Relationship of Lower Urinary Tract Symptoms with Post Void Residual Urine and Prostatic Volume: Lower Urinary Tract Symptoms with Post Void Residual Urine and Prostatic Volume

Muhammad Zohaib Fazal; Syed Atif Hussain; Shafi Ghauri; Saddiq Haris; Muhammad Sajjad; Muhammad Imran Afzal

doi:10.54393/pjhs.v6i11.3409

Authors

Muhammad Zohaib Fazal Department of Urology, Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan
Syed Atif Hussain Department of Urology, Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan
Shafi Ghauri Department of Urology, Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan
Saddiq Haris Department of Urology, Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan
Muhammad Sajjad Department of Urology, Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan
Muhammad Imran Afzal Department of Urology, Sheikh Zayed Hospital, Rahim Yar Khan, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i11.3409

Keywords:

Prostatic Hyperplasia, Lower Urinary Tract Symptoms, International Prostate Symptoms Score, Urinary Tract Infection, Urinary Retention

Abstract

Benign prostatic hyperplasia (BPH) is a frequent occurrence in older male. Objectives: To assess the correlation between International Prostate Symptoms Score (IPSS), prostate volume, and post-void residual volume (PVR). Methods: This was an analytical cross-sectional study conducted in the Urology Department of Sheikh Zayed Hospital, Rahim Yar Khan. Eighty-four men aged 40-70 years with BPH and LUTS for ≥ two months were recruited consecutively. Participants completed the IPSS, and PVR was assessed by abdominal sonography and prostate volume through transrectal ultrasound. A urinary tract infection was labelled by the growth of ≥ 10⁵ CFU/ml of pathogenic microorganisms. Pearson correlation between IPSS and prostate volume and post-void urinary volume was calculated at 5% significance level. Results: Mean age was 57.9 ± 6.9 years, and 63.1% were ≤60 years of age. Mean prostate volume was 68.9 ± 17.0 cm³, and PVR was 191.5 ± 53.3 ml. Mean IPSS was 16.3 ± 6.4, with 67.9% having moderate LUTS. UTI prevalence was 54.8%. IPSS correlated positively and strongly with prostate volume (r = 0.911) and PVR (r = 0.920; p<0.001). UTI was more common in patients >60 years (80.6% vs. 39.6%) and in those with moderate (56.1%) and severe (100%) versus mild (13.3%) LUTS. Conclusions: IPSS showed a positive correlation with prostate volume and PVR, highlighting the utility of combined symptom scoring and ultrasound in managing benign prostatic enlargement.

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