Correlation between the presence of inguinal hernia and the intensity of lower urinary tract symptoms.
OBJECTIVE
To verify the correlation between the presence of IH and the intensity of LUTS related to BPH quantified through the International Prostate Symptom Score (IPSS).


METHODS
We prospectively selected 52 patients over the age of 55 years; Patients were divided into 2 groups. Group 1: composed of 32 patients with IH; Group 2 (control group): composed of 20 patients with no clinical evidence of IH. All patients were assessed using the IPSS, uroflowmetry (Qmax), post-void residual urine volume (PVR) and prostate volume (PV).


RESULTS
Groups 1 and 2 presented no difference in PV (p>0.05) and uroflowmetry (Qmax) (p>0.05). There was a statistical significant difference between the PVR mean values between groups 1 and 2. The presence of IH correlated with a higher IPSS score (r=0.38 p<0.05) despite the fact the no difference was detected between the incidence of patients with mild, moderate and severe LUTS in groups 1 and 2.


CONCLUSIONS
Patients with IH present higher IPSS. The role of IPSS as a marker to predict the development of clinical IH still to be determined.
Department of Surgery and Anatomy, FMRP, USP, Ribeirao Preto, SP, Brazil. rodolforeis@fmrp.usp.br
Rodolfo Borges
RB
Reis
Antonio Antunes
AA
Rodrigues Neto
Leonardo Oliveira
LO
Reis
Roberto Dias
RD
Machado
Steven
S
Kaplan
D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011467:Prostate / Q000473:pathology / Q000503:physiopathology; D011470:Prostatic Hyperplasia / Q000150:complications* / Q000175:diagnosis; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014563:Urodynamics / Q000502:physiology