Comparison of traditional outcome measures and self-assessed goal achievement in patients treated surgically for benign prostatic hyperplasia

• Published in: World journal of urology 2023-04, Vol.41 (4), p.1125-1131
• Main Authors: Pratsinis, Manolis, Müllhaupt, Gautier, Güsewell, Sabine, Betschart, Patrick, Zumstein, Valentin, Engeler, Daniel, Schmid, Hans-Peter, Lamb, Alastair D., Abt, Dominik
• Format: Article
• Language: English
• Subjects: Genital diseases; Goals; Humans; Hyperplasia; Lower Urinary Tract Symptoms - diagnosis; Lower Urinary Tract Symptoms - etiology; Lower Urinary Tract Symptoms - surgery; Male; Medicine; Medicine & Public Health; Nephrology; Objectives; Oncology; Original Article; Patients; Prostatic Hyperplasia - complications; Prostatic Hyperplasia - diagnosis; Prostatic Hyperplasia - surgery; Quality of Life; Surgery; Treatment Outcome; Urethral Obstruction; Urinary tract; Urology
• ISSN: 1433-8726; 0724-4983; 1433-8726
• DOI: 10.1007/s00345-023-04317-y

Purpose To determine self-assessed goal achievement (SAGA) outcomes in men treated surgically for lower urinary tract symptoms (LUTS) due to benign prostatic obstruction (BPO) and compare them to the traditional outcome measures. Methods Single-center analysis of prospective database of men undergoing surgical treatment of LUTS/BPO at a single institution between July 2019 and March 2021. We assessed individual goals, traditional questionnaires, and functional outcomes prior to treatment, and at first follow-up after 6–12 weeks. We compared SAGA outcomes ‘overall goal achievement’ and ‘satisfaction with treatment’ to subjective and objective outcomes using Spearman’s rank correlations (rho). Results A total of sixty-eight patients completed the individual goal formulation prior to surgery. Preoperative goals varied between different treatments and individuals. IPSS correlated with ‘overall goal achievement’ (rho = − 0.78, p