Validation of supra-pubic ultrasonography for preoperative prostate volume measurement in sub-Saharan Africa

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Date
2011Author
Malemo, Kalisya
Galukande, Moses
Hawkes, Michael
Bugeza, Sam
Nyavandu, K.
Kaggwa, Sam
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Show full item recordAbstract
Advances in urological techniques in sub-Saharan Africa need to be supported with practical
ancillary diagnostics. This study aimed at determining the accuracy of suprapubic ultrasonography (SPUS)
relative to transrectal ultrasonography (TRUS), the current gold standard, in estimating preoperative
prostate volume in a sub-Saharan African hospital. Methods Cross-sectional study of prospectively
enrolled patients with severe lower urinary tract symptoms and histologically confirmed benign prostatic
hyperplasia. The volume of the prostate was estimated using two modalities, SPUS and TRUS.
Open prostatectomy was performed on all patients, and the mass of the enucleated prostate adenoma was
measured directly. Results Fifty patients were enrolled, with a mean age of 69 years. The mean prostate volume as determined
by TRUS, SPUS, and direct measurement of enucleated prostatic tissue was 96.0, 95.9 and 83.5 mL, respectively.
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