Limited Predictive Value of Urodynamic Studies for Postmicturition Dribbling in Surgery-Naive Men With Lower Urinary Tract Symptoms.

IF 2 3区医学 Q3 UROLOGY & NEPHROLOGY

International Neurourology Journal Pub Date : 2026-06-01 Epub Date: 2026-06-30 DOI:10.5213/inj.2550368.184

Jung-Yang Yu, Shang-Jen Chang, Jeff Shih-Chieh Chueh

{"title":"Limited Predictive Value of Urodynamic Studies for Postmicturition Dribbling in Surgery-Naive Men With Lower Urinary Tract Symptoms.","authors":"Jung-Yang Yu, Shang-Jen Chang, Jeff Shih-Chieh Chueh","doi":"10.5213/inj.2550368.184","DOIUrl":null,"url":null,"abstract":"Purpose: Postmicturition dribbling (PMD) is a common but underrecognized lower urinary tract symptom (LUTS). This study evaluated the clinical and urodynamic characteristics of PMD in men with medication-refractory LUTS.Methods: From 2008 to 2010, 150 male patients underwent questionnaire assessment, urodynamic study (UDS), and transrectal ultrasound of the prostate (TRUSP). PMD was defined as a Likert score ≥3.Results: PMD was reported by 47% of patients and was significantly associated with higher International Prostate Symptom Score (IPSS) scores, particularly LUTS such as urgency, incomplete emptying, and weak stream. PMD also adversely affected quality of life, especially motivation, sexual function, and psychological well-being. Among the UDS and TRUSP parameters, only poor bladder compliance was significantly associated with PMD (4% vs. 17%, P=0.016), corresponding to a 4-fold higher risk.Conclusion: PMD was prevalent and clinically meaningful in men with LUTS and was strongly associated with core LUTS and reduced bladder compliance. Because PMD is not included in the IPSS, it may be underrecognized in routine clinical evaluation, underscoring the need for broader symptom assessment.","PeriodicalId":14466,"journal":{"name":"International Neurourology Journal","volume":"30 2","pages":"137-145"},"PeriodicalIF":2.0000,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13342855/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Neurourology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5213/inj.2550368.184","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/6/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Postmicturition dribbling (PMD) is a common but underrecognized lower urinary tract symptom (LUTS). This study evaluated the clinical and urodynamic characteristics of PMD in men with medication-refractory LUTS.

Methods: From 2008 to 2010, 150 male patients underwent questionnaire assessment, urodynamic study (UDS), and transrectal ultrasound of the prostate (TRUSP). PMD was defined as a Likert score ≥3.

Results: PMD was reported by 47% of patients and was significantly associated with higher International Prostate Symptom Score (IPSS) scores, particularly LUTS such as urgency, incomplete emptying, and weak stream. PMD also adversely affected quality of life, especially motivation, sexual function, and psychological well-being. Among the UDS and TRUSP parameters, only poor bladder compliance was significantly associated with PMD (4% vs. 17%, P=0.016), corresponding to a 4-fold higher risk.

Conclusion: PMD was prevalent and clinically meaningful in men with LUTS and was strongly associated with core LUTS and reduced bladder compliance. Because PMD is not included in the IPSS, it may be underrecognized in routine clinical evaluation, underscoring the need for broader symptom assessment.

查看原文本刊更多论文

尿动力学研究对初诊有下尿路症状的男性排尿后滴漏的有限预测价值。

目的：排尿后滴尿（PMD）是一种常见但未被充分认识的下尿路症状（LUTS）。本研究评估了难治性LUTS男性经前抑郁的临床和尿动力学特征。方法：2008 ~ 2010年对150例男性患者进行问卷调查、尿动力学检查（UDS）和经直肠前列腺超声检查（TRUSP）。PMD定义为李克特评分≥3分。结果：47%的患者报告了PMD，并与较高的国际前列腺症状评分（IPSS）评分显著相关，特别是LUTS，如急症、排空不完全和流弱。PMD也会对生活质量产生负面影响，尤其是动机、性功能和心理健康。在UDS和TRUSP参数中，只有膀胱依从性差与PMD显著相关（4% vs. 17%， P=0.016），对应的风险高出4倍。结论：PMD在LUTS患者中普遍存在且具有临床意义，并且与核心LUTS和膀胱依从性降低密切相关。由于PMD不包括在IPSS中，它可能在常规临床评估中被低估，强调需要更广泛的症状评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Neurourology Journal UROLOGY & NEPHROLOGY-

CiteScore

4.40

自引率

21.70%

发文量

审稿时长

4 weeks

期刊介绍： The International Neurourology Journal (Int Neurourol J, INJ) is a quarterly international journal that publishes high-quality research papers that provide the most significant and promising achievements in the fields of clinical neurourology and fundamental science. Specifically, fundamental science includes the most influential research papers from all fields of science and technology, revolutionizing what physicians and researchers practicing the art of neurourology worldwide know. Thus, we welcome valuable basic research articles to introduce cutting-edge translational research of fundamental sciences to clinical neurourology. In the editorials, urologists will present their perspectives on these articles. The original mission statement of the INJ was published on October 12, 1997. INJ provides authors a fast review of their work and makes a decision in an average of three to four weeks of receiving submissions. If accepted, articles are posted online in fully citable form. Supplementary issues will be published interim to quarterlies, as necessary, to fully allow berth to accept and publish relevant articles.