International Prostate Symptom Score (IPSS) Correlation with Sonographic Prostate Size
DOI:
https://doi.org/10.63682/jns.v14i31S.8326Keywords:
International Prostate Symptom Score, IPSS, Sonographic Prostate Size, BPHAbstract
Introduction: 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 basic aim to conduct this study is to find the International Prostate Symptom Score (IPSS) and its correlation with sonographic, prostate size.
Material and methods: This cross-sectional study was conducted at Fatima Jinnah Medical University, Lahore from January 2023 to December 2024. Data were collected from 250 patients. Male patients, aged>40 years 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 systematically designed questionnaire. All the participants of the study completed the IPSS questionnaire to find the severity and urinary symptoms.
Results: Data were collected from 250 patients according to inclusion criteria of the study. Mean age of the patients was 62.4 ± 8.6 years and mean BMI was 27.1 ± 3.2 kg/m2. Mean PSA was 6.8 ± 2.5 ng/mL and mean IPSS score was 19.5 ± 6.8. there were 140 (56%) patients were smoker 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, accompanied by a stronger correlation coefficient of 0.75 (p < 0.001).
Conclusion: It is concluded that there is a significant positive correlation between International Prostate Symptom Score (IPSS) and prostate size in patients with benign prostatic hyperplasia (BPH)
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Ugraiah AB, ShyamS.Correlation of international prostate symptom score and uroflowmetry in evaluation of benign prostatic hyperplasia.Int Surg J2020;7:3381-8.
Basawaraj NG, Dasan TA, PatilSS.Correlation of sonographic prostate volume with international prostate symptom score in South Indian men.Int J Res Med Sci2015;3:3126-30.
Hou, C.P., Lin, Y.H., Chen, C.L., Tsai, Y.L., Chang, P.L. and Tsui, K.H. (2016) Impact of the Static Prostatic Urethral Angle on Men with Lower Urinary Tract Symptoms. Urological Science, 27, 47-50.
https://doi.org/10.1016/j.urols.2014.07.009
Awaisu, M., Ahmed, M., Lawal, A.T. 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. Afr J Urol 27, 16 (2021). https://doi.org/10.1186/s12301-021-00122-4
Ojewola RW, Oridota ES, Balogun OS, Alabi TO, Ajayi AI, Olajide TA et al (2017) Prevalence of clinical benign prostatic hyperplasia amongst community-dwelling men in a South-Western Nigerian rural setting: a cross-sectional study. Afr J Urol 23:109–115
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 Jan 1;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 Jan 1;7(1):112-7.
Awaisu M, Ahmed M, Lawal AT, Sudi A, Tolani MA, Oyelowo N, Muhammad MS, Bello A, Maitama HY. 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 Dec;27:1-7.
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 Oct 6;12(04):191-6.
HOSSAIN MA, ISLAM MW, AWAL MA, HOODA MN, ARA H, NASER MF, AZAM MS. 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, Angwafo III FF. Correlation Between Prostate Volume and IPSS Score in Patients with Histologic Benign Prostate Hypertrophy. HEALTH SCIENCES AND DISEASE. 2023 Jul 30;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 Jan 1;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 Oct 10.
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 Jul 1;15(3).
Hamza BK, Ahmed M, Bello A, Tolani MA, Awaisu M, Lawal AT, Oyelowo N, Abdulsalam KI, Lawal L, Sudi A, Maitama HY. Correlation of intravesical prostatic protrusion with severity of lower urinary symptoms among patients with benign prostatic hyperplasia. African Journal of Urology. 2021 Dec;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 Oct 1;26(4).
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