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Evaluation of benign prostatic hyperplasia: A cystometric and clinicopathological study

Banothu Srinivas, Madhu Mohan Reddy B.




Abstract

Background: Benign prostatic hyperplasia (BPH) is characterized by the nonmalignant overgrowth of prostatic tissue surrounding the urethra, ultimately constricting the urethral opening, and giving rise to associated lower urinary tract symptoms.

Objectives: Diagnosis of BPH is made based on histologic examination of prostatic tissue. This study aimed to evaluate the clinicopathological and cystometric changes in BPH patients.

Materials and Methods: In this study, 61 elderly males who were suffering from clinical BPH were included. Patients of different age groups ranging from 50 to 80 years and more were considered. All patients were undergone clinical, urine examination, and ultrasound scan was performed to confirm the hypothesis. The patients were divided into three subgroups according to the International Prostate Symptom Score as mild, moderate, and severe.

Results: In mild group of patients, the mean compliance was 44.11; in moderate, it was 21.90; and in severe group, it was 17.54.

Conclusion: This study concluded that as severity of bladder outlet obstruction increases, the compliance of bladder decreases. Cystometric evaluation of bladder compliance should be an essential part in pre-operative evaluation of symptomatic BPH patients.

Key words: Benign Prostatic Hyperplasia; Prostate; Cystometry






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