Introduction: IPSS is the gold standard in measuring clinical symptoms of BPH.1
Prostate volume has been said to have a close relationship with the development of
BPH.9 The aim of this study was to determine the relationship between prostate volume
as measured by transabdominal ultrasonography (TAUS) and transrectal (TRUS) to the
degree of IPSS. Methods: An analytic observational study with a cross sectional design
was carried out on 303 BPH patients at the General Hospital of Kariadi Hospital,
Semarang. The data obtained from the TAUS, TRUS and IPSS prostate volume were
obtained from medical records for the period 2015 - 2020. The data were then analyzed
by using the chi square test. Results: Patients with BPH have a TAUS prostate volume
in classification I of 0 people 0%, classification II of 16 people (5.3%), classification III
of 96 people (31.7%), classification IV of 102 people (33.7%) and classification V of 89
people (29.4%). While TRUS in classification I was 0% (0 people), classification II was
11 people (3.6%), classification III was 92 people (30.4%), classification IV was 110
people (36.3%) and classification V of 90 people (29.7%). IPSS obtained severe IPSS
degrees, namely 192 people (63.4%), moderate degrees of 111 people (36.6%), and mild
degrees 0% (0 people). The results of the Chi Square test obtained a p-value of 0.000
(p <0.05), indicating that there was a significant relationship between prostate volume,
whether examined by transabdominal or transrectal ultrasound, and the degree of
IPSS. The correlation coefficient r = 0.925 indicates a very strong relationship between
prostate volume as measured by both transabdominal and transrectal ultrasound with
the degree of IPSS, a positive result shows that the increase in prostate volume, the
degree of IPSS will also increase. Conclusion: There is a significant relationship
between prostate volume as measured by both TAUS and TRUS and the degree of IPSS.