Evaluation of Urinary Tract in Patients with Benign Prostatic Hyperplasia Using Ultrasonography

Abstract

This study was descriptive cross sectional conducted in Khartoum state, Sudan, in the Radiology Department of Omdurman Teaching Hospital in the period from October 2018to April 2019, There were 50 males were scanned using ultrasound, all patients are with age 52-84 years, patient mean age was (69.4±8.22) ,The study aimed to evaluate the urinary tract in patient with prostatic hyper plasia using ultrasonography. The data was collected using data collection sheet and analyzed using the Statistical Packages for Social Science (SPSS ) program. All patients were scanned transabdomen by ultrasound Mindary machine of curvilinear probe frequency ranged from 3.5 to 5 MHZ, prostate volume ,kidneys volume, urinary bladder volume pre and post micturition and urinary bladder wall thickness had been evaluated. The results of this study showed that patient mean height (166.7±4.87),patientweightwas(68.4±6.62),BMIwas(24.9±2.10),PSAlevel(2.9±3.82),RTkidneylength(10.6±0.72),RTkidney width(4.6±0.41),RTkidney thickness(4.1±0.27) ,RT kidney volume(99.3±16.06) ,LT kidney length(11.0±0.96), LT kidney width(4.8±0.48), LT kidney thickness(4.3±0.42) and LT kidney volume(112.4±25.60) ,also showed that46% of cases had homogeneous 26 % heterogeneous and 28%calcified prostate echotexture .all of them was diagnosed as benign Prostatic hypertrophy.also showed that 52% of cases had regular capsule and 48 % had irregular prostate capsule which all of them was diagnosed as benign Prostatic hypertrophy ,the study also showed that 30% of cases had normal bladder volume post micturation and 70% abnormal. also the results showed that 62% of cases had normal urinary tract findings and 38% of cases are abnormal which distributed as 16 % had cystitis , 6% vesical stone , 4%simple renal cyst , 2% multiple renal cyst , 6% renal hydronephrosis , 2% bladder diverticulum and 2% renal stone and also confirmed that there is no significant relationship between the prostate volume and patient age , BMI , right kidney volume , left kidney volume , bladder wall thickness and bladder volume pre micturation , the study showed there is significant relationship between the prostate volume and PSA.