{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:41:44Z","timestamp":1787064104607,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Intravesical prostatic protrusion (IPP) is a noninvasive parameter that can predict disease progression and development of complications in benign prostatic hyperplasia (BPH). This study was to determine the relationship between IPP and the presence of complications in BPH patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a cross\u2010sectional study of BPH patients at Enugu State University of Science and Technology Teaching Hospital, Enugu. Patients were assessed for acute urinary retention (AUR), chronic urinary retention (CUR), epididymoorchitis, hematuria, hernia, urinary tract infection (UTI), serum creatinine, and prostate\u2010specific antigen (PSA). They also had abdominal ultrasonography assessments for IPP, total prostate volume, bladder wall thickness (BWT), postvoid residual (PVR), hydronephrosis, bladder diverticulum, and urolithiasis using Sonoscape S11 with an abdominal\u2010probe frequency of 3.5\u2009MHz. IPP was measured in millimeter and divided into &lt;10\u2009mm and \u226510\u2009mm. Data were analyzed using SPSS version 21 and were subjected to 1\u2010way analysis of variance, chi\u2010square test, and Pearson correlation. The odds ratios of development of complications at an IPP cutoff of 10\u2009mm were calculated.\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 118 patients with a mean age of 64.18\u2009\u00b1\u200910.96\u2009years and a mean IPP of 14.29\u2009\u00b1\u200910.20\u2009mm were included. Forty\u2010eight patients had IPP\u2009&lt;\u200910\u2009mm and seventy patients \u226510\u2009mm. Patients with IPP\u2009\u226510\u2009mm had significantly higher mean BWT, International Prostate Symptom Score (IPSS), PSA, and PVR (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u2009.05) and significantly more AUR, CUR, hematuria, hydronephrosis, and UTI (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with IPP\u2009\u2265\u200910\u2009mm have a significantly higher incidence of some complications.<\/jats:p>\n                  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