Socio-demographic profile of prostatic diseases in symptomatic patients: a prospective cross-sectional study
Keywords:Prostatic diseases, Per rectal examination, Ca prostate, Transrectal ultrasonography, Benign prostatic hyperplasia
Background: Prostatic diseases can be expected to affect most men at some time during their life. They are associated with increased morbidity and mortality in older men. Digital rectal examination & serum PSA levels are used for screening of prostatic cancer, while Transrectal ultrasound and MRI are used for diagnosis of different prostatic conditions, to know the extent of carcinoma and to guide prostatic biopsy.
Methods: This prospective study was carried out during the period from September 2011 to September 2014. Data for this study was collected from the patients attending Department of Radio-diagnosis, Hospital attached to the Navodaya Medical College, Raichur.
Results: A total of 50 male patients in the age group of 31-90 years with symptoms related to prostatic diseases like prostatism and infertility due to obstruction were included in our study. Highest incidence of prostatic diseases was found in seventh decade (61-70years) followed by eighth decade. Most common clinical presentation was difficulty in micturition followed by increased frequency of micturition and infertility was the least common presentation. Clinically suspected cases of Ca prostate with or without retention of urine were referred in majority. In BPH, predominant echopattern seen was hypoechoic lesions followed by hyper echoic lesion. In patients with carcinoma prostate, predominant echopattern seen was also hypoechoic lesion (70.00%) followed by hyperechoic and mixed lesions.
Conclusions: Prostatic diseases can be easily evaluated using per-rectal examination and transrectal ultrasonography in symptomatic patients to know the nature of the disease and its prognosis.
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