A study to correlate IPSS score and association of prostatomegaly in patients with inguinal hernia.

Abstract

Background: Inguinoscrotal swellings are the most common presenting complaint in the surgical out patient department. Chronic straining during micturition can precipitate inguinal hernia in adults. Prostatomegaly is an important cause of bladder outlet obstruction in males. Chronic straining due to benign prostatic hyperplasia is considered as an etiological factor for inguinal hernia in elderly male population. The occurrence of groin hernia and lower urinary tract symptoms associated with prostatomegaly are related to age. This study is aimed to find out whether prostatomegaly is a significant risk factor for developing inguinal hernia in males. Aim: To correlate IPSS score with clinical and radiological prostatomegaly in cases with inguinal hernia. Methods: It is a cross-sectional comparative study to correlate presence of prostatomegaly in 50 male patients aged more than 50 years admitted with inguinal hernia to R.L Jalappa Hospital, Kolar from March 2020 to August 2020. In this study IPSS Score, was correlated with clinical prostatomegaly and Ultrasonographic prostate volume. Results: 50 male patients were included in the study. Mean age was found to be 63.44 years. Right sided hernia was more prevalent than left side. 42% patients had IPSS score >8, 46% had prostate volume >20cc.IPSS was significantly related to ultrasonographic prostate volume and clinical prostatomegaly. Interpretation & conclusions: This study showed significant association between severity of symptomatic prostatomegaly and development of hernia. We can also conclude that IPSS score is a useful tool to assess prostatomegaly objectively and in turn as a predictor for development of inguinal hernia.