DIGITAL RECTAL EXAMINATION, TRANSRECTAL ULTRASOUND AND PROSTATE SPECIFIC ANTIGEN AS A TRIPPLE ASSESMENT DIAGNOSTIC TOOL FOR BENIGN ENLARGEMENT OF PROSTATE

Abstract

Introduction: Benign prostatic hyperplasia is the most common benign tumor in men and its incidence is age related. The condition is prevalent in approximately 20% in men aged 41-50, 50% in men aged 51-60 and >80% in men aged over 80.

Objectives: In this study efforts are made to prepare a diagnostic tool that helps to diagnose benign prostatic hyperplasia more accurately and rules out prostatic malignancy.

Methods: Findings of Digital rectal examination, Transrectal ultrasound for prostate and serum prostate specific antigen, were recorded in patients included in the study.

Results: Mild to moderate enlargement of prostate on digital rectal examination, prostatic volume of less than 75 cc in transrectal ultrasound and PSA level of less than 4 ng/ml are consistent with diagnosis of benign enlargement of prostate.

Conclusion: This study concludes that instead of using a single parameter, use of all three parameters simultaneously provide relatively accurate diagnosis of benign enlargement of prostate.