Abstract:
Objective: To correlate Uroflowmetry with Prostate volume and International Prostatic Symptom Score in BPH patients
and healthy adults in a subset of Karachi Population.
Study Design and Setting: This is a crossectional study carried out at Ziauddin Hospital, Karachi over a period of 6
months.
Methodology: In this study 100 Samples were taken through non probability convenience sampling. Inclusion criteria
includes 40years and above. Sample initially was taken on the basis of International Prostatic Symptom Score i.e., less
than 8 and greater than 8 score. Ultrasonography was performed. 65 Individuals with International Prostatic Symptom
Score > 8 and Prostate volume <25 and individuals having symptom index < 8 and Prostate volume > 25ml went for
Uroflowmetry. Mean and standard deviation was taken out for quantitative variables. Univariate analysis and Multiple
Linear Regression applied to assess relationship between Uroflowmetry with Prostate volume and International Prostatic
Symptom Score.
Result: Mean age of patients was found to be 58±6 years. Mean International Prostatic Symptom Score was 11±4. Mean
Prostate Volume was 28ml±5, mean Qmax was 14ml/s ±4. The correlation between Qmax and International Prostatic
symptom score was found to be negative (-0.78) and statistically significant. No correlation was found between Prostate
volume and Qmax.
Conclusion: Qmax and International Prostatic Symptom Score are reliable tool for assessing Benign Prostatic Hyperplasia
patients concluding that as Symptom Score increases Qmax decreases. Qmax showed no correlation with Prostate volume.
Prostate volume assessed on Ultrasonography is not an authentic parameter for diagnosing BPH patients.