INTERNATIONAL PROSTATE SYMPTOM SCORE (IPSS) CORRELATION WITH SONOGRAPHIC PROSTATE SIZE

AU REHMAN; S ULLAH; SF HAIDER; Y AHMED; A SAJJAD

doi:10.54112/bcsrj.v2024i1.827

Authors

AU REHMAN Department of Urology and Transplant, CMH Lahore, Pakistan
S ULLAH Department of Urology and Transplant, CMH Lahore, Pakistan
SF HAIDER Department of Urology Mayo Hospital Lahore, Pakistan
Y AHMED Department Radiology, Indus Medical College Hospital tando Muhammad Khan Hyderabad Sind, Pakistan
A SAJJAD Department, Department of Urology HITEC Medical College Taxilla, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.827

Keywords:

Benign Prostatic Hyperplasia, International Prostate Symptom Score, Lower Urinary Tract Symptoms, Prostate Size, Sonography

Abstract

The International Prostate Symptom Score (IPSS) is a broadly used questionnaire designed to assess the severity of lower urinary tract symptoms (LUTS) in men, particularly those related to harmless prostatic hyperplasia (BPH). Objectives: The primary aim of this study is to find the International Prostate Symptom Score (IPSS) and its correlation with sonography and prostate size. Methods: This cross-sectional study was conducted at CMH Lahore February 17, 2024, to May 16, 2024. Data were collected from 250 patients. Male patients aged>40 years who presented with LUTS were included in the study. Patients with a history of prostate cancer, bladder dysfunction and prostate surgery were excluded from the study. Data were collected through a systematically designed questionnaire. All the study participants completed the IPSS questionnaire to find the severity and urinary symptoms. Results: Data were collected from 250 patients according to the study's inclusion criteria. The mean age of the patients was 62.4 ± 8.6 years, and the mean BMI was 27.1 ± 3.2 kg/m2. The mean PSA was 6.8 ± 2.5 ng/mL, and the mean IPSS score was 19.5 ± 6.8. there, 140 (56%) patients were smokers, and 125 (50%) also suffering from hypertension. Patients with IPSS scores ranging from 0-7 exhibited a mean PV of 32.5 ± 5.6 mL, with a Pearson correlation coefficient (r) of 0.25 (p = 0.038). As IPSS scores increased to the 22-35 range, the mean PV rose to 54.3 ± 9.2 mL, with a more robust correlation coefficient of 0.75 (p < 0.001). Conclusion: It is concluded that there is a significant positive correlation between the International Prostate Symptom Score (IPSS) and prostate volume (PV) in patients with benign prostatic hyperplasia (BPH).

Downloads

Download data is not yet available.

References

Ugraiah AB, Shyam S. Correlation of international prostate symptom score and uroflowmetry in evaluation of benign prostatic hyperplasia. International Surgery Journal. 2020;7(10):3381-8.

Basawaraj N, Dasan TA, Patil SS. Correlation of sonographic prostate volume with international prostate symptom score in South Indian men. 2015.

Hou C-P, Lin Y-H, Chen C-L, Tsai Y-L, Chang P-L, Tsui K-H. Impact of the static prostatic urethral angle on men with lower urinary tract symptoms. Urological Science. 2016;27(1):47-50.

Awaisu M, Ahmed M, Lawal AT, Sudi A, Tolani MA, Oyelowo N, et al. Correlation of prostate volume with severity of lower urinary tract symptoms as measured by international prostate symptoms score and maximum urine flow rate among patients with benign prostatic hyperplasia. African Journal of Urology. 2021;27:1-7.

Ojewola R, Oridota E, Balogun O, Alabi T, Ajayi A, Olajide T, et al. Prevalence of clinical benign prostatic hyperplasia amongst community-dwelling men in a South-Western Nigerian rural setting: A cross-sectional study. African Journal of Urology. 2017;23(2):109-15.

Apata KO, Jeje EA, Tijani KH, Ogunjimi AM, Ojewola RW, Adeyomoye AA. Correlation between the International Prostate Symptom Score and sonographic parameters in patients with symptomatic benign prostate enlargement. Journal of Clinical Sciences. 2023;20(1):1-7.

Nugroho EA, Azhar A, Gunadi EE. Relationship between Prostate Volume and International Prostate Symptom Score (IPSS) Degree of Tamed Prostate Enlargement on Transabdominal Ultrasonography (TAUS) and Transrectal Ultrasonography (TRUS) Examination. Biomedical Journal of Indonesia. 2021;7(1):112-7.

Raza I, Jamshed N, Lakhani M, Mohiuddin M, Ahmed SB, Mukhtar S. Correlation of Uroflowmetry with Prostate Volume and International Prostatic Symptom Score (IPSS). Journal of Bahria University Medical and Dental College. 2022;12(04):191-6.

HOSSAIN MA, ISLAM MW, AWAL MA, HOODA MN, ARA H, NASER MF, et al. CORRELATION OF INTERNATIONAL PROSTATE SYMPTOM SCORE WITH PROSTATE VOLUME AND INTRAVESICAL PROTRUSION OF PROSTATE. Group.3(75):14.

Ngwa-Ebogo TT, Sena RG, Awanchiri BK, Pindi S, Ntih LM, Nzinga R, et al. Correlation Between Prostate Volume and IPSS Score in Patients with Histologic Benign Prostate Hypertrophy. HEALTH SCIENCES AND DISEASE. 2023;24(8).

Garg A, Bansal S, Saha S, Kumar A. Study of correlation of urodynamic profile with symptom scoring and ultrasonographic parameters in patients with benign prostatic hyperplasia. Journal of family medicine and primary care. 2020;9(1):215-20.

Lahel RS, Chail A, Kumar S. To Determine the Association of Transabdominal Sonographic Findings of Prostatic Volume & Post Void Residual Urine with the Severity of Symptoms as per International Prostate Symptom Score, in Cases of Benign Prostate Hypertrophy. Journal of Marine Medical Society. 2023.

Rananda A, I’tishom R, Djatisoesanto W. The Correlation of Prostate Volume with Uroflowmetry and International Prostatic Symptoms Score (IPSS) on Patient with Benign Prostatic Hyperplasia without Urinary Retention. Indian Journal of Forensic Medicine & Toxicology. 2021;15(3).

Hamza BK, Ahmed M, Bello A, Tolani MA, Awaisu M, Lawal AT, et al. Correlation of intravesical prostatic protrusion with severity of lower urinary symptoms among patients with benign prostatic hyperplasia. African Journal of Urology. 2021;27:1-7.

Raza I, Mohiuddin M, Ahmed SB, Lakhani M, Mukhtar S, Hassan N. Association of Prostate Volume with International Prostatic Symptom Score. Journal of Rawalpindi Medical College. 2022;26(4).