Development and validation of a symptom assessment tool for postmicturition dribble: A prospective, multicenter, observational study in Korea


Autoři: Hyun Cheol Jeong aff001;  Kyung Tae Ko aff001;  Dae Yul Yang aff001;  Won Ki Lee aff002;  Sang Kon Lee aff002;  Sung Tae Cho aff003;  Cheol Young Oh aff004;  Jin Seon Cho aff004;  Jong Keun Kim aff005;  Jun Hyun Han aff005;  Min Soo Choo aff005;  Seong Ho Lee aff005
Působiště autorů: Department of Urology, College of Medicine, Hallym University, Kangdong Sacred Heart Hospital, Seoul, Korea aff001;  Department of Urology, College of Medicine, Hallym University, Chuncheon Sacred Heart Hospital, Chuncheon, Korea aff002;  Department of Urology, College of Medicine, Hallym University, Kangnam Sacred Heart Hospital, Chuncheon, Korea aff003;  Department of Urology, College of Medicine, Hallym University, Hallym University Sacred Heart Hospital, Anyang, Korea aff004;  Department of Urology, College of Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong, Korea aff005
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223734

Souhrn

Objectives

Postmicturition dribble (PMD) is a very common symptom in males with lower urinary tract symptoms (LUTS) worldwide, but there is no adequate questionnaire to assess it. Therefore, we developed a questionnaire named the Hallym Post Micturition Dribble Questionnaire (HPMDQ) to assess PMD, and the aim of this study is to validate it.

Methods

A series of consecutive male patients newly diagnosed with LUTS and over 40 years of age who visited any of 5 medical institutions were included. LUTS were assessed in all patients using the International Prostate Symptom Score (IPSS), and PMD was assessed using the HPMDQ.

Results

In total, 2134 male patients aged 40 to 91 years were included in this study. Of these patients, 1088 (51.0%) reported PMD. In the PMD group, the mean values for HPMDQ-Q1, HPMDQ-Q2, HPMDQ-Q3 and HPMDQ total score were 1.39, 1.10, 1.76 and 4.25, respectively. In the non-PMD group, the mean values of these scores were 0, 0.18, 1.52 and 1.58, respectively. The difference in HPMDQ scores between the 2 groups was statistically significant. PMD was significantly associated with the voiding symptoms of LUTS, prostate size