Objective: To determine the correlation of international prostate symptom score with Intravesical protrusion of prostate. Methods: This prospective clinical study was performed on 60 elderly patients presented with LUTS suggestive of Benign Enlargement of Prostate. Their evaluation included DRE, IPSS, Uroflowmetry (Qmax), serum PSA measurements and trans abdominal ultrasound scan. Statistical analysis was performed by SPSS version 13 using Chi square test and scatter plots together with Spearman’s correlation coefficients were used to assess the relationship between IPP and IPSS. Results: Mean age of the patients was 66.7+9.85 years, IPSS 23.6+6.53, mean prostatic volume was 60.23+38.16 mL, Qmax 7.98+3.87, PVR was 163.18+141.73 mL. Fifty percent of patients had severe degree (>10mm) of intravesical protrusion of the prostate, 30% had moderate and 20% had mild IPP. There was significant positive correlation between IPSS and IPP (r=0.698, P < 0.001). Conclusion: From this prospective clinical study it is revealed that IPP had strong correlation with IPSS. Bangladesh Journal of Urology, Vol. 22, No. 2, July 2019 p.151-154

Objectives: To determine the safety and efficacy of retroperitoneoscopic surgery for renal, ureteral and adrenal diseases. Methods: Since October 2013, 62 patients (22 to 65 years old) have undergone retroperitoneoscopic renal, ureteral and adrenal surgery. Patients were included according to the inclusion criteria depending on the specifying disease and operation. Patient were appropriately evaluated and counseled before operation. The retroperitoneal space was created by handmade balloon dissection. Results: Average kidney size was 85 mm (range 50 to 1720) in simple nephrectomy cases, and average renal tumor size was 64 mm (range 48 to 73). Simple nephrectomy in 10, radical nephrectomyin 09, nephrouretectomy in 8, adrenalectomy in 1,decortication of renal cyst in 11, pyeloplasty in 06, transposition of retrocaval ureter in 06 and ureterolithotomy in 11 cases. Operating time varies from 35 min to 221 min, depending upon the procedure.Hospital stay varies from 2 to 7 days in different cases. Conversion from the laparoscopic procedure to open surgery was required in 3 cases. Peritoneal rent occurred in only 2 patients. Conclusions. The laparoscopic retroperitoneal approach is safe and effective for different types of renal, ureteral and adrenal surgery. Perioperative morbidity and hospital stay are reduced. Bangladesh Journal of Urology, Vol. 19, No. 1, Jan 2016 p.3-12

Objective: To find out the optimum evaluation tools for male infertility. Methods: Hinari database were searched for articles related to male infertility for review to find out how a male infertile patient can be evaluated optimally.EUA guidelines on Male Infertility and AUA best practice statement on Optimal Evaluation of the Infertile Male updated on 2010 were also considered for review. Results: Initially thirty five articles were obtained and finally twenty eight articles were considered for review. Some cross references were considered to be cited in the reference section. We have mentioned in this review the evaluation tools those are necessary for male factor infertility at the optimum. Conclusion : As male infertility problem are increasing so optimum evaluation should be carried out to diagnose every possible underlying cause. Bangladesh Journal of Urology, Vol. 19, No. 1, Jan 2016 p.43-48

Background: BPH is one of the most common cause of LUTS which significantly impairs the quality of life. TURP is minimally invasive surgical procedure for Benign Prostatic hyperplasia which has impact on quality of life. Impact on quality of life can be measured by QoL score and effect of TURP can be evaluated. Objective: The purpose of the present study was to evaluate the impact of transurethral resection of prostate (TURP) on Quality of Life (QoL) score. Methodology: This prospective study was carried out in the Department of Urology, Shaheed Suhrawardy Medical College and Hospital, Dhaka, from July 2015 to June 2016. Total fifty patients between 50 to 72 years attending for the treatment of benign prostatic hypertrophy (BPH) with lower urinary tract symptoms (LUTS) were included for the study according to inclusion & exclusion criteria. All of them were evaluated with baseline international prostate symptoms score (IPSS), QoL score, peak urinary flow rate (Qmax), voided volume, voiding time and PVR and were recorded in a predesigned data sheet. Selected patients underwent Transurethral Resection of Prostate. They were followed after 1 month and 3 months with same parameter and compared with the baseline values. Results: The baseline international prostate symptoms score (IPSS) in this study was 25.18±1.45. At one month and three months follow up visits after TURP, the IPSS was decreased to 15.0±1.07 and 8.14±0.76 respectively. There was significant improvement of peak urinary flow rate (Qmax) in the postoperative period, at the 1st follow up visit after one month of TURP (15.78±1.42, p<0.001) and at the 2nd follow visit after three months of TURP (18.78, p <0.001). The mean QoL score was 5.30±0.46 before TURP. After one month of TURP it was 3.20±0.45 and after 3 months of TURP it was 1.86±0.57. Conclusion: There is a significant improvement of quality of after TURP. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 143-147

Objectives: Evaluation of the international prostate symptom score(IPSS) and quality of life score before and following TURP in BPH patients and correlation with objective parameters(Qmax and PVR). Methods: This purposive clinical trial was carried out in the Department of Urology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, from January 2008 to December 2008. Total fifty patients between 50-72 years attending for the treatment of BPH with LUTS were included for the study according to inclusion & exclusion Patients with carcinoma prostate riteria. Selected patients underwent transurethral resection of prostate. All of them had baseline IPSS, QoL score, Qmax, voided volume, voiding time and PVR. They were followed after 1 month and 3 months with same parameter and compared with the baseline values. Correlation of IPSS and QoL score was done with Qmax and PVR. Results: The baseline IPSS in this study was 25.18±1.45. At one month and three months follow up visits after TURP, the IPSS was decreased to 15.0±1.07 and 8.14±0.76 respectively. The mean QoL score was 5.30± 0.46 before TURP. After one month of TURP it was 3.20± 0.45 and after 3 months of TURP it was 1.86 ± 0.57. There was significant negative correlation between the QoL score and Qmax in the preoperative period (r = -0.606, p=0.001), at the 1st follow up visit after one month of TURP (r = -0.171, p=0.235) and at the 2nd follow visit after three months of TURP (r = -0.680, p =0.001). There was positive correlation between the QoL score and PVR in the preoperative period (r = 0.394, p=0.005), at the 1st follow up visit after one month of TURP (r = 0.047, p =0.748) and at the 2nd follow up visit after three months of TURP (r = 0.471, p=0.235). Conclusion: There was significant improvement of quality of after TURP and There was significant negative correlation between the QoL score and Qmax and positive correlation between the QoL score and PVR. Bangladesh Journal of Urology, Vol. 15, No. 2, July 2012 p.27-32