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首页> 外文期刊>Urology >Prospective evaluation of a new visual prostate symptom score, the international prostate symptom score, and uroflowmetry in men with urethral stricture disease
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Prospective evaluation of a new visual prostate symptom score, the international prostate symptom score, and uroflowmetry in men with urethral stricture disease

机译：对患有尿道狭窄疾病的男性的新的视觉前列腺症状评分，国际前列腺症状评分和尿流仪进行前瞻性评估

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Objective To evaluate the correlation between the visual prostate symptom score (VPSS) and the international prostate symptom score (IPSS) and uroflowmetry parameters in men with urethral stricture disease. The VPSS offers a nonverbal, pictographic assessment of lower urinary tract symptoms. Methods A total of 100 men followed up with a diagnosis of urethral stricture were evaluated from March 2011 to November 2012 with IPSS, VPSS, uroflowmetry, urethral calibration, and urethrography. Follow-up every 3 months for 3-18 months was available in 78 men for a total of 289 visits. Procedures performed were urethral dilation in 105, internal urethrotomy in 54, and urethroplasty in 8 patients. Statistical analysis was performed with Spearman's rank correlation, Fisher's exact, and Student t tests. Results The time taken to complete the VPSS vs IPSS was significantly shorter (118 vs 215 seconds at the first and 80 vs 156 seconds at follow-up visits; P <.001). There were significant correlations between the VPSS and IPSS (r = 0.845; P <.001), maximum urinary flow rate (Qmax; r = 0.681; P <.001) and urethral diameter (r = -0.552; P <.001). A combination of VPSS >8 and Qmax <15 mL/s had positive and negative predictive values of 87% and 89%, respectively, for the presence of urethral stricture. Conclusion The VPSS correlates significantly with the IPSS, Qmax, and urethral diameter in men with urethral stricture disease and takes significantly less time to complete. A combination of VPSS >8 and Qmax <15 mL/s can be used to avoid further invasive evaluation during follow-up in men with urethral strictures.
机译：目的探讨男性尿道狭窄疾病的视觉前列腺症状评分（VPSS）与国际前列腺症状评分（IPSS）和尿流参数之间的相关性。 VPSS对下尿路症状进行非语言象形评估。方法2011年3月至2012年11月，对100例诊断为尿道狭窄的男性患者进行了IPSS，VPSS，尿流测定，尿道标定和尿道造影检查。 78名男性每3个月进行一次随访，随访3-18个月，总共289次就诊。所执行的程序是：尿道扩张105例，内部尿道切开术54例和尿道成形术8例。使用Spearman等级相关性，Fisher精确度和Student t检验进行统计分析。结果完成VPSS vs IPSS所需的时间显着缩短（第一次随访时为118 vs 215秒，随访时为80 vs 156秒; P <.001）。 VPSS和IPSS（r = 0.845; P <.001），最大尿流率（Qmax; r = 0.681; P <.001）和尿道直径之间存在显着相关性（r = -0.552; P <.001） 。对于尿道狭窄，VPSS> 8和Qmax <15 mL / s的组合的阳性和阴性预测值分别为87％和89％。结论VPSS与男性尿道狭窄疾病的IPSS，Qmax和尿道直径显着相关，并且花费更少的时间来完成。 VPSS> 8和Qmax <15 mL / s的组合可用于避免在尿道狭窄男性患者随访期间进行进一步的侵入性评估。

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