Association of metabolic syndrome with intravesical prostatic protrusion and international prostatic severity symptoms score in patients with benign prostatic enlargement

Authors

  • Debanga Sarma Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Rajeev T. P. Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Ashish Ghanghoria Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Saumar Jyoti Baruah Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Sasanka Kumar Barua Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Puskal Kumar Bagchi Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Mandeep Phukan Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India
  • Sarbartha Kumar Pratihar Department of Urology, Guwahati Medical College and Hospital, Guwahati, Assam, India

DOI:

https://doi.org/10.18203/2349-2902.isj20194065

Keywords:

Benign prostatic enlargement, Intravesical prostatic protrusion, International prostatic severity symptoms score, Metabolic syndrome, Lower urinary tract symptoms

Abstract

Background: Intravesical prostatic protrusion (IPP), a morphological change resulting from enlarged lateral and median lobe of prostate. It could be for assessment of BOO (Bladder outlet obstruction). MetS is one of the causative factors for the development of Benign Prostatic Enlargement (BPE) and associated LUTS. The aim of this study is to assess the association of components of MetS and MetS with IPP, TPV and International Prostatic Severity Symptoms Score (IPSS).

Methods: This is a single centre cross-sectional study in Department of Urology, GMCH, Guwahati, Assam, India between March 2016 and May 2018, 114 consecutive men aged >50 years presenting with LUTS suggestive of BPE (PSA 0-4ng/ml). MetS was defined according to International Diabetes Federation criteria. We have analysed IPSS and IPP of these patients. Patients were classified into 3 groups each for IPSS and IPP (IPSS: group I - 0-7, II -8-19, III ->20 and IPP: Group I- <5 mm, II- 5-10 mm, III- >10 mm).

Results: We have correlated these groups with each component of MetS and MetS. IPSS group III had significant correlation with hyperglycaemia (HG), hypertriglyceridemia (HTG), hypertension (HTN) and HDL cholesterol (HDL), group II had significant correlation with HG, HTN and HDL and group I had significant correlation with HTN (p<0.001). Similarly, IPP group III had significant correlation with HG, HTG, HTN, obesity and HDL, group II had significant correlation with HG, HTN and obesity and group I had significant correlation with HTN only (p<0.001).

Conclusions: We found that patients with higher IPSS and IPP had significant correlation with MetS components.

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Published

2019-08-28

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Original Research Articles