DOI: 10.36347/sjams.2020.v08i12.030

Pages: 2840-2844

Introduction: Prostate cancer rarely causes symptoms early in the course of the disease because the majority of adenocarcinomas arise in the periphery of the gland, distant from urethra. The presence of symptoms as a result of prostate cancer suggest a locally advanced or metastatic disease. The lesion turns into advanced stage cancer due to accurate early detection. Aim of the study: To observe the specificity, accuracy both the transrectal sonographic modality-gray scale (TRUS) and Power Doppler ultrasonography in detecting prostate cancer. Methods: This was an observational study and was conducted in Urology Department of Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College hospital (DMCH), Bangladesh during the period from July 2005 to June 2007. 36 patients were included in the study. Statistical analysis of the results was done by computer software devised in the statistical packages for social scientist (SPSS-10) and MS excel-16. Result: In total 36 patients for study the validity found in gray scale TRUS were evaluated by calculating sensitivity 75.0%, specificity 18.8%, accuracy 50.0%, positive and negative predictive values were 53.6% and 37.5% respectively and the validity found in Transrectal Power Doppler sonography was evaluated by calculating sensitivity 90.0%, specificity 75.0%, accuracy 83.3%, positive and negative predictive values were 81.8% and 85.7% respectively. Conclusion: To reduce the rate of prostate cancer detection of the prostate lesion is much more important. As the histopathological diagnosis of the present study significantly correlate with both gray scale TRUS and transrectal Power Doppler findings as well as the validity tests are almost identical as observed by other researchers of different study, it can be concluded that transrectal Power Doppler ultrasonogram is useful diagnostic modality in......