confidence: 99%

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

et al. 2020

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“…Fourth, we used Qmax instead of International Prostate Symptom Score (IPSS) as potential predictors of BPH treatment outcome. However, it has been reported that of the various uroflowmetry parameters (Qmax, average flow rate, and VV), only Qmax is significantly associated with IPSS ( r = −0.368, p < 0.0075) and that Qmax is the only important uroflowmetry parameter (Oranusi et al ., ). Therefore, we think that Qmax as a potential predictor of BPH treatment outcome is an appropriate parameter.…”

Section: Discussionmentioning

confidence: 97%

Second to fourth digit ratio and lung function (forced vital capacity): predictors of maximum urinary flow rate after holmium laser enucleation of the prostate

Park

2018

Andrology

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Background: Maximum urinary flow rate (Qmax) is usually increased after holmium laser enucleation of the prostate (HoLEP). However, improvements vary between patients and results regarding potential predictors of Qmax after HoLEP are inconsistent. Thus, we investigated pre-operative variables including second to fourth digit ratio (digit ratio) and pulmonary function test (PFT) findings as potential predictors of Qmax after HoLEP. Methods: One hundred and ninety-five consecutive patients with benign prostatic hyperplasia (BPH) who underwent HoLEP were enrolled. Before HoLEP, PFTs were performed and lengths of second and fourth digits of right hands were measured by a single investigator using a digital vernier caliper. To identify independent predictors of Qmax after HoLEP, univariate and multivariate analyses were performed using linear regression models. Results: Mean age and total prostate volume for all 195 study subjects were 69.4 years and 63.3 mL respectively. Mean pre-operative and post-operative Qmax values were 8.7 and 26.2 mL/sec respectively. Univariate analysis showed age (r = À0.181, p = 0.014), digit ratio (r = 0.213, p = 0.004), lung function (forced vital capacity (FVC): r = 0.218, p = 0.005; forced expiratory volume in 1 sec (FEV1): r = 0.166, p = 0.034), pre-operative Qmax (r = 0.264, p = 0.000), pre-operative voided volume (VV) (r = 0.158, p = 0.033), and post-operative VV (r = 0.311, p = 0.000) were associated with post-operative Qmax, whereas multivariate analysis showed that digit ratio (b = 0.285, p = 0.001), FVC (b = 0.340, p = 0.039), and post-operative VV (b = 0.301, p = 0.000) independently predicted postoperative Qmax. Conclusions: The independent predictors of Qmax after HoLEP were digit ratio and lung function (FVC) as well as post-operative VV. This means that the higher a man's digit ratio and lung function (FVC), the higher his Qmax after HoLEP.

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“…In another meta-analysis study done by Berry et al [8],the prevalence of pathological benign prostatic hyperplasia is only 8 per cent at the fourth decade; however, 50 per cent of the male population has pathological benign prostatic hyperplasia when they are 51 to 60 years old. Study conducted by Oranusi et al [9] reported that average age was 67.2 ± 9.7 (n=51 BPH patients).…”

Section: Discussionmentioning

confidence: 98%

Correlation between Age, IPSS, Prostate size with histopathological findings and management of patients of prostatism

Baheti

Shelke

Deshmukh

2019

IJCBR

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Introduction: Benign prostatic obstruction/enlargement (BPO/BPE) is one of the important aetiology for Bladder outlet obstruction (BOO) in men. Study has been planned to measure various parameters of bladder dysfunction by using Cystometry in patients of Prostatism and to find out correlation between various parameters like age, prostate size, IPSS, management of patients with Prostatism, choice of operative procedure performed and various histopathological findings. Methods: This was observational study. Total 75 patients with age> 50 year and IPSS > 19 having symptoms of Prostatism were included in the study. Patient detailed history was taken and demographic parameters with IPSS, histopathological findings, management plan, Ultrasonography findings were recorded in structured proforma. Results: It is seen that the maximum i.e. 39 (52%) cases of prostatism are observed in the age group of 60 to 70 years. The average age was 67.29 years. Maximum i.e. 31 (41.33%) cases of prostatism had prostate size in 50-70 gms.36 patients were managed by catheterisation while surgery was performed in remaining 39 patients. Transurethral resection of prostate (TURP) was performed in 36 of 39 patients. IPSS was decreased significantly from average of 26 to average of 22 after 2 weeks of operation/catheterisation. Conclusion: Prevalence of BPE increases with age as there found to be positive correlation between age and Prostate size. TURP was preferred procedure in our tertiary centre for the treatment of BPE. Significant decrease in IPPS suggests improvement in symptoms of BPE after operation/catheterisation. Keywords: Bladder outlet obstruction; Prostatism; International Prostate Symptom Score; Transurethral resection.

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Correlation between international prostate symptom score and uroflowmetry in patients with benign prostatic hyperplasia

Cited by 18 publications

References 0 publications

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

Second to fourth digit ratio and lung function (forced vital capacity): predictors of maximum urinary flow rate after holmium laser enucleation of the prostate

Correlation between Age, IPSS, Prostate size with histopathological findings and management of patients of prostatism

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