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[Investigation of lower urinary tract symptoms in urological outpatients using original IPSS plus post micturition
Tadashi Hanai1, Seiji Matsumoto, Nobutaka Shimizu
1Department of Urology, Kinki University School of Medicine.
Objectives:
At present, there are almost no report concerning post micturition dribble (PMD) in lower urinary tract symptoms (LUTS). PMD may have a negative effect on the quality of life (QOL) of afflicted patients. However, question concerning PMD are not included in the International Prostate Symptom Score (IPSS) questionnaire, and a number of questions about PMD remain to be addressed, such as the correlation between PMD and QOL. Therefore, we investigated PMD using an original question form (IPSS added PMD) we created.
Methods:
Between June 2006 and March 2007, the self-administered modified IPSS (IPSS with new questions included concerning PMD) was 5 obtained from 621 outpatients (394 men and 227 women) visiting our hospital.
Results:
The PMD scores were 1.2 +/- 1.7 in men, and 0.6 +/- 1.2 in women, and thus we see that the men had a significantly higher than the women. Men's PMD scores rise from age 50 and reach a peak in the 70's. On the other hand, there is no significant change for women from the 20s and thereafter. Those with higher PMD scores were male patients with benign prostatic hyperplasia (BPH) and females with stress urinary incontinence. In BPH group, the average PMD score was higher than patients with another urological disease. The PMD scores were appreciably high at 1.59 +/- 1.90 for the LUTS group, and had the lower value of 0.36 +/- 0.90 for the non-LUTS group. Therefore, the LUTS group was found to have a significantly higher PMD score. Men in the LUTS group (especially those with BPH) had a positive correlation between their QOL scores and PMD scores.
Conclusion:
The following points may be revealed from the present study. In patients with LUTS (especially BPH), PMD score is higher and may impair their QOL. Even women and youth may experience PMD. A more detailed evidence concerning PMD will be needed.
Insights
Post-micturition dribble (PMD) is more common in men, particularly those with benign prostatic hyperplasia (BPH), and can negatively impact quality of life (QOL). This study highlights the need for better PMD assessment in lower urinary tract symptoms (LUTS).
Area of Science:
- Urology
- Men's Health
- Gerontology
Context:
- Post-micturition dribble (PMD) is an underreported symptom within lower urinary tract symptoms (LUTS).
- The impact of PMD on patients' quality of life (QOL) is significant but not fully understood.
- Current assessment tools like the International Prostate Symptom Score (IPSS) do not adequately address PMD.
Purpose:
- To investigate the prevalence and characteristics of PMD in a clinical setting.
- To explore the correlation between PMD and QOL in patients experiencing LUTS.
- To evaluate PMD using a modified IPSS questionnaire incorporating specific PMD questions.
Summary:
- A modified IPSS questionnaire was administered to 621 outpatients (394 men, 227 women).
- Men exhibited significantly higher PMD scores than women, with scores increasing after age 50.
- Higher PMD scores were associated with benign prostatic hyperplasia (BPH) in men and stress urinary incontinence in women, and notably with LUTS and reduced QOL in men with BPH.
Impact:
- PMD is a prevalent issue, particularly in men with LUTS and BPH, negatively affecting QOL.
- The study underscores the need for incorporating PMD assessment into routine urological evaluations.
- Further research is required to fully elucidate the scope and management of PMD across diverse patient groups, including women and younger individuals.
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