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Updated: Jun 7, 2025

Real-Time Void Spot Assay

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Published on: February 10, 2023

Can Female Voiding Dysfunction Be Predicted Using a Questionnaire?

Victoria A Buckley¹, Anna Rosamilia², Joseph K Lee³

¹Department of Obstetrics and Gynaecology, Monash Health, Melbourne, Victoria, Australia.

|November 18, 2024

Summary

This summary is machine-generated.

A modified International Prostate Symptoms Score (wIPSS) questionnaire can help screen for female voiding dysfunction (VD). Symptoms like hesitancy and reduced force of stream are key indicators of objective VD.

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Area of Science:

Urology
Gynecology
Women's Health

Background:

Voiding dysfunction (VD) affects many women, impacting quality of life.
Accurate diagnosis of VD often requires invasive urodynamic assessment.
Non-invasive screening tools are needed to identify women with potential VD.

Purpose of the Study:

To evaluate the modified International Prostate Symptoms Score (wIPSS) questionnaire for identifying objective VD in women.
To determine which clinical factors and wIPSS questions best predict VD.

Main Methods:

Retrospective analysis of 1083 women undergoing urodynamic assessment.
Objective VD defined using two criteria: maximum flow rate <10th centile (VD1) or Qmax ≤15 mL/s and PVR ≥100 mL (VD2).
Classification and Regression Tree (CART) analysis used to identify predictors of VD.

Main Results:

Prevalence of objective VD varied by definition (VD1: 30.9%, VD2: 5.8%).
wIPSS scores and specific symptoms (hesitancy, force of stream) were associated with VD.
CART analysis identified hesitancy and force of stream questions as strongest predictors.

Conclusions:

Objective VD rates are definition-dependent.
The wIPSS, particularly questions on hesitancy and force of stream, shows promise as a screening tool for the absence of VD.
This modified wIPSS may aid in non-invasively assessing women for voiding dysfunction.