Sonographic evaluation of prostate volume and its associated factors among adult clients who visit radiology department in University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021

Abstract

Abstract Introduction: The prostate gland is a male accessory organ and single, cone-shaped, fibromuscular, and glandular structure located in the lesser pelvis, the only internal organ that continues to enlarge throughout adulthood. Around 16.3 and 35.7 percent of men over the age of 50 years will have a growing prostate cause benign prostatic hyperplasia; it accounts for 20% of elective surgery in the University of Gondar Comprehensive Specialized Hospital. Objective: This study aimed to evaluate the Sonographic assessment of prostate volume and its associated factors among adult clients who visit the radiology department at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021 Methods and Materials: Institution-based cross-sectional study design was conducted. The systematic random sampling technique was applied to recruit 325 participants among clients who come for an abdominopelvic ultrasound. The data were collected using an intervieweradministered semi-structured questionnaire, and measurements were performed using transabdominal ultrasound, weighing balance, meter, and height scales. Epi-data version 4.6 and IBM SPSS Statistics version 25.0 were used for data entry and statistical analysis, respectively. The descriptive statistics were presented using texts, tables, graphs, and charts. Variables with a p-value of less than 0.2 in Bivariable linear regression were considered for the multivariable linear regression model. Finally, the coefficients with a 95% confidence interval (CI) were reported to identify significant associated factors of prostate volume. Results: The mean prostate volume was 24.69 SD (12.19). Forty percent of the participants had enlarged prostate. Age [?= 0.005; 95% CI: 0.004-0.006], history of Diabetes mellitus [?= 0.124; 95% Cl: 0.078-0.169], History of Hypertension [?= 0.065; 95%Cl: 0.022-0.108], waist circumference [?=0.005; 95%Cl: 0.003-0.007] and Smoking cigarettes [?= 0.071; 95% Cl: 0.019- 0.123] were statistically significant variables at the level of 0.005 significant value. Conclusion and recommendation: Mean prostate volume in our studied population was relatively similar with that of that of many western populations. Our finding showed that Prostate volume was positively associated with age, history of hypertension, history of diabetes mellitus, cigarette smoking, and Waist Circumference. Close follow-up will be needed for those who have hypertension and diabetes mellitus clients, further community-based evaluation is required to assess the influence of the presence of other comorbidities on the growth of prostate volume. Keyword: Prostate volume, Prostate dimension, Ethiopia