IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 15, Issue 7 Ver. I (July 2016), PP 71-73 www.iosrjournals.org DOI: 10.9790/0853-150717173 www.iosrjournals.org 71 | Page “A Study of Position Related Changes in Uroflowmetric Parameters Before & After Treatment in Patients with Benign Prostatic Hyperplasia and Study of Revised Modified Luts Questionnaire in These Patients” 1 Hemant Kamal, 2 Dr. Mayank Mohan Agarwal, 3 Dr. Arup Kumar Mandal, 4 Dr. Ravi Mohan Mavuduru, 5 Dr. Kirti Kshetrapal 1 Assistant Professor Urology PGIMS Rohtak-124001 Haryana (India) 2 Ex- Asst. Prof. Urology PGIMER Chandigarh 3 Prof. Urology PGIMER Chandigarh 4 Asst. Prof. Urology PGIMER Chandigarh 5 Prof. Anaesthesia PGIMS Rohtak Abstract: Objective: The aim of this study was to compare the uroflowmetric parameters in 3 different voiding positions before initial treatment for LUTS, compare position specific uroflowmetric parameters before & after treatment & to compare IPSS/AUA symptom index with study questionnaire(PGIMER questionnaire) before & after treatment for LUTS. Material & methods: In total , 91 patients with symptomatic BPH were enrolled in this prospective controlled trial. The IPSS/AUA score was > 7/35 & QOL was >2/6. Patients were divided into 2 groups i.e. one who did not receive any medical treatment for BPH & others who were treated with alpha blockers. But the drug was discontinued for atleast 15d before taking baseline measurements. The participants were asked to fill the IPSS/AUA questionnaire & study questionnaire(which we have named as PGIMER Questionnaire) on 2 occasions i.e. before starting treatment & 6W after treatment. Uroflowmetry & post void residual urine was checked in all 3 positions i.e. standing, sitting & squatting position both before & 6W after treatment. Results: In total, 91 patients were studied. There was no significant difference(p>0.005) in uroflowmetric parameters in various voiding positions both before & after treatment. Before treatment, strong correlation was found between IPSS voiding with PGIMER questionnaire voiding & moderate correlation between IPSS storage & PGIMER questionnaire storage symptom score. QOL in IPSS was moderately correlated with PGIMER questionnaire. After treatment, IPSS voiding score was strongly correlated with PGIMER voiding score & weakly correlation of IPSS storage & PGIMER questionnaire storage was found. QOL in IPSS was weakly correlated with PGIMER questionnaire. Conclusion: There was no significant difference in uroflowmetric parameters in different voiding positions. Alpha blockers significantly improved the patient’s symptom score & global QOL index. The PGIMER questionnaire showed significant correlation with IPSS questionnaire. I. Introduction LUTS caused by BPH usually affects older man. Many patients with BPH have been treated by surgical procedures, others hesitate to undergo surgery. Minimally invasive treatment for LUTS & BPH have been studied & new studies are going on daily throughout world. The literature concerning alternative options for patients with BPH is extensive & interesting 1 . The baseline evaluation in management of BPH includes DRE, determination of IPSS, urineanalysis, S.cr , PSA levels , uroflowmetry & PVR 2 . UFM with PVR provides rapid & convenient screening tool for effectiveness of act of voiding 3,4 . The effect of various voiding positions on uroflowmetric parameters remains largely unknown . The preferred voiding position of both men & women is influenced by several factors including social, cultural & medical. While most men prefer to void in standing position , others prefer squatting position. Women in our country used to void in squatting position , whereas in western countries, women prefer sitting position. There is growing trend towards conservative treatment of BPH 5 & taking a proper voiding position is regarded as a helpful recommendation in patients. Thus the study was undertaken to evaluate UFM findings in patients of symptomatic BPH in standing, sitting & squatting positions & also the effectiveness of alpha blockers with regards to uroflowmetric parameters in various voiding positions. Another most widely used parameter for assessment of LUTS in BPH patients is IPSS/AUA symptom score. But there are some pitfalls in scoring system like it does not address dysuria, incontinence, terminal dribbling which can be bothersome symptoms to many patients. Also the effect of bowel