Study on Effectiveness of Extensive TRUS Guided Prostate Biopsy in Detection of Cancer Prostate | Chapter 2 | New Visions in Medicine and Medical Science Vol. 10

Introduction: Prostate cancer has been the most common non-cutaneous malignancy in men and now accounting for one-quarter of all such cancers. Use of Trans Rectal Ultrasonography (TRUS) in men with an abnormal PSA and/or digital rectal examination acting as a guide to direct prostate biopsies will lead to a decrease in the number of early deaths.

Materials and Methods: It is a prospective observational study. All the patients attending the Urology clinics or emergency services with LUTS and with a suspicion of Ca prostate on DRE or serum PSA were enrolled in the study. TRUS-guided biopsy was done in all study patients for abnormality on DRE and or an elevated serum PSA level. The statistical analysis was executed by SPSS version 20. Categorical variables were analyzed with "Chi-square test".

Results: In the present study, of 95 men, 53 men underwent 10-core biopsy and 42 men underwent 16-core biopsy. Among 95 patients subjected to TRUS guided prostate biopsy, prostatic adenocarcinoma was detected in 31 (32.6%), High-grade PIN in 12 (12.62%), fibroadeno leiomyomatous hyperplasia in 30 (31.57%), fibroadeno leiomyomatous hyperplasia with chronic prostatitis in 5 (5.20%) and chronic prostatitis in 15 (15.78%).

Conclusion: The cancer detection rate is high when abnormalities are found in both DRE and PSA compared to elevated PSA alone (70% vs.15%). The detection rate with 16-core TRUS guided biopsy is significantly higher than 10-core biopsy (54.76% vs. 15.09%, P value 0.0037).

 

Author (s) Details

 

P. Usha Kiran
Department of Biochemistry, TMMC & RC, TMU, Moradabad, UP, India.

 

S. Venkata Krishna
Dr. SVK Kidney Care & HOLEP Centre, Rajahmundry, AP, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/nvmms/v10/3069

Knowledge and Practices of the Prescription of Physical and Sports Activities (PSA) by Doctors in Ouagadougou: A Mixed-Method Exploratory Approach | Chapter 7 | Advancement and New Understanding in Medical Science Vol. 6

Introduction: The benefits of physical activity (PA) in improving the quality of life of people with chronic diseases have led some countries to include the prescription of PA in their public health code. In Burkina Faso, public health documents do not contain any information about prescribing PA, even though some doctors claim to prescribe physical activity.
 
Objective: To analyse the medical doctors’ knowledge and practices of the prescription of PSA in Ouagadougou city
 
Methods: A mixed-method exploratory study, data were collected using an online Google Forms survey of 135 doctors in 03 health districts in Ouagadougou city, and interviews with 23 doctors to February to June 2023. Quantitative data were processed using Epi-Info software, and qualitative data using the content analysis method. Test significance was set at p<0.05.
 
Results: Based on 48 specialists and 87 general practitioners, the results revealed that 97.04% of participants were aware of the importance of PSA for health, and 91.11% said they are used to prescribing PSA to their patients. As for the prescription protocol, only 22.22% claimed they mastered it.
 
A significant relationship emerged between seniority and PSA prescription (p<0.02). Qualitative analysis reinforced these results in that the vast majority of interviewees claimed that they knew PSAs and used to prescribe them to their patients without any prescription protocol.
 
Discussion and Conclusion: These results reveal that all participants have sufficient information on the importance of PSA for health. However, they do more to raise awareness than to prescribe, because prescription protocols are not applied. It also emerged that seniority was linked to PSA prescription. This could be explained by the fact that PSA as a means of preventing NCDs is a concept that emerged with modernity and therefore rhymes with youth. Even if young doctors claim to prescribe PSA, it should be noted that this idea does not adequately reflect the reality of the prescription protocol. In light of these results, information/training strategies on PSA prescription protocols should be developed.

Author(s) Details:

Nana Brigitte,
Institute of Sport Sciences and Human Development, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.

Lamien David Prosper,
Health Sciences Training and Research Unit, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.

Sawadogo Amidou,
Institute of Sport Sciences and Human Development, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.

Daboné Moussa,
Institute of Sport Sciences and Human Development, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.

Please see the link here: https://stm.bookpi.org/ANUMS-V6/article/view/13358

SP'z Series New Insights on Urology and Urological Research Part I | Book Publisher International

From clinical signs and symptoms to the more recent research era of evidence-based medicine, the practise of urology has undergone evolutionary changes over the past few decades, but the significance of clinical examination and bedside instruction will never diminish. This book is intended to offer a variety of educational opportunities to repeat key ideas and specifics in urology. In contrast to other books with greater western influences, which are nearly impossible in the Indian context where affordability is a major factor in determining treatment decisions, this book will be an excellent source for research themes specific to the Indian urological scenario.

 

Author (s) Details

Dr. Sanjay P. Dhangar

Department of General Surgery (Urology), SMBT IMS & Research Centre, Nandi Hills, Dhamangaon, Post – Ghoti, Taluka – Igatpuri, District – Nashik, PIN – 422403, Maharashtra, India.

 

Please see the link here:-  https://stm.bookpi.org/SPSNIUUR-P1/issue/view/740