Prevalence and Risk Factors Associated with Benign Prostate Hyperplasia among Elderly Patients in Baidoa Hospitals in Somalia Cross Sectional Study


Authors : Adan Mohamed Nor Saman; Dr Ali Sheikh Mohamed Omer; Dr. Ahmed Hassan Mohamed; Dr. Mohamed Mohamud Ali; Dr. Ahmed Y. Guled

Volume/Issue : Volume 9 - 2024, Issue 10 - October


Google Scholar : https://tinyurl.com/yse7b46d

Scribd : https://tinyurl.com/3b77vawp

DOI : https://doi.org/10.38124/ijisrt/IJISRT24OCT449

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background The disorder known as benign prostatic hyperplasia (BPH) is closely linked to ageing. Its clinical presentation as lower urinary tract symptoms (LUTS) lowers the patient's quality of life, despite the fact that it is not life- threatening. Among males over 65, up to 30% may experience problematic LUTS.  Objectives of the Study The aim of this study is to determine the prevalence and risk factors contributing benign prostate hyperplasia among elder patients in Baidoa hospitals in Somalia.  Materials and Methods The study design was a hospital based cross sectional study.  Results The prevalence of BPH shows that 19.01 % of the participants were becomes BPH while the remaining majority 80.99 was not. The age, the largest group is those aged 70-79 years, with 157 participants, representing 40.9%. In terms of family history of (BPH), 310 participants (80.7%) reported no family history, while 74 individuals (19.3%) indicated that they do have a family history of BPH. Examining systemic diseases, 51 participants (13.2%) have diabetes mellitus, and 67 individuals (17.3%) have hypertension. A smaller subset, 26 participants (6.7%), reported having both diabetes and hypertension. Regarding physical exercise, 310 individuals (80.7%), reported not engaging in regular physical activity, while only 74 participants (19.3%) they do exercise.  Conclusion In summary, the data and reports from this study point to a 19.01% prevalence of benign prostatic hyperplasia (BPH). The development of BPH is significantly predicted by age. Bivariate chi-square analysis revealed a significant link between BPH and erectile dysfunction, kidney illnesses, diabetes mellitus, and urine retention (p-value <0.05). On the other hand, bivariate chi-square analysis revealed a significant relationship between BPH and being overweight and frequently consuming caffeine (p-value <0.05). Diet and lifestyle could be factors in this.  Recommendations Lifestyle and behavioral interventions are reasonable first-line treatments for all patients. Straightforward interventions include limiting intake of the following: fluids prior to bedtime or travel; mild diuretics, such as caffeine and alcohol; and bladder irritants, such as highly seasoned or irritative foods. Older be aware that blocking of the urethra (the urine tube): As the prostate grows larger, it may block the bladder outlet and stop the bladder from emptying. In some cases, urine may get stored up until it starts to leak out. If this happens, see a doctor straight away, so the patients should urinate quickly before experiencing any problem.

References :

