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International Urogynecology Journal

Published in:

01-02-2013 | Original Article

International prostate symptom score for assessing lower urinary tract dysfunction in women

Authors: Sheng-Mou Hsiao, Ho-Hsiung Lin, Hann-Chorng Kuo

Published in: International Urogynecology Journal | Issue 2/2013

Abstract

Introduction and hypothesis

Some lower urinary tract dysfunction (LUTD) subtypes may have similar symptoms. This study aimed to investigate the feasibility of using the International Prostate Symptom Score (IPSS) to evaluate lower urinary tract symptoms (LUTS) in women.

Methods

All consecutive women with non-stress urinary incontinence LUTS who visited the urologic clinics for treatment were prospectively enrolled. LUTS include urinary storage, voiding, and post-micturition symptoms. All enrolled patients were requested to complete the Overactive Bladder Symptom Score (OABSS) and the modified Indevus Urgency Severity Scale (IUSS) questionnaires as well undergo uroflowmetry and post-void residual testing. A videourodynamic study was also performed, if indicated, for LUTD.

Results

A total of 222 women were enrolled, including 60 with overactive bladder (OAB) dry, 42 with OAB wet, 78 with bladder oversensitivity, and 42 with voiding dysfunction. A significantly higher IPSS voiding to storage subscore ratio (IPSS-V/S) and IPSS voiding score were found in the voiding dysfunction group. IPSS-V/S was found to have the highest area under the receiver-operating characteristic curve for predicting voiding LUTD than other noninvasive methods, and an IPSS-V/S of ≥1.33 had the best predictive value for female voiding LUTD with a high negative predictive value (97.4 %). In addition, significantly higher IPSS storage subscore (IPSS-S) values were found in the OAB wet subgroup, and the IPSS-S was well correlated with the OABSS and IUSS.

Conclusions

The IPSS can be used to evaluate female LUTD. IPSS-V/S may provide an initial guide for the treatment of voiding dysfunction in women. In addition, IPSS-S may be used for evaluating storage LUTD in women.

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Title: International prostate symptom score for assessing lower urinary tract dysfunction in women
Authors: Sheng-Mou Hsiao
Ho-Hsiung Lin
Hann-Chorng Kuo
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1818-8

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Springer Medicine

International prostate symptom score for assessing lower urinary tract dysfunction in women

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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