Correlation Between the International Prostatic Symptom Score and a Pressure-Flow Study in the Evaluation of Symptomatic Benign Prostatic Hyperplasia
1996; Lippincott Williams & Wilkins; Volume: 155; Issue: 1 Linguagem: Inglês
10.1016/s0022-5347(01)66593-5
ISSN1527-3792
AutoresNelson Rodrígues Netto, Carlos Arturo Levi D’Ancona, Marcelo Lopes de Lima,
Tópico(s)Pelvic floor disorders treatments
ResumoNo AccessJournal of UrologyClinical Urology: Original Article1 Jan 1996Correlation Between the International Prostatic Symptom Score and a Pressure-Flow Study in the Evaluation of Symptomatic Benign Prostatic Hyperplasia Nelson Rodrigues Netto, Carlos Arturo Levi D'Ancona, and Marcelo Lopes de Lima Nelson Rodrigues NettoNelson Rodrigues Netto , Carlos Arturo Levi D'AnconaCarlos Arturo Levi D'Ancona , and Marcelo Lopes de LimaMarcelo Lopes de Lima View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66593-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We examined the relationship between the International Prostatic Symptom Score (I-PSS) and the occurrence of bladder outlet obstruction caused by benign prostatic hyperplasia (BPH). Materials and Methods: The American Urological Association developed a questionnaire to quantify the severity of symptoms resulting from BPH. A further question relating the impact of BPH to the quality of life was subsequently added. This questionnaire has been adopted by the World Health Organization and is known as the I-PSS. There are 4 questions related to obstructive symptoms and 3 related to irritative symptoms. Scores of 0 to 7, 8 to 19 and 20 to 35 represent mild, moderate and severe symptoms, respectively. During an 18-month interval the I-PSS questionnaire was administered to 258 patients 50 to 81 years old (mean age 63 years) with BPH. A pressure-flow study was used to determine the presence of bladder outlet obstruction in 227 patients. Based on the scores, the patients were divided into 31 with mild, 116 with moderate and 111 with severe obstruction. The pressure-flow study was not conducted on patients with a mild symptom score. Results: Of the patients with a severe symptom score 92 (82.9 percent) had bladder outlet obstruction, compared to 62 (53.4 percent) with a moderate symptom score. Statistical analysis (Pearson chi-square test) showed that there was a significant positive correlation between the symptoms and the presence of bladder outlet obstruction. Thus, when the I-PSS was greater than 28, the probability of bladder outlet obstruction was more than 0.91. Stratification of the results according to the obstructive (0 to 20) and irritative (0 to 15) symptoms of the I-PSS yielded a significant positive correlation between obstructive symptoms and the presence of bladder outlet obstruction. Thus, when the obstructive symptom score was greater than 15, the probability of bladder outlet obstruction was greater than 0.91. Conclusions: When the total I-PSS is greater than 28 or the obstructive symptom score is greater than 15, a pressure-flow study must be avoided. References 1 : The American Urological Association symptom index for benign prostate hyperplasia. J. Urol.1992; 148: 1549. Abstract, Google Scholar 2 : The 2nd International Consultation on Benign Prostatic Hyperplasia. Channel Island: Scientific Communication International Ltd.1994: 624. Google Scholar 3 : In support of pressure-flow studies for evaluating men with lower urinary tract symptoms. Urology1994; 44: 153. Google Scholar 4 : The value of a new symptom score (DAN-PSS) in diagnosing uro-dynamic infravesical obstruction in BPH. Scand. J. Urol. Nephrol.1993; 27: 489. Google Scholar 5 : The influence of patient education level on the International Prostatic Symptom Score. J. Urol.1995; 154: 97. Link, Google Scholar 6 : The practice of urodynamics. In: Urodynamics. Principles, Practice and Application.. Edited by . New York: Churchill Livingstone1984: 76. chapt. 8. Google Scholar 7 : Urethral resistance to micturition. Brit. J. Urol.1968; 40: 125. Google Scholar 8 : Symptoms and symptom scores in BPH. Scand. J. Urol. Nephrol.1994; 157: 137. Google Scholar 9 : Correlation of American Urological Association index with obstructive and nonobstructive prostatism. J. Urol.1995; 153: 674. Link, Google Scholar 10 : Prostatic enlargement, symptomatology and pressure/flow evaluation: interrelations in patients with symptomatic BPH. Scand. J. Urol. Nephrol.1994; 157: 67. Google Scholar 11 : Comparison of AUA symptom index in unselected males and females between fifty-five and seventy-nine years of age. Urology1993; 42: 36. Google Scholar 12 : Should urodynamics be used more often in the evaluation of benign prostatic hyperplasia?. PROSpectives1992; 2: 6. Google Scholar Division of Urology, University of Compinas Medical Center, Unicamp, Sao Paulo, Brazil.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMIRONE V, IMBIMBO C, SESSA G, PALMIERI A, LONGO N, GRANATA A and FUSCO F (2018) CORRELATION BETWEEN DETRUSOR COLLAGEN CONTENT AND URINARY SYMPTOMS IN PATIENTS WITH PROSTATIC OBSTRUCTIONJournal of Urology, VOL. 172, NO. 4 Part 1, (1386-1389), Online publication date: 1-Oct-2004.OCKRIM J, LANIADO M, PATEL A, TUBARO A and ST CLAIR CARTER S (2018) A PROBABILITY BASED SYSTEM FOR COMBINING SIMPLE OFFICE PARAMETERS AS A PREDICTOR OF BLADDER OUTFLOW OBSTRUCTIONJournal of Urology, VOL. 166, NO. 6, (2221-2225), Online publication date: 1-Dec-2001.WADIE B, IBRAHIM E, de la ROSETTE J, GOMHA M and GHONEIM M (2018) THE RELATIONSHIP OF THE INTERNATIONAL PROSTATE SYMPTOM SCORE AND OBJECTIVE PARAMETERS FOR DIAGNOSING BLADDER OUTLET OBSTRUCTION. PART I: WHEN STATISTICS FAILJournal of Urology, VOL. 165, NO. 1, (32-34), Online publication date: 1-Jan-2001.BARRY M, WILLIFORD W, FOWLER F, JONES K and LEPOR H (2018) FILLING AND VOIDING SYMPTOMS IN THE AMERICAN UROLOGICAL ASSOCIATION SYMPTOM INDEX: THE VALUE OF THEIR DISTINCTION IN A VETERANS AFFAIRS RANDOMIZED TRIAL OF MEDICAL THERAPY IN MEN WITH A CLINICAL DIAGNOSIS OF BENIGN PROSTATIC HYPERPLASIAJournal of Urology, VOL. 164, NO. 5, (1559-1564), Online publication date: 1-Nov-2000.STEELE G, SULLIVAN M, SLEEP D and YALLA S (2018) COMBINATION OF SYMPTOM SCORE, FLOW RATE AND PROSTATE VOLUME FOR PREDICTING BLADDER OUTFLOW OBSTRUCTION IN MEN WITH LOWER URINARY TRACT SYMPTOMSJournal of Urology, VOL. 164, NO. 2, (344-348), Online publication date: 1-Aug-2000.AMEDA K, STEELE G, SULLIVAN M, STEMBER D and YALLA S (2018) DETRUSOR CONTRACTION DURATION AS A URODYNAMIC PARAMETER OF BLADDER OUTLET OBSTRUCTION FOR EVALUATING MEN WITH LOWER URINARY TRACT SYMPTOMSJournal of Urology, VOL. 160, NO. 2, (482-486), Online publication date: 1-Aug-1998.Kojima M, Inui E, Ochiai A, Naya Y, Ukimura O and Watanabe H (2018) Noninvasive Quantitative Estimation of Infravesical Obstruction Using Ultrasonic Measurement of Bladder WeightJournal of Urology, VOL. 157, NO. 2, (476-479), Online publication date: 1-Feb-1997.Madersbacher S, Klingler H, Schatzl G, Stulnig T, Schmidbauer C and Marberger M (2018) Age Related Urodynamic Changes in Patients with Benign Prostatic HyperplasiaJournal of Urology, VOL. 156, NO. 5, (1662-1667), Online publication date: 1-Nov-1996.Kaplan S and Reis R (2018) Significant Correlation of the American Urological Association Symptom Score and a Novel Urodynamic Parameter: Detrusor Contraction DurationJournal of Urology, VOL. 156, NO. 5, (1668-1672), Online publication date: 1-Nov-1996. Volume 155Issue 1January 1996Page: 200-202 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Nelson Rodrigues Netto More articles by this author Carlos Arturo Levi D'Ancona More articles by this author Marcelo Lopes de Lima More articles by this author Expand All Advertisement PDF downloadLoading ...
Referência(s)