  1. Taoka R, Kakehi Y. The influence of asymptomatic inflammatory prostatitis on the onset and progression of lower urinary tract symptoms in men with histologic benign prostatic hyperplasia. Asian Journal of Urology [Internet]. 2017 May 25;4(3):158–63. Available from: https://doi.org/10.1016/j.ajur.2017.02.004
  2. Lee SWH, Chan EMC, Lai YK. The global burden of lower urinary tract symptoms suggestive of benign prostatic hyperplasia: A systematic review and meta-analysis. Scientific Reports [Internet]. 2017 Aug 7;7(1). Available from: https://doi.org/10.1038/s41598-017-06628-8
  3. Gadam IA, Nuhu A, Aliyu S. Ten-Year Experience with Open Prostatectomy in Maiduguri. ISRN Urology [Internet]. 2012 Nov 27;2012:1–4. Available from: https://doi.org/10.5402/2012/406872
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  5. Alzahrani F, Madkhali OA, Khardali A, Alqahtani SS, Hijri AM, Alaqil MA, et al. Awareness and prevalence of self-reported benign prostatic hyperplasia: a cross-sectional study in Saudi Arabia. Frontiers in Public Health [Internet]. 2024 Apr 2;12. Available from: https://doi.org/10.3389/fpubh.2024.1271816
  6. Aigbe E, Ogbetere F. Relationship between prostate volume, age and body mass index among patients with benign prostatic hyperplasia in the Niger Delta region, Nigeria. African Urology [Internet]. 2022 May 1;2(1):32–4. Available from: https://doi.org/10.36303/auj.2022.2.1.0026
  7. Noweir A, Abusamra A, Zarooni AA, Binbay M, Doble A, Tariq L, et al. Prevalence of benign prostatic hyperplasia among the adult general population of five Middle Eastern Countries: Results of the SNAPSHOT programme. Arab Journal of Urology [Internet]. 2022 Jan 2;20(1):14–23. Available from: https://doi.org/10.1080/2090598x.2021.2010451
  8. Gacci M, Sebastianelli A, Salvi M. Metabolic Syndrome and LUTS/BPH. In: Elsevier eBooks [Internet]. 2018. p. 89–111. Available from: https://doi.org/10.1016/b978-0-12-811397-4.00005-6
  9. Yamasaki T, Naganuma T, Iguchi T, Kuroki Y, Kuwabara N, Takemoto Y, et al. Association between chronic kidney disease and small residual urine volumes in patients with benign prostatic hyperplasia. Nephrology [Internet]. 2010 Dec 3;16(3):335–9. Available from: https://doi.org/10.1111/j.1440-1797.2010.01430.x
  10. Alzahrani F, Madkhali OA, Khardali A, Alqahtani SS, Hijri AM, Alaqil MA, et al. Awareness and prevalence of self-reported benign prostatic hyperplasia: a cross-sectional study in Saudi Arabia. Frontiers in Public Health [Internet]. 2024 Apr 2;12. Available from: https://doi.org/10.3389/fpubh.2024.1271816
  11. Nickel JC, Roehrborn CG, Castro-Santamaria R, Freedland SJ, Moreira DM. Chronic Prostate Inflammation is Associated with Severity and Progression of Benign Prostatic Hyperplasia, Lower Urinary Tract Symptoms and Risk of Acute Urinary Retention. The Journal of Urology [Internet]. 2016 Jul 3;196(5):1493–8. Available from: https://doi.org/10.1016/j.juro.2016.06.090
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Background The disorder known as benign prostatic hyperplasia (BPH) is closely linked to ageing. Its clinical presentation as lower urinary tract symptoms (LUTS) lowers the patient's quality of life, despite the fact that it is not life- threatening. Among males over 65, up to 30% may experience problematic LUTS.  Objectives of the Study The aim of this study is to determine the prevalence and risk factors contributing benign prostate hyperplasia among elder patients in Baidoa hospitals in Somalia.  Materials and Methods The study design was a hospital based cross sectional study.  Results The prevalence of BPH shows that 19.01 % of the participants were becomes BPH while the remaining majority 80.99 was not. The age, the largest group is those aged 70-79 years, with 157 participants, representing 40.9%. In terms of family history of (BPH), 310 participants (80.7%) reported no family history, while 74 individuals (19.3%) indicated that they do have a family history of BPH. Examining systemic diseases, 51 participants (13.2%) have diabetes mellitus, and 67 individuals (17.3%) have hypertension. A smaller subset, 26 participants (6.7%), reported having both diabetes and hypertension. Regarding physical exercise, 310 individuals (80.7%), reported not engaging in regular physical activity, while only 74 participants (19.3%) they do exercise.  Conclusion In summary, the data and reports from this study point to a 19.01% prevalence of benign prostatic hyperplasia (BPH). The development of BPH is significantly predicted by age. Bivariate chi-square analysis revealed a significant link between BPH and erectile dysfunction, kidney illnesses, diabetes mellitus, and urine retention (p-value <0.05). On the other hand, bivariate chi-square analysis revealed a significant relationship between BPH and being overweight and frequently consuming caffeine (p-value <0.05). Diet and lifestyle could be factors in this.  Recommendations Lifestyle and behavioral interventions are reasonable first-line treatments for all patients. Straightforward interventions include limiting intake of the following: fluids prior to bedtime or travel; mild diuretics, such as caffeine and alcohol; and bladder irritants, such as highly seasoned or irritative foods. Older be aware that blocking of the urethra (the urine tube): As the prostate grows larger, it may block the bladder outlet and stop the bladder from emptying. In some cases, urine may get stored up until it starts to leak out. If this happens, see a doctor straight away, so the patients should urinate quickly before experiencing any problem.

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