UWIN (Urgency, Weak stream, Incomplete Void, Nocturia) Score for Assessment of Lower Urinary Tract Symptoms: Could it Replace the American Urology Association Symptom Index Score? An Open Label Randomized Cross over Trial

Objective The American Urology Association symptom index (AUASI) is the most accepted tool to assess lower urinary tract symptoms (LUTS). UWIN (urgency, weak stream, incomplete void, nocturia) score is a simplified questionnaire with fewer and more distinctive options omitting three questions from A...

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Bibliographic Details
Published in:Lower urinary tract symptoms 2018-05, Vol.10 (2), p.131-134
Main Authors: MALLYA, Ashwin, KESHAVAMURTHY, Ramaiah, KARTHIKEYAN, Vilvapathy S., KUMAR, Sumit, NAGABHUSHANA, Mahadevappa, KAMATH, Ananth J.
Format: Article
Language:English
Subjects:
Aged
American Urology Association symptom index
Cross-Over Studies
Humans
Hyperplasia
lower urinary tract symptoms
Lower Urinary Tract Symptoms - etiology
Male
Nocturia - etiology
Patient Reported Outcome Measures
Patient Satisfaction
Prostate
Prostatic Hyperplasia - complications
Quality of Life
Questionnaires
Severity of Illness Index
Surveys and Questionnaires
Urination Disorders - diagnosis
Urogenital system
Urology
UWIN
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Summary:Objective The American Urology Association symptom index (AUASI) is the most accepted tool to assess lower urinary tract symptoms (LUTS). UWIN (urgency, weak stream, incomplete void, nocturia) score is a simplified questionnaire with fewer and more distinctive options omitting three questions from AUASI. We sought to identify if UWIN is equally efficient in capturing LUTS and could replace the gold‐standard AUASI. Methods Consecutive consenting male patients with benign prostatic hyperplasia (BPH)‐LUTS were randomized to receive either UWIN/AUASI questionnaire first followed by the other. Education levels, time taken to complete, need for assistance, ease of comprehension and satisfaction to symptom assessment were assessed for each questionnaire. Correlation analysis was done for corresponding items, total and QoL scores on both questionnaires. Results Total of 294 completely filled questionnaire pairs were analyzed. Between corresponding UWIN and AUASI items, there was 93–97% correlation. When obstructive and irritative scores were added, correlation was 85% and for QOL scores 89%. Overall, AUASI required more assistance (58 vs 34%, P 
ISSN:1757-5664
1757-5672
DOI:10.1111/luts.12149