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

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...

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Published in:Urology (Ridgewood, N.J.) N.J.), 2014, Vol.83 (1), p.220-224
Main Authors: Wessels, Serge G, Heyns, Chris F
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Heyns, Chris F
description 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  
doi_str_mv 10.1016/j.urology.2013.08.058
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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  <.001). There were significant correlations between the VPSS and IPSS (r = 0.845; P  <.001), maximum urinary flow rate (Qmax; r = 0.681; P  <.001) and urethral diameter (r = −0.552; P  <.001). A combination of VPSS >8 and Qmax <15 mL/s had positive and negative predictive values of 87% and 89%, respectively, for the presence of urethral stricture. Conclusion The VPSS correlates significantly with the IPSS, Qmax, and urethral diameter in men with urethral stricture disease and takes significantly less time to complete. A combination of VPSS >8 and Qmax <15 mL/s can be used to avoid further invasive evaluation during follow-up in men with urethral strictures.]]></description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2013.08.058</identifier><identifier>PMID: 24231222</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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. 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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  <.001). There were significant correlations between the VPSS and IPSS (r = 0.845; P  <.001), maximum urinary flow rate (Qmax; r = 0.681; P  <.001) and urethral diameter (r = −0.552; P  <.001). A combination of VPSS >8 and Qmax <15 mL/s had positive and negative predictive values of 87% and 89%, respectively, for the presence of urethral stricture. Conclusion The VPSS correlates significantly with the IPSS, Qmax, and urethral diameter in men with urethral stricture disease and takes significantly less time to complete. A combination of VPSS >8 and Qmax <15 mL/s can be used to avoid further invasive evaluation during follow-up in men with urethral strictures.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lower Urinary Tract Symptoms - diagnosis</subject><subject>Lower Urinary Tract Symptoms - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prospective Studies</subject><subject>Symptom Assessment - methods</subject><subject>Urethral Stricture - complications</subject><subject>Urethral Stricture - diagnosis</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. 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Urinary tract diseases</topic><topic>Prospective Studies</topic><topic>Symptom Assessment - methods</topic><topic>Urethral Stricture - complications</topic><topic>Urethral Stricture - diagnosis</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urodynamics</topic><topic>Urology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wessels, Serge G</creatorcontrib><creatorcontrib>Heyns, Chris F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wessels, Serge G</au><au>Heyns, Chris F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective Evaluation of a New Visual Prostate Symptom Score, the International Prostate Symptom Score, and Uroflowmetry in Men With Urethral Stricture Disease</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2014</date><risdate>2014</risdate><volume>83</volume><issue>1</issue><spage>220</spage><epage>224</epage><pages>220-224</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract><![CDATA[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  <.001). There were significant correlations between the VPSS and IPSS (r = 0.845; P  <.001), maximum urinary flow rate (Qmax; r = 0.681; P  <.001) and urethral diameter (r = −0.552; P  <.001). A combination of VPSS >8 and Qmax <15 mL/s had positive and negative predictive values of 87% and 89%, respectively, for the presence of urethral stricture. Conclusion The VPSS correlates significantly with the IPSS, Qmax, and urethral diameter in men with urethral stricture disease and takes significantly less time to complete. A combination of VPSS >8 and Qmax <15 mL/s can be used to avoid further invasive evaluation during follow-up in men with urethral strictures.]]></abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>24231222</pmid><doi>10.1016/j.urology.2013.08.058</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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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
title Prospective Evaluation of a New Visual Prostate Symptom Score, the International Prostate Symptom Score, and Uroflowmetry in Men With Urethral Stricture Disease
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