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Specificity of the American Urological Association Voiding Symptom Index: Comparison of Unselected and Selected Samples of Both Sexes

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 5 Part 2 Linguagem: Inglês

10.1016/s0022-5347(17)35874-3

1527-3792

Toby C. Chai, William D. Belville, Edward J. McGuire, Linda Nyquist,

Pelvic floor disorders treatments

No AccessJournal of Urology1 Nov 1993Specificity of the American Urological Association Voiding Symptom Index: Comparison of Unselected and Selected Samples of Both Sexes Toby C. Chai, William D. Belville, Edward J. Mcguire, and Linda Nyquist Toby C. ChaiToby C. Chai , William D. BelvilleWilliam D. Belville , Edward J. McguireEdward J. Mcguire , and Linda NyquistLinda Nyquist View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35874-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The American Urological Association voiding symptom index questionnaire for benign prostatic hypertrophy was administered to an elderly unselected sample and a selected urology clinic sample of both sexes to investigate the ability of this instrument to identify prostatic pathological conditions. The female subjects in these cohorts provided a control. In the large unselected sample the male subjects scored statistically higher in only 2 categories, weak stream (487 subjects) and strain (507) (p <0.05 for both categories). The clinical significance of these scores is questionable, however, since they were low (less than 2 of 5). In the selected group (145 subjects) the female subjects showed a higher total mean score due to the contribution of statistically higher irritative scores (p <0.05). We conclude that the American Urological Association voiding symptom index does not specifically identify prostatic pathological conditions, and that elderly men and women have similar voiding symptom scores. Therefore, treatment that results in improvement in symptom scores may not specifically affect the prostate. Other factors, such as an aging detrusor, changes in physiological production of urine or other unknown factors, may contribute to the symptoms. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byCameron A, Lewicky-Gaupp C, Smith A, Helfand B, Gore J, Clemens J, Yang C, Siddiqui N, Lai H, Griffith J, Andreev V, Liu G, Weinfurt K, Amundsen C, Bradley C, Kusek J and Kirkali Z (2017) Baseline Lower Urinary Tract Symptoms in Patients Enrolled in LURN: A Prospective, Observational Cohort StudyJournal of Urology, VOL. 199, NO. 4, (1023-1031), Online publication date: 1-Apr-2018.Clemens J, Clauw D, Kreder K, Krieger J, Kusek J, Lai H, Rodriguez L, Williams D, Hou X, Stephens A and Landis J (2014) Comparison of Baseline Urological Symptoms in Men and Women in the MAPP Research CohortJournal of Urology, VOL. 193, NO. 5, (1554-1558), Online publication date: 1-May-2015.Nuss G, Granieri M, Zhao L, Thum D and Gonzalez C (2011) Presenting Symptoms of Anterior Urethral Stricture Disease: A Disease Specific, Patient Reported Questionnaire to Measure OutcomesJournal of Urology, VOL. 187, NO. 2, (559-562), Online publication date: 1-Feb-2012.Clemens J, Brown S, Kozloff L and Calhoun E (2018) Predictors of Symptom Severity in Patients With Chronic Prostatitis and Interstitial CystitisJournal of Urology, VOL. 175, NO. 3, (963-967), Online publication date: 1-Mar-2006.ARAKI I, ZAKOJI H, KOMURO M, FURUYA Y, FUKASAWA M, TAKIHANA Y and TAKEDA M (2018) Lower Urinary Tract Symptoms in Men and Women Without Underlying Disease Causing Micturition Disorder: A Cross-Sectional Study Assessing the Natural History of Bladder FunctionJournal of Urology, VOL. 170, NO. 5, (1901-1904), Online publication date: 1-Nov-2003.HEYNS C and MARAIS D (2018) Prospective Evaluation of the American Urological Association Symptom Index and Peak Urinary Flow Rate for the Followup of Men With Known Urethral Stricture DiseaseJournal of Urology, VOL. 168, NO. 5, (2051-2054), Online publication date: 1-Nov-2002.HOMMA Y, YAMAGUCHI T, KONDO Y, HORIE S, TAKAHASHI S and KITAMURA T (2018) SIGNIFICANCE OF NOCTURIA IN THE INTERNATIONAL PROSTATE SYMPTOM SCORE FOR BENIGN PROSTATIC HYPERPLASIAJournal of Urology, VOL. 167, NO. 1, (172-176), Online publication date: 1-Jan-2002.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. 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Volume 150Issue 5 Part 2November 1993Page: 1710-1713 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsprostatic diseasesdifferentialprostatic hypertrophydiagnosisMetricsAuthor Information Toby C. Chai More articles by this author William D. Belville More articles by this author Edward J. Mcguire More articles by this author Linda Nyquist More articles by this author Expand All Advertisement PDF downloadLoading ...