The Danish Prostate Symptom Score (DAN-PSS) is a new questionnaire for the assessment of lower tract urinary symptoms (LUTS), which claims to be able to predict bladder outlet obstruction. We evaluated the ability of the DAN-PSS to assess LUTS, to predict obstruction, and to predict treatment outcom
Repeated pressure-flow studies in the evaluation of bladder outlet obstruction due to benign prostatic enlargement
✍ Scribed by Teuvo L.J. Tammela; Werner Schäfer; David M. Barrett; Paul Abrams; Hans Hedlund; Harm J. Rollema; A. Matos-Ferreira; J. Nordling; R. Bruskewitz; Paul Miller; Roger Kirby; Jens T. Andersen; Carol Jacobsen; Glenn J. Gormley; Marie-Pierre Malice; Mark A. Bach
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 56 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0733-2467
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✦ Synopsis
Test-retest reliability of repeated voids in pressure-flow studies and the influence on maximum flow rate (Q max pQ), detrusor pressure at maximum flow rate (p det Q max ), voided volume, and residual urine were studied. Also the agreement in interpretation of pressureflow tracings between investigators and a single blinded central reader acting as a quality control center (QCC) were assessed. In addition, correlations between p det Q max and patient age, International Prostate Symptom Score (IPSS), free maximum flow rate (Q max ), and prostate volume were calculated. Using suprapubic pressure recording, 216 men with lower urinary tract symptoms (LUTS) due to benign prostatic enlargement (BPE) were investigated in 11 centers. In each pressure-flow study, three sequential voids were performed, and quality controlled recordings were analyzed for Q max pQ and p det Q max by the QCC.
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One of the conclusions of this paper is that the Danish Prostatic Symptom score is a valid and sensitive questionnaire for the assessment of LUTS. We fully agree and recommend this questionnaire instead of the IPSS score, because it is more sensitive to changes after treatment/intervention [Flyger e