IPP AS PREDICTIVE FACTOR FOR ACUTE URINARY RETENTION IN BPH PATIENTS
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Abstract
Objective: To demonstrate usefulness of Intra Prostatic Protrusion (IPP) as Predictive Factor for Acute Urinary Retention (AUR) in Benign Prostate Hyperplasia (BPH) Patients. Material & methods: Cross sectional retrospective study of case records from January to July 2012 of BPH patients at Saiful Anwar General Hospital (SAGH) Malang was carried out. The data were collected from the Medical Record Division in SAGH Malang. We noted age, prostate volume, IPP, IPSS and urinary retention status. The patients were classified by IPP degree < 5 mm (group A), 5-10 mm (group B), 10 -15mm (group C), > 15mm (group D) and we compared all parameters that we noticed. Results: Eighty patients, mean age was 66.32 years were enrolled. Transabdominal ultrasound determined the mean IPP was 13.5 mm, and prostatic volume 95 cc. IPP values were distributed as follows: group A 10 (12.5%), group B 25 (31.25%), group C 24 (30%), group D 21 (26.25%), with AUR incidence in group A 20%, group B 36%, group C 79%, and group D 81%. The IPP showed a significant correlation with urinary retention (r = 0.8, p < 0.05, OR = 15) and IPSS (r = 0.6, p < 0.05). Conclusion: IPP can be used as predictive factor for the incidence of acute urinary retention in BPH Patients.Keywords: Intra Prostatic Protrusion, Acute Urinary Retention, Benign Prostate Hyperplasia.
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Dawson C, Whitfield H. ABC of Urology. Urological emergencies in general practice. BMJ. 1996; 30: 838-40.
Kaplan SA, Wein AJ, Staskin DR, Roehrborn CG, Steers WD. Urinary retention and post-void residual urine in men: Separating truth from tradition. J Urol. 2008; 180: 47-54.
Selius BA, Subedi R. Urinary retention in adults: Diagnosis and initial management. Am Fam Physician. 2008; 77: 643-50.
Taylor JA 3rd, Kuchel GA. Detrusor underactivity: Clinical features and pathogenesis of an underdiagnosed geriatric condition. J Am Geriatr Soc. 2006; 54: 1920-32.
Emberton M, Cornel EB, Bassi PF, Fourcade RO, Gómez JM, Castro R. Benign prostatic hyperplasia as a progressive disease: A guide to the risk factors and options for medical management. Int J Clin Pract. 2008; 62: 1076-86.
Thorne MB, Geraci SA. Acute urinary retention in elderly men. Am J Med. 2009; 122: 815-9.
Netto Junior NR, D’Ancona CA, De Lima ML. Correlation between the international prostate symptom score and a pressure-flow study in the evaluation of symptomatic benign prostatic hyperplasia. J Urol. 1996; 155: 200.
Fitzpatrick JM, Kirby RS. Management of acute urinary retention. BJU Int. 2006; 97: 16-20.
Lim KB, Ho H, Foo KT, Wong MY, Fook-Chong S. Comparison of intravesical prostatic protrusion, prostate volume and serum prostatic-specific antigen in the evaluation of bladder outlet obstruction. Int J Urol. 2006; 13: 1509.
Murray K, Massey A, Feneley RC. Acute urinary retention aurodynamic assessment. Br J Urol. 1984; 56: 468-73.
Bosch JL, Kranse R, Van Mastrigt R, Schroder FH. Reasons for the weak correlation between prostate volume and urethral resistance parameters in patients with prostatism. J Urol. 1995; 153: 689.
Franco G, de Nunzio C, Leonardo C, Tubaro A, Ciccariello M, de Dominicis C, et al. Ultrasound assessment of intravesical pro-static protrusion and detrusor wall thickness new standards for noninvasive bladder outlet obstruction diagnosis? J Urol. 2010; 183: 2270.
Lim KB, Ho H, Foo KT, Wong MY, Fook-Chong S. Comparison of intravesical prostatic protrusion, prostate volume and serum prostatic-specific antigen in the evaluation of bladder outlet obstruction. Int J Urol. 2006; 13: 1509.
Roehrborn CG, McConnell JD, Lieber M, Kaplan S, Geller J, Malek GH, et al. Serum prostate-specific antigen concentration is a powerful predictor of acute urinary retention and need for surgery in men with clinical benign prostatic hyperplasia. PLESS Study Group Urology. 1999; 53: 473-80.
Kefi A, Koseoglu H, Celebi I, Yorukoglu K, Esen A. Relation between acute urinary retention, chronic prostatic inflammation and accompanying elevated prostate-specific antigen. Scand J Urol Nephrol. 2006; 40: 155-60.
Chia SJ, Heng CT, Chan SP, Foo KT. Correlation of intravesical prostatic protrusion with bladder outlet obstruction. BJU Int. 2003; 91: 371.
Nose H, Foo KT, Lim KB, Yokoyama T, Ozawa H, Kumon H. Accuracy of two invasive methods of diagnosing bladder outlet obstruction using ultrasonography: Intravesical pro-static protrusion and velocity-flow video urodynamics. Urology. 2005; 65: 493.
Keqin Z, Zhishun X, Jing Z, Haixin W, Dongqing Z, Benkang S. Clinical significance of intravesical prostatic protrusion in patients with benign prostatic enlargement. Urology. 2007; 70: 1096.
Lieber MM, Jacobson DJ, McGree ME, St. Sauver JL, Girman CJ, Jacobsen SJ. Intravesical prostatic protrusion in men in Olmsted County, Minnesota. J Urol. 2009; 182: 2819.
Lee LS, Sim HG, Lim KB, Wang D, Foo KT. Intravesical prostatic protrusion predicts clinical progression of benign prostatic enlargement in patients receiving medical treatment. Int J Urol. 2010; 17: 69.
Yuen JSP, Ngiap JTK, Cheng CWS. Effect of bladder volume on transabdominal ultrasound measurements of intravesical prostatic protrusion and volume. Int J Urol. 2002; 9: 225–9.
Chia SJ, Heng CT, Chan SP. Correlation of intravesical prostatic protrusion with bladder outlet obstruction. BJU Int. 2003; 91: 371-4.