An Observational Study to Correlate Severity of Lower Urinary Tract Symptoms and Size of Median Lobe of Prostate by Digital Rectal Examination in Patients with Benign Prostate Hyperplasia.

BACKGROUND

This observational study evaluated the correlation between median lobe size assessed by digital rectal examination (DRE) and the severity of lower urinary tract symptoms (LUTS) in benign prostatic hyperplasia (BPH) patients.

METHODS

A total of 120 men aged ≥50 years were assessed using the International Prostate Symptom Score (IPSS) and DRE for median lobe grading. Correlations were analyzed using Spearman's coefficient and ANOVA.

RESULTS

Larger median lobe size significantly correlated with higher LUTS severity (P < 0.001), with mean IPSS scores of 7.6 (small), 15.4 (moderate), and 24.1 (large lobes).

CONCLUSION

Median lobe enlargement is associated with severe LUTS in BPH, highlighting the importance of thorough clinical prostate evaluation.