Abstract
Background: The International prostate symptom score (IPSS), which is frequently used as a prognostic indicator, is used to assess the severity of lower urinary tract symptoms (LUTS) in men with bladder outlet obstruction and to gauge the effectiveness of medical or surgical treatment for benign prostatic obstruction.
Aims & objectives: In the current investigation, the International Prostate Symptom Score was used to determine the relationship between prostatic volume on ultrasonography and clinical symptoms in cases of prostatomegaly.
Material and Methods: The current investigation was a single-center, cross-sectional study that included patients who were over 50 years old, had lower urinary tract symptoms that were not alleviated by medicine, were willing to participate in DRE, and underwent USG.
Results: 42 percent of patients were above 70 years old, followed by 61–70 years old (41 percent) and 51–60 years old (17 percent). On a digital rectal examination, grade 3 was the most common result (43%), followed by grade 2 (35%), and grade 1 (22%). Most prostate volume patients had a grade 2 (39%) or grade 3 (38%), while only 23% had a grade 1 (prostate volume). The majority of patients (50%) had a residual urine volume of 50–100 ml, followed by those with >100 ml (34%) and 50 ml (16%). Most patients (64%) have an IPSS score of 20 to 35, followed by (8 to 19%) and (0 to 26%). The majority of patients experienced a significant reduction in IPSS score after treatment. The association between prostate volume and DRE, prostate volume and IPSS, IPSS and DRE, and prostate volume and Age was statistically extremely significant (p-0.0001).
Conclusion: The International Prostate Symptom Score (IPSS), which is directly proportional to the size of the prostate gland as seen on clinical rectal examination and validated by ultrasound, is a very helpful diagnostic and prognostic tool in situations with prostatomegaly.
Keyword: The International prostate symptom score (IPSS), prostatomegaly, per rectal examination, ultrasonography, clinical symptoms.