CLINICAL PROFILE IN 100 CONSECUTIVE CASES OF PROSTATISM IN A RURAL HOSPITAL, LONI
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 89
Abstract
BACKGROUND Prostatism manifested by irritative and obstructive symptoms is an increasing challenge to diagnose and treat, as it is both bothersome and serious. A proper pre-operative assessment of size of prostate clinically, by DRE and by sonography is recommended. MATERIALS AND METHODS This prospective, non-randomised, controlled study was conducted on 100 patients with prostatism. The patients attending symptoms of prostatism and not a proven case of prostate cancer were included. After detailed clinical exam including DRE, sonographic examination was conducted. A transperineal needle biopsy was taken and sent for histological confirmation. Data obtained were correlated with clinical & ultrasonographic findings. RESULTS The average age of incidence of Ca Prostate is higher than the average age for BPH. The commonest symptom of prostatism found is frequency (84%) and urgency (80%) followed by terminal dribbling (74%). Digital Rectal Examination (DRE) was not found to be a reliable method of excluding Ca prostate. Ultrasonography also has limitations in excluding Ca prostate in cases with prostatism. Transperineal prostate biopsy can help diagnose cases of Ca prostate. The major complications after transperineal prostate biopsy procedure were significant pain (6%) and severe haematuria (1%). CONCLUSION The clinical profile of cases presenting at a Rural Hospital, Loni were studied in terms of age, symptoms, DRE and ultrasonographic findings. Prostatic cancer is a disease of advanced age group. The presentation is as in BPH with symptoms such as frequency, urgency and terminal dribbling. The high sensitivity is the key to early diagnosis. Ultrasonography is quite helpful in diagnosing BPH, but does not offer real help and transperineal biopsy is much helpful in diagnosis.
Authors and Affiliations
Baviskar P, Vyas H. G, Ketan Borole
Keywords
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- EP ID EP277970
- DOI 10.14260/jemds/2017/1351
- Views 96
- Downloads 0
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