The value of international prostate symptom scoring system in the management of BPH in Jos, Nigeria

Amu, OC; Udeh, Emeka I.; Ugochukwu, AI; Dakum, NK; Ramyil, VM

doi:10.4103/1119-3077.113446

Cited by 12 publications

(17 citation statements)

References 15 publications

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“…The linear increase in the prevalence of the symptoms with age is consistent with the earlier report and other reports on the prevalence of BPH. This is understandable since BPH is known to be age-related (Seim et al, 2005;Chokkalingam et al, 2012;Amu et al, 2013;Parsons et al, 2013). Chokkalingam et al (2012) reported a prevalence of 19.9% for moderate-to-severe symptoms of BPH in Ghana and concluded that "BPH and/or LUTS appear to be quite common among older Ghanaian men".…”

Section: Discussionmentioning

confidence: 99%

“…It has been shown that it is valid for use in Nigeria for both diagnosis and management of BPH (Ezeanyika et al, 2006;Amu et al, 2013) and was therefore, used in this study to diagnose the clinical symptoms of BPH. Mild, moderate and severe symptoms of BPH were defined by a symptom score of 0-7, 8-19 and 20-35 points, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…This was warranted by the unavailability of the needed equipment and skill and the lack of funds to finance such an elaborate study. The IPSS used here is however, known to be valid for use for the diagnosis of LUTS/BPH (Ezeanyika et al, 2006;Roehrborn et al, 2008;Amu et al, 2013). The data presented here, therefore represent an important starting point in the investigation of the relationship between modifiable risk factors and prostatic diseases.…”

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confidence: 99%

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Prevalence of Symptoms of Benign Prostatic Hyperplasia in Umudike and its Relationship with Measures of Obesity

Eji¹,

Eze²

2014

Asian J. of Clinical Nutrition

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Benign prostate hyperplasia is one of the major health challenges of older men and is thought to be linked to obesity. This study investigated the prevalence of clinical symptoms of BPH in 747 male Nigerians aged 40 years or older and assessed the relationship between the symptom scores and measures of obesity. The International Prostate Symptom Score (IPSS) was used to diagnose the clinical symptoms of BPH. Anthropometric data were collected using standard protocol and Body Mass Index (BMI), Waist-to-Hip Ratio (WHpR) and Waist-to-Height Ratio (WHtR) were derived. Appropriate statistical tools were used for the data analysis. The prevalence of BPH (moderate-to-severe symptoms) in the studied population is 35.3% (6.0% in those aged 40-49 years to 69.9% in those aged 70+ years). Compared to those with mild symptoms of BPH, BMI and WHtR did not differ significantly (p>0.05) (though WHpR was significantly higher (p<0.05)) in those with either moderate or severe symptoms. Only WHpR was found to be minimally associated with symptoms of BPH. The prevalence of symptoms of BPH is very high in this population and it appears that visceral adiposity may be the critical part of obesity that is related to BPH.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Prevalence of Symptoms of Benign Prostatic Hyperplasia in Umudike and its Relationship with Measures of Obesity

Eji¹,

Eze²

2014

Asian J. of Clinical Nutrition

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“…7 Benign prostatic hyperplasia (BPH), urethra stricture and carcinoma of the prostate (CaP) are the primary causes of bladder outlet obstruction. 2,3 Of them BPH is the most common etiological factor of bladder outlet obstruction in men older than 50 years of age. In the present study, the male preponderance (94%) was observed with the high incidence of BPH (53%).…”

Section: Discussionmentioning

confidence: 99%

“…The condition is common in older men. 2 Most common cause of bladder outlet obstruction in men is benign prostatic hyperplasia.…”

Section: Introductionmentioning

confidence: 99%

Clinical study and management of bladder outlet obstruction

Katakwar

Thakur

2017

Int Surg J

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Background: The incidence of bladder outlet obstruction is different and varied in both age and gender. Hence this study was conducted to assess the incidence, etiology and management of bladder outlet obstruction in patients above 18 years of age in both sexes.Methods: This was a tertiary care hospital based longitudinal study. A total of 100 cases were recruited during the period between 01st June 2014 to 31st May 2016 with objective evidence of bladder outlet obstruction. The subject's demographic data, incidence, etiological factors and clinical presentations of bladder outlet obstruction were recorded on data sheet and analyzed.Results: Male preponderance was observed in the study. Maximum incidence of bladder outlet obstruction was observed in the age group of 60-69 years. The most common cause for bladder outlet obstruction in males was benign prostate hyperplasia (BPH), where as in females the major etiological factor was bladder neck stenosis. Out of 94 cases causing bladder outlet obstruction in males, 37 underwent TURP, 11 cases were treated with alpha blockers like Tamsulosin (medical management), 9 underwent cystolithotripsy, 8 underwent b/l orchidectomy, 7 underwent radical cystectomy and ileal conduit, 7 underwent VIU, 7 underwent urethroplasty, 5 underwent open prostatectomy, 3 underwent cystolithotomy whereas in female’s bladder neck stenosis treated by bladder neck incision.Conclusions: Men were the most affected with BPH, being the leading cause. Among women, bladder neck stenosis was the main cause. Initial and definitive management were varied between causes, gender and age.

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Correlation of international prostate symptom score and uroflowmetry in evaluation of benign prostatic hyperplasia

Anilkumar¹,

Shyam²

2020

Int Surg J

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Background: Uroflowmetry is a simple non-invasive technique in evaluating patients presenting with Lower urinary tract symptoms (LUTS), to assess voiding patterns, maximum urinary flow (Qmax), average urinary flow (Qave) and voided urine volume. Uroflowmetry is considered mandatory prior to surgical intervention in diagnosis and assessment of men with LUTS. Correlating the International prostrate symptom score (IPSS) with that of uroflowmetry results will allow a better diagnosis and help in determining more appropriate modality of treatment. Therefore, the purpose of our study is to correlate IPSS and the findings of uroflowmetry in evaluation of Benign prostrate hypertrophy (BPH).Methods: This was a prospective study of 50 patients presenting with LUTS diagnosed with BPH. Patient’s symptoms were initially evaluated by administering a pre-treatment IPSS/Quality of Life Score (QoL) and uroflowmetry. All patients underwent Transurethral resection of the prostate (TURP). A post TURP IPSS/QoL score assessment and uroflowmetry was done. Pre-operative IPSS and uroflowmetry results were correlated using spearman’s correlation coefficient. Outcome of IPSS and uroflowmetry following TURP was assessed in terms of percentage improvement.Results: Statistically significant correlation (p<0.05) was seen between IPSS and uroflowmetry results. No correlation was found between prostate volume and IPSS. Significant improvement in symptom severity (IPSS score) and uroflowmetry results was observed in post TURP patients.Conclusion: IPSS is a valuable tool in the evaluation and grading of LUTS. Correlating both IPSS and uroflowmetry results will help in better diagnosis and management of patients. It can also be concluded that IPSS and uroflowmetry can be used for evaluation and monitoring patients following prostate surgery.

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The value of international prostate symptom scoring system in the management of BPH in Jos, Nigeria

Abstract: The study has shown that IPSS is a valuable tool in management of patients with BPH.

Cited by 12 publications

References 15 publications

Prevalence of Symptoms of Benign Prostatic Hyperplasia in Umudike and its Relationship with Measures of Obesity

Prevalence of Symptoms of Benign Prostatic Hyperplasia in Umudike and its Relationship with Measures of Obesity

Clinical study and management of bladder outlet obstruction

Correlation of international prostate symptom score and uroflowmetry in evaluation of benign prostatic hyperplasia

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