Prospective Evaluation of a New Visual Prostate Symptom Score, the International Prostate Symptom Score, and Uroflowmetry in Men With Urethral Stricture Disease

• Published in: Urology (Ridgewood, N.J.) N.J.), 2014, Vol.83 (1), p.220-224
• Main Authors: Wessels, Serge G, Heyns, Chris F
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Follow-Up Studies; Humans; Lower Urinary Tract Symptoms - diagnosis; Lower Urinary Tract Symptoms - etiology; Male; Medical sciences; Middle Aged; Nephrology. Urinary tract diseases; Prospective Studies; Symptom Assessment - methods; Urethral Stricture - complications; Urethral Stricture - diagnosis; Urinary system involvement in other diseases. Miscellaneous; Urinary tract. Prostate gland; Urodynamics; Urology; Young Adult
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2013.08.058

Objective To evaluate the correlation between the visual prostate symptom score (VPSS) and the international prostate symptom score (IPSS) and uroflowmetry parameters in men with urethral stricture disease. The VPSS offers a nonverbal, pictographic assessment of lower urinary tract symptoms. Methods A total of 100 men followed up with a diagnosis of urethral stricture were evaluated from March 2011 to November 2012 with IPSS, VPSS, uroflowmetry, urethral calibration, and urethrography. Follow-up every 3 months for 3-18 months was available in 78 men for a total of 289 visits. Procedures performed were urethral dilation in 105, internal urethrotomy in 54, and urethroplasty in 8 patients. Statistical analysis was performed with Spearman's rank correlation, Fisher's exact, and Student t tests. Results The time taken to complete the VPSS vs IPSS was significantly shorter (118 vs 215 seconds at the first and 80 vs 156 seconds at follow-up visits; P