Correlation of Benign Prostatic Hyperplasia Diagnosed on Transabdominal Ultrasound with Urinary Retention Checked with Post Micturition Residual Volume on Ultrasound

Abstract

Benign prostatic hyperplasia (BPH), also known as benign prostatic hypertrophy, is a histologic disease in proliferation of the cellular elements of the prostate occurs, leading to an enlarged prostate gland. Chronic BOO due to BPH may cause urinary retention, impaired kidneys, repetitive urinary tract infections, high degree hematuria, and bladder stones.
 
 Objective:To study the interconnection of prostatic volumes with post micturitiing residual urine volume (PMR) in males with benign prostatic hyperplasia (BPH). Methods: It was a cross-sectional research comprising of 220 subjects who underwent Ultrasonography scan over duration of 4 months. This study was performed in Sanabil Health Services Hospital Lahore, from 15-6-2021 to 16-10-2021. Men of all ages diagnosed for BPH were a part of this research. The subjects with prostatic malignancies, who underwent mild urinary tract and/or prostate surgeries and men with UTI or bladder calculi, were included in this experiment. Abdominal ultrasonography was conducted using a curved array probe of 3.5-5 MHz frequency. The outcomes were Prostate volumes and post PMR volumes. Results: In total, 220 subjects were evaluated. Out of these, benign prostatic hyperplasia was not found in 60(27.3%) and was present in 160(72.7%). Normal PMRV was found in 75(34.1%) and was raised in 145(65.9%). A remarkable mean difference of pre-void volume was observed in patients with BPH and without BPH. The p-value was 0.000<0.05. A significant mean difference of post void volume was observed in patients with BPH as p-value is 0.000<0.05.Conclusion:Ultrasound has been proven to diagnose early prostatic enlargement and other prostate related pathologies, our study found out that there is a remarkable connection between PMR Volume and BPH i.e., with increasing prostatic weight, urinary retention increases.