Does evaluation with the International Prostate Symptom Score predict the outcome of transurethral resection of the prostate?

The Journal of Urology
O W HakenbergV R Marshall

Abstract

We determined the reliability of the International Prostate Symptom Score (I-PSS) in predicting the outcome of transurethral prostatectomy and, therefore, how useful it can be in patient selection for surgery. A prospective trial was done of 105 consecutive patients undergoing transurethral prostatectomy at our institution. Patients were assessed with the I-PSS before and 3 months after surgery. Flow rates and preoperative residual volumes also were measured. There was significant postoperative improvement in all parameters of the symptom score and a change in symptom profile. Symptoms remaining with the greatest scores at 3 months postoperatively were frequency, urgency and nocturia. A significant correlation was found between I-PSS and quality of life before and after transurethral prostatectomy, and between postoperative improvement in flow rates and change in I-PSS. Patients with a greater preoperative I-PSS gained the most symptomatic benefit. The positive predictive value of a significant postoperative improvement of at least 7 I-PSS points depended on the preoperative I-PSS criteria applied. With a preoperative I-PSS of more than 17 the positive predictive value was 87% with a corresponding negative predictive value of 7...Continue Reading

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Citations

Jan 30, 2013·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·V MaciasL A Perez-Romasanta
Feb 27, 2016·The Journal of Urology·Craig V Comiter
Apr 29, 2005·International Journal of Clinical Practice·D J Martin, J P Mulhall
Mar 31, 2004·The Medical Clinics of North America·John S LamSteven A Kaplan
Aug 15, 2002·Journal of Health Services Research & Policy·Sarah DerrettHelen Williams
Mar 22, 2000·Current Opinion in Urology·G S Sonke, L A Kiemeney

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