The use of bladder voiding efficiency in assessing benign prostatic enlargement
Abstract Background The management of benign prostatic enlargement (BPE) in low resource settings poses a major challenge in Africa. The objective of the study was to investigate the accuracy of Bladder Voiding Efficiency (BVE) to assess lower Urinary Tract Symptoms (LUTS) among BPE patients in a lo...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | African Journal of Urology |
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| Online Access: | https://doi.org/10.1186/s12301-022-00319-1 |
| _version_ | 1817984001727528960 |
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| author | Philimon Kapesa Kasonde Bowa |
| author_facet | Philimon Kapesa Kasonde Bowa |
| author_sort | Philimon Kapesa |
| collection | DOAJ |
| description | Abstract Background The management of benign prostatic enlargement (BPE) in low resource settings poses a major challenge in Africa. The objective of the study was to investigate the accuracy of Bladder Voiding Efficiency (BVE) to assess lower Urinary Tract Symptoms (LUTS) among BPE patients in a low resource setting. Methods From December 2017 to March 2018, patients with benign prostatic enlargement (BPE) and Lower Urinary Tract Symptoms (LUTS) were recruited into the study. The study was a prospective cross-sectional study. Participants had the International Prostate Symptom Score (IPSS) recorded followed by evaluation of their Bladder Voiding Efficiency (BVE). The BVE was calculated as the ratio of the volume of Urine voided over total volume of Urine in the bladder at the time of the void. The data were analysed to show the Sensitivity and Specificity of BVE in symptomatic LUTS. The Pearson correlation co-efficient between IPSS and BVE was analysed. Results The study recruited 94 participants. The age range was 45 to 85 year. The mean age was 68.1 years. The sensitivity of BVE to detect severe LUTS was 97.97%, while the specificity of BVE to detect mild to moderate disease was 97.78%. The correlation coefficient between IPSS and BVE was negatively correlated at 0.89, and this was statistically significant (P < 0.001). Conclusion The Bladder Voiding Efficiency (BVE) is a highly sensitive and specific test in our population to detect LUTS. It is well correlated to the International Prostate Severity Score in this study population. |
| first_indexed | 2024-04-13T23:39:36Z |
| format | Article |
| id | doaj.art-2a59c4de49d141df9f8c11f379c4c29d |
| institution | Directory Open Access Journal |
| issn | 1110-5704 1961-9987 |
| language | English |
| last_indexed | 2024-04-13T23:39:36Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-2a59c4de49d141df9f8c11f379c4c29d2022-12-22T02:24:33ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872022-10-012811510.1186/s12301-022-00319-1The use of bladder voiding efficiency in assessing benign prostatic enlargementPhilimon Kapesa0Kasonde Bowa1Ndola Teaching HospitalUniversity of LusakaAbstract Background The management of benign prostatic enlargement (BPE) in low resource settings poses a major challenge in Africa. The objective of the study was to investigate the accuracy of Bladder Voiding Efficiency (BVE) to assess lower Urinary Tract Symptoms (LUTS) among BPE patients in a low resource setting. Methods From December 2017 to March 2018, patients with benign prostatic enlargement (BPE) and Lower Urinary Tract Symptoms (LUTS) were recruited into the study. The study was a prospective cross-sectional study. Participants had the International Prostate Symptom Score (IPSS) recorded followed by evaluation of their Bladder Voiding Efficiency (BVE). The BVE was calculated as the ratio of the volume of Urine voided over total volume of Urine in the bladder at the time of the void. The data were analysed to show the Sensitivity and Specificity of BVE in symptomatic LUTS. The Pearson correlation co-efficient between IPSS and BVE was analysed. Results The study recruited 94 participants. The age range was 45 to 85 year. The mean age was 68.1 years. The sensitivity of BVE to detect severe LUTS was 97.97%, while the specificity of BVE to detect mild to moderate disease was 97.78%. The correlation coefficient between IPSS and BVE was negatively correlated at 0.89, and this was statistically significant (P < 0.001). Conclusion The Bladder Voiding Efficiency (BVE) is a highly sensitive and specific test in our population to detect LUTS. It is well correlated to the International Prostate Severity Score in this study population.https://doi.org/10.1186/s12301-022-00319-1Bladder voiding efficiencyInternational prostate severity scoreBenign prostate enlargementBladder outflow obstruction and benign prostatic hyperplasia |
| spellingShingle | Philimon Kapesa Kasonde Bowa The use of bladder voiding efficiency in assessing benign prostatic enlargement African Journal of Urology Bladder voiding efficiency International prostate severity score Benign prostate enlargement Bladder outflow obstruction and benign prostatic hyperplasia |
| title | The use of bladder voiding efficiency in assessing benign prostatic enlargement |
| title_full | The use of bladder voiding efficiency in assessing benign prostatic enlargement |
| title_fullStr | The use of bladder voiding efficiency in assessing benign prostatic enlargement |
| title_full_unstemmed | The use of bladder voiding efficiency in assessing benign prostatic enlargement |
| title_short | The use of bladder voiding efficiency in assessing benign prostatic enlargement |
| title_sort | use of bladder voiding efficiency in assessing benign prostatic enlargement |
| topic | Bladder voiding efficiency International prostate severity score Benign prostate enlargement Bladder outflow obstruction and benign prostatic hyperplasia |
| url | https://doi.org/10.1186/s12301-022-00319-1 |
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