Santanu Biswas, Susanta Kumar Das, Arijeet Jana and Monalisa Khatun
Page: 572-577 | Received 24 May 2024, Published online: 23 Jun 2024
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Bladder outlet blockage is linked to BPH, a prevalent health issue affecting older men. BPH symptoms often appear after the age of 40, and by the time a person reaches 60, 50-60% of them will have the condition.Lower urinary tract symptoms, such as nocturia, urgency, and frequent voiding, are commonly experienced by BPH patients. Additionally, voiding symptoms may include straining, weak stream, hesitation, and intermittent voiding. To establish role of MRI in assessment of patients clinically diagnosed as BPH and lay down its importance in the workup of these patients. This observational cross sectional study was performed in the Department of Radio-diagnosis and Imaging, Burdwan Medical College and Hospital, Burdwan from 1st APRIL 2021 to 30th September 2022. A total of 100 consecutive patients were evaluated and subjected to MRI of the prostate gland, after being clinically assessed and diagnosed as BPH at the Department of Urology, Burdwan Medical College and Hospital. 80% cases showed BPH as radiological diagnosis, thereby correlating with clinical diagnosis. Most of the cases(95%) had pathologies in transitional zone, most common site of BPH occurence. Type 3 was the most common radiological type of BPH followed by type 1 and 2. On biopsy, 20% patients with PIRADS score 3 shown cancer, compared to 50% with score of 4 and 75% with a score of 5, hence proving higher PIRADS score corresponds to a higher risk of cancer. We draw the conclusion that magnetic resonance imaging (MRI) is a crucial imaging modality for assessing the key characteristics of BPH. Thanks to its multi-planner capability and better soft tissue contrast, it aids in the correct diagnosis of disease. Interpreting the pictures, however, requires an understanding of the normal architecture of the prostate and peri-prostatic tissue as well as the imaging characteristics of different prostatic pathologies.
Santanu Biswas, Susanta Kumar Das, Arijeet Jana and Monalisa Khatun. Role of MRI in Evaluation of Patients Clinically Diagnosed as Benign Prostatic Hyperplasia and Clinico-Pathological Correlation.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.18.572.576
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.18.572.576