A Prospective Study of Subjective Symptoms-Ipss and Uroflowmetry Before and after Turp of BPH Patients

Abstract

Background- Benign Prostatic Hyperplasia(BPH) is a common condition in older men. BPH refers to a proliferative process of cellular elements of prostate. It is estimated that close to 90% of men will develop histologic evidence of BPH by age of 80. Uroflowmetry and IPSS(International Prostate Symptom Score) can predict the presence of obstruction. TURP(Transurethral Resection of Prostate) is one of the most frequently performed surgery by the urologists. Aims & Objectives - The objective of the study is to evaluate the changes in IPSS & Uroflowmetry before and after TURP. Materials and Method - Evaluation was done on 30 patients of clinical BPH in Surgery Department, SVBP Hospital, Meerut from September 2018 to September 2019. Case records containing variables on IPSS before and after TURP, maximum flow rate before and after TURP, their subjective evaluation were recorded for each patient. Observations & Results - The subjective response was significant, as analysed on the basis of changes in IPSS and maximum flow rate as 13.53 in IPSS and 8.688 in maximum flow rate. There was a weak correlation between pre and post operative maximum flow rates but a strong correlation between pre and postoperative IPSS. Conclusion- TURP has been the standard surgical therapy for lower urinary tract symptoms secondary to benign prostatic hyperplasia. IPSS is a good parameter for using as an indication of TURP and medical therapy and should be used in pretreatment evaluation of all patients who come with symptoms suggestive of BPH and their treatment modality defined on the basis of result of IPSS.