Digital rectal grading of benign prostatic hyperplasia: Where does it stand today?
Background: Despite the fact that digital rectal examination (DRE) is an integral part of medical teaching curriculum, there is lack of standardized grading system for benign prostatic hyperplasia (BPH) that can be followed uniformly. Aims: To evaluate the validity of digital rectal grading for the...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Mahatma Gandhi Institute of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2016;volume=21;issue=1;spage=40;epage=45;aulast=Lodh |
| _version_ | 1818427592967979008 |
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| author | Bijit Lodh Rajendra Singh Sinam Kaku Akoijam Singh |
| author_facet | Bijit Lodh Rajendra Singh Sinam Kaku Akoijam Singh |
| author_sort | Bijit Lodh |
| collection | DOAJ |
| description | Background: Despite the fact that digital rectal examination (DRE) is an integral part of medical teaching curriculum, there is lack of standardized grading system for benign prostatic hyperplasia (BPH) that can be followed uniformly. Aims: To evaluate the validity of digital rectal grading for the assessment of prostate volume, in view to improve its reproducibility. Materials and Methods: This study was carried out in 150 eligible patients of BPH. Based on DRE the prostate enlargement was stratified into four grades. The degree of agreement between the expected prostate volume and measured prostate volume against each digital rectal grade were analyzed using Scatter plots. Data were analyzed using the Statistical Package for the Social Sciences. Results: The digital rectal Grades I-IV correlates well with transrectal ultrasound measurement and roughly corresponds to a volume of 27.78 ± 2.55 ml, 40.54 ± 7.69 ml, 61.08 ± 11.90 ml and 98.42 ± 23.44 ml, respectively. The expected prostate volume in digital rectal Grade II (30-50 ml) showed an underestimation and overestimation by 4.76% and 7.94%, respectively. Similarly, Grade III (expected 50-85 ml) and IV (expected >85 ml) showed overestimation by 22.50% and 23.08% respectively. The Cronbach′s coefficient showed good internal consistency (α = 0. 851). Conclusions: Our attempt for standardization of the digital rectal grading satisfactorily validated in the clinical setting. It is feasibly sufficient to provide a rough estimation of the prostate volume and to classify patients with BPH. |
| first_indexed | 2024-12-14T14:48:11Z |
| format | Article |
| id | doaj.art-53a91ed46b4a44a8a375f0746e12ad10 |
| institution | Directory Open Access Journal |
| issn | 0971-9903 |
| language | English |
| last_indexed | 2024-12-14T14:48:11Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Mahatma Gandhi Institute of Medical Sciences |
| spelling | doaj.art-53a91ed46b4a44a8a375f0746e12ad102022-12-21T22:57:13ZengWolters Kluwer Medknow PublicationsJournal of Mahatma Gandhi Institute of Medical Sciences0971-99032016-01-01211404510.4103/0971-9903.178104Digital rectal grading of benign prostatic hyperplasia: Where does it stand today?Bijit LodhRajendra Singh SinamKaku Akoijam SinghBackground: Despite the fact that digital rectal examination (DRE) is an integral part of medical teaching curriculum, there is lack of standardized grading system for benign prostatic hyperplasia (BPH) that can be followed uniformly. Aims: To evaluate the validity of digital rectal grading for the assessment of prostate volume, in view to improve its reproducibility. Materials and Methods: This study was carried out in 150 eligible patients of BPH. Based on DRE the prostate enlargement was stratified into four grades. The degree of agreement between the expected prostate volume and measured prostate volume against each digital rectal grade were analyzed using Scatter plots. Data were analyzed using the Statistical Package for the Social Sciences. Results: The digital rectal Grades I-IV correlates well with transrectal ultrasound measurement and roughly corresponds to a volume of 27.78 ± 2.55 ml, 40.54 ± 7.69 ml, 61.08 ± 11.90 ml and 98.42 ± 23.44 ml, respectively. The expected prostate volume in digital rectal Grade II (30-50 ml) showed an underestimation and overestimation by 4.76% and 7.94%, respectively. Similarly, Grade III (expected 50-85 ml) and IV (expected >85 ml) showed overestimation by 22.50% and 23.08% respectively. The Cronbach′s coefficient showed good internal consistency (α = 0. 851). Conclusions: Our attempt for standardization of the digital rectal grading satisfactorily validated in the clinical setting. It is feasibly sufficient to provide a rough estimation of the prostate volume and to classify patients with BPH.http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2016;volume=21;issue=1;spage=40;epage=45;aulast=LodhBenign prostatic hyperplasiadigital rectal examinationgradestransrectal ultrasound |
| spellingShingle | Bijit Lodh Rajendra Singh Sinam Kaku Akoijam Singh Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? Journal of Mahatma Gandhi Institute of Medical Sciences Benign prostatic hyperplasia digital rectal examination grades transrectal ultrasound |
| title | Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? |
| title_full | Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? |
| title_fullStr | Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? |
| title_full_unstemmed | Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? |
| title_short | Digital rectal grading of benign prostatic hyperplasia: Where does it stand today? |
| title_sort | digital rectal grading of benign prostatic hyperplasia where does it stand today |
| topic | Benign prostatic hyperplasia digital rectal examination grades transrectal ultrasound |
| url | http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2016;volume=21;issue=1;spage=40;epage=45;aulast=Lodh |
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