Victoria A. Buckley , Anna Rosamilia , Joseph K. Lee
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引用次数: 0
Abstract
Objective
To evaluate symptoms using the modified International Prostate Symptoms Score (wIPSS) questionnaire and clinical factors that could indicate objective voiding dysfunction (VD) in women.
Methods
One thousand eighty-three women who underwent urodynamic assessment were retrospectively analyzed. The primary outcome was objective VD. Two definitions were utilized; VD1 defined VD as maximum flow rate <10th centile on the Liverpool nomogram, while VD2 defined VD as Qmax ≤15 mL/s and PVR ≥100 mL. Associations of potential explanatory variables with VD were assessed by standard bivariate testing. Classification and Regression Tree analyses were conducted to assess the discriminatory power of explanatory variables for VD.
Results
The prevalence of objective VD depended on the definition used (VD1-30.9% vs VD2-5.8%), as did the median wIPSS score (VD1-15, interquartile range (IQR) 10-20 vs VD2–12.5, IQR 10.3-22.8). Age, menopausal status, previous pelvic floor surgery, current degree of anterior/apical prolapse, a medical history of diabetes or neurological disease, the wIPSS score, as well as the wIPSS with additional items were associated with VD. CART analysis revealed the questions regarding force of stream (FOS) and hesitancy were the strongest predictors for VD.
Conclusion
Rates of objective VD depend on the definition used. VD was associated with the overall wIPSS score, and the additional questions of hesitancy and FOS, which proved to be the most powerful predictors. This modified wIPSS may be a useful tool in screening for the absence of objective VD.
Brief Summary
Can we use a non-invasive screening tool to evaluate for female VD?
期刊介绍:
Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology
The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.