Role Of Intra-Vesical Prostatic Protrusion(Ipp) On Post Operative Outcomes In Patients With Benin Prostatic Hyperplasia

Abstract

PURPOSE OF STUDY - To evaluate the significance of IVPP for predicting post operative outcomes in patients with BPH.

MATERIALS AND METHODS - A total of 150 patients with a possible follow-up of atleast6 months who 

treated with TURP were analysed. The patients were divided into two groups on the basis of presence of significant IPP as one group having significant IPP (>5mm – 62 patients) and other group having no significant IPP ( 88 patients). We analysed the post-operative changes into the parameters such as IPSS, IPSS-QoL, maximum urinary flow rate (Qmax) and post-void residual urine(PVR). The IPSS was divided into IPSS voiding and storage symptoms. Multivariate logistic regression analysis was performed to identify whether IPP could predict the surgical outcomes of TURP.

RESULTS - Pre-operative parameters were not significantly different between the two groups except for the total prostatic volume and transition zone volume. Post-operative changes in IPSS (total, storage and voiding subscore ) were higher in the significant IPP group than in no significant IPP group. Changes in the Qmax and PVR were not significantly different between the groups. Multivariate logistic regression analysis revealed that odds ratio of decreased IPSS and IPSS-s in the significant IPP group.

CONCLUSION - Significant IPP is an independent factor for predicting better post-operative outcomes of IPSS and IPSS-S after TURP.