Relationship between prostate volume and IPSS in African men with prostate disease.

Abstract

Background: Most frequently encountered diseases affecting the prostate include benign prostatic hyperplasia, prostate cancer and prostatitis. Lower urinary tract symptoms (LUTS), including voiding, storage, and post-micturition symptoms, are highly prevalent in men with prostate diseases. This study is aimed at determing the relationship between prostate volume and lower urinary tract symptoms in African men with prostate diseases using the International prostate symptom score as a tool.
Methodology: The study was conducted among 103 men with lower urinary tract symptoms due to prostate disease, who presented at the outpatient department of Jos University teaching hospital between January 2013 and December 2013. The men were evaluated and categorized according to prostate disease. The IPSS of the men were obtained while prostate volume was determined using transabdominal ultrasonography.
Results: During the period January 2013 to December 2013 about 103 men were enrolled into the study. The mean age of the patients was 62.6yrs (range 21 - 85yrs). Eighty patients (77.7%) had benign prostatic hyperplasia, 20 men had Carcinoma of the Prostate (19.4%) while 3 patients had prostatitis. The mean total IPSS was 15.3 (range 3 – 34). Seventy-two of the men, representing 69.9% had moderate symptoms while the mean prostate volume was 57.8ml (range 20 – 195mls). The Pearson correlation between prostate volume and IPSS = 0.13 with a p-value of 0.18.
Conclusion: This study illustrates that there's no significant relationship between prostate volume and International prostate symptom score in African men with prostatic disease.

Key words: Prostate diseases, prostate volume, International Prostate Symptom Score.