Magnitude And Associated Factors Of Benign Prostatic Hyperplasia Among Adult Male Patients Presented With Lower Urinary Tract Symptoms At Urology Out Patient Department Of WolaitaSodo University Comprehensive Specialized Hospital, Southern Ethiopia 202

Abstract

Back ground: Benign Prostatic Hyperplasia is a proliferation of prostatic stromal cells leading to enlargement of prostate and bladder outlet obstruction. Symptoms associated with Lower urinary tract symptom (LUTS) include urgency, frequency, nocturia, incomplete urination, and weak urinary stream. In most occasions people with LUTIS develop BPH as a complication. Worldwide, Africa and Ethiopia prevalence of Benign Prostatic Hyperplasia among patients with lower urinary tract symptoms was 26.2%, 44.2% and 33.4% respectively. Objective: To assess magnitude and associated factors of Benign Prostatic Hyperplasia among adult male patients presented with Lower Urinary Tract Symptoms at urology Out Patient Departmentof WolaitaSodo University comprehensive specialized hospital, southern Ethiopia 2022. Methods: A hospital-based cross-sectional study was carried out from July to September 2022. A systematic random sample technique was employed to select 376 men. Data were gathered using a structured questionnaire. The collected data was entered, cleaned, coded, and analyzed using SPSS Version 25.0. To describe the study subjects, descriptive statistics were used. In order to pinpoint contributing components, bivariate and multivariate analyses were conducted. Adjusted odd ratio with 95% Confidence Interval (CI) was utilized to quantify the degree of association, and statistical significance was declared at p-value< 0.05. Result: A total of 376 men with lower urinary tract symptoms were included in this study and the magnitude of Prostatic Hyperplasia among them was 21.3%;95%CI:17.3,25.8.Vegetable consumption, fruit consumption, physical activity, sleeping time and sexual dysfunction [(AOR=7.57,95% CI: (2.78,20.60)], [(AOR=21.06,95%CI:(7.06,27.53)],[(AOR=0.57,95% CI: (0.19, 0.67)], [(AOR=3.23, 95% CI: (1.18,8.79)]and [(AOR=17.05, 95% CI: (4.82,60.28)]were factors associated with benign prostatic hyperplasia respectively. Conclusion and Recommendation: The benign prostatic hyperplasia is a prevalent disease among men in this study. Sexual dysfunction, consumption of vegetables, consumptionof fruits, practice of physical activity and sleeping time were factors associated with BPH. Hence; screening programs for all people at a higher risk to ensure the early presentation of benign prostatic hyperplasia is recommended to reduce the prevalenc