IPSS可能不说明整个故事:整合ICIQ-MLUTS进行全面的LUTS评估
Muhammet Guzelsoy1, Anil Erkan1
1Bursa Yuksek Ihtisas Training and Research Hospital, Department of Urology, University of Health Sciences, Bursa, Turkiye.
Neurourology and urodynamics
|September 24, 2025
概括
国际前列腺症状评分 (IPSS) 错过了男性下尿道症状 (LUTS),特别是尿失禁. 关于失禁问卷-男性LUTS (ICIQ-MLUTS) 的国际协商有助于识别这些被忽视的问题,表明IPSS是一个有用的分拣工具.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 老年学是指老年学的学科.
背景情况:
- 男性下尿路症状 (LUTS) 显著影响生活质量.
- 国际前列腺症状评分 (IPSS) 被广泛用于LUTS评估.
- 在IPSS捕获LUT的全部频谱的能力方面存在限制.
研究的目的:
- 评估IPSS在评估男性LUTS方面的局限性.
- 确定ICIQ-MLUTS是否识别出IPSS错过的临床相关症状.
- 探索IPSS作为LUTS的初步选工具的实用性.
主要方法:
- 239名土耳其男性 (年龄在50-80岁) 通过LUTS完成了IPSS和ICIQ-MLUTS的土耳其版本.
- 确定了IPSS不涵盖的症状,包括各种 incontinence类型和空洞后滴水.
- 多变量逻辑回归和ROC分析确定了被忽视症状的预测因素.
主要成果:
- 32.6%的参与者报告了IPSS无法捕捉到的显著症状.
- 较高的IPSS紧急性得分 (≥3) 和严重的IPSS分类与忽略症状的可能性增加有关.
- ROC分析表明,对于紧急性得分和严重的IPSS分类,可接受的预测性能.
结论:
- 仅仅IPSS可能无法检测出大量临床相关的LUTS,尤其是 incontinence和post-micturition症状.
- 患有高度紧迫或严重的LUTS负担的患者需要在IPSS之外进行进一步评估.
- IPSS可以作为一个有效的选工具,用于初步评估男性LUTS.
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