AIMS AND OBJECTIVES To study the incidence of Benign Prostatic Hyperplasia (BPH) in reference to age of the patients, to study the common symptoms and signs of BPH and classify on the basis of American Urological Association Symptoms Score (AUASS), to evaluate the role of various investigations, to study the relation of weight/volume and size of prostate, and to grade the prostate on the basis of AUASS. MATERIAL AND METHODS Total 138 patients with symptoms of BPH were selected and detailed history was elicited with special reference to AUASS, according to which BPH was graded, investigated properly, and managed accordingly. RESULTS Overall incidence of BPH out of total patients admitted (8562) in surgical wards during period of one year was found 1.61%. Majority of the patients were in the age group 61-70 years and average age in present study was 67.8 years. According to AUASS, most of the patients (62.32%) had moderate grade symptoms (Score 8-19) followed by patients (37.68%) had severe symptoms (Score 20-35). On digital rectal examination, 73.18% of the patients had grade II prostate, 14.42% had grade III, and grade I in 12.31%. The blood urea and serum creatinine levels were normal in majority of the patients, 62.77% and 58.69% respectively. On USG prostate, most of the patients (65.81%) had prostatic weight in range of 41-60 grams and majority of the patients (47.22%) had PVR volume of urine ranging between 101-200 mL. Weight of prostatic specimen on prostatectomy showed that most of the patients (64.86%) had prostatic weight in range of 41-60 grams. On histopathological examination of prostatectomy samples, it was found that 91.90% of specimens showed BPH and rest 8.10% were suggestive for carcinoma prostate. CONCLUSION BPH is a condition intimately related to ageing, which needs treatment when symptoms are bothersome and reduces the quality of life. Patients with mild-to-moderate enlargement of the prostate in 5th and 6th decade of life often respond to watchful waiting and medical treatment. Patients presenting with acute or chronic retention with or without haematuria finally needs surgical intervention.
