European Journal of Cardiovascular Medicine

Introduction: Benign prostatic hyperplasia (BPH) is the most common neoplastic condition afflicting men and constitutes a major factor impacting male health. Clinical evaluation to assess the presence and degree of voiding dysfunction and/or the role of BPH in its presence has an increasingly broad spectrum of treatment goals. The goals of the evaluation of such men are to identify the patient’s voiding or, more appropriately, urinary tract problems, both symptomatic and physiologic; to establish the etiologic role of BPH in these problems; to evaluate the necessity for and probability of success and risks of various therapeutic approaches; and to present the results of these assessments to the patient so he can make an informed decision about management recommendations and available alternatives. Aims and Objectives:  This study aims to evaluate the role of Bulbocavernosus Reflex, Anal Tone, Perianal Sensation reflex, and Uroflowmetry assessment in establishing the prognosis after surgical management in patients of benign prostate hyperplasia. Materials and Methods: Operated Cases of BPHin the Department of General Surgery, Mahatma Gandhi Medical College. Pre- and post-operative reflexes status and uroflowmetry parameters analysis were recorded. Results:  A total of 400 patients were included with a study period of 2 years. The follow-up period was 6 months. Out of these, 352 patients had good pre-operative reflexes and 48 patients had weak/absent reflexes. All the patients had poor uroflowmetry parametersOut of 48 patients with absent reflexes or decreased anal tone, 46 patients (95.83%) showed no improvement in the uroflowmetry parameters and LUTS still persisted among them. Conclusion: There was no significant improvement in the lower urinary tract symptoms after surgery in patients whose clinical reflexes were weak/absent pre-operatively in different age groups ie. 40-60, 60-80 &>80 years and also there was no improvement in uroflowmetry study parameters. These clinical reflexes give an idea about detrusor activity. Patients with weak/absent reflexes give an idea about detrusor underactivity which may be due to various underlying neurological conditions. The majority of the patients who are having weak/absent clinical reflexes do not improve even after surgery since they have underlying detrusor underactivity. This study concludes that there is no benefit of surgery in patients having weak/absent clinical reflexes pre-operativelyie. in patients having detrusor underactivity. Also, not all the patients having preoperative poor uroflowmetry parameters will improve after surgery. The improvement depends on the pre-operative clinical reflexes.