RELACIÓN ENTRE LA PUNTUACIÓN INTERNACIONAL DE SÍNTOMAS PROSTÁTICOS (IPSS), TAMAÑO PROSTÁTICO Y PSA, EN PACIENTES CON HIPERPLASIA BENIGNA DE PRÓSTATA, MAYORES DE 40 AÑOS. HOSPITAL GENERAL LIBORIO PANCHANA SOTOMAYOR

Abstract

Introduction: Benign prostatic hyperplasia is a common pathology in elderly men. Prostate antigen, prostate symptom score, and use of abdominal ultrasound are basic diagnostic tools in clinical practice. Objective: To determine the relationship of IPSS score, prostate size and PSA levels in patients with benign prostatic hyperplasia, over 40 years. Methodology: Observational, analytical, prospective study in a patient with HP from September 2016 to February 2017; at the Liborio Panchana General Hospital in the province of Santa Elena, Ecuador. Patients older than 40 years, with symptoms of lower urinary tract, who had PSA levels and ultrasound images of the prostate, were included. Clinical file was applied with the variables: age, symptoms (irritative or obstructive), PSA value, and prostate size. The obtained data will be stored in an Excel database and will be analyzed with the SPSS statistical software and statistical relationship methods will be applied according to the association of variables. Results: A sample of 100 patients was obtained. Of which 41% are between 61-70 years. 48% have high blood pressure and 36% have diabetes mellitus. In 51% a moderate IPSS score was described; while prostate size was increased (50-80cc) in 38% of patients and the prostate antigen was 4.1 to 10.0 ng / ml in 31% of patients. xii Conclusion: It is evident that patients with BPH have a severe clinical manifestation according to the IPSS score, with considerable increases in prostate size measured by abdominal ultrasound.