CORRELATION BETWEEN PCAR WITH IPSS SCORE, QMAX, AND POST VOIDING RESIDUAL URINE AND ITS CUT-OFF VALUE IN DETERMINING BOO IN PATIENTS WITH BPH LUTS
Abstract: This study was
conducted to determine the correlation between Presume Circle Area Ratio (PCAR)
and IPSS score, Qmax, and post voiding residual urine (PVR) and to find PCAR
cut-off value in determining the presence Bladder Outlet Obstruction (BOO) in
Benign prostatic hyperplasia (BPH) Lower Urinary Tract Symptoms (LUTS).
Materials & Methods: This study was observational analytic study with 30
BPH LUTS patients as subjects during the period September 2015 to January 2016.
The determined variables were PCAR, IPSS score, Qmax, post voiding residual
urine (PVR) and analyzed using the SPSS program v21. Results: There were 30
patients who met the inclusion and exclusion criteria with the mean age of
67.47 years. In the correlation test, there was insignificant correlation
between PCAR with IPSS (r=0.138, p=0.467), a significant correlation between
PCAR with Qmax (r=0.468, p=0.009), PCAR with PVR (r=0.399, p=0.029), PCAR with
BOO (r=0.491, p=0.006) PCAR cutoff value is 0.65 with sensitivity of 69% and
specificity of 71%. Conclusion: PCAR has a significant correlation with PVR,
Qmax and BOO but no significant with IPSS score. PCAR value >0.65 indicating
BOO in BPH LUTS. PCAR can be used as an alternative non-invasive examination in
determining the existence of BOO.
Keywords: Lower urinary tract
symptoms; presume circle area ratio; bladder outlet obstruction; post voiding
residual urine
Author: Pradana Nurhadi,
Lukman Hakim, Tarmono Djojodimedjo, Sunaryo Hardjowijoto
Journal Code: jpkedokterangg170012
