Ultrasonography Screening of Prostate Gland Enlargement in patients of Merowe province

Abstract

This study finds out the incidence of prostate gland enlargement in elderly men in Merowi Province. It was done at Karima Hospital in the north of Sudan, during the period from August 2006 to March 2007. The method of data collection designed to be performed in only one direction which basically a transabdominal ultrasonographic examinations tool. Seventy five Sudanese patients, aged between (50-89 years) were examined by ultrasonography using an Aloka machine (SSD-500) real time scanner with one probe, convex of frequency 3.5 MHz. The researcher found that 47 out of 75 patients (63 %) had an enlarged prostate gland enlargement (enlarged prostate size≥30 ml), and 28 patients (37 %); had a normal prostate gland size (normal prostate size< 30 ml). The study shows that, the percentage of prostate gland enlargement in three age groups distribution was increased gradually; prostate gland enlargement represented 51% in age group which ranged between 60 to 69 years , also it represented 68% in older group (70-79 years), and represented 79% in oldest group (80-89 years). According to these results, there was a clear proportional relation between the size of prostate gland, and the age of the patient. The researcher found that measuring the prostate gland size through an empty urinary or through an empty urinary bladder was not reliable. Also I found that urinary bladder and kidneys are the mainly affected organs by the enlargement of prostate gland. The thesis was dividing into five chapters: chapter one contains introduction, chapter two:literature review; which consists of anatomy, histology, physiology, pathology, and ultrasonographic scanning of the prostate, chapter three deals with materials and method, chapter four was results, data analysis, and discussion, chapter five finds out conclusion and recommendations. Finally, recent experience indicates that a more definitive role is possible for ultrasonography in evaluation of prostate gland enlargement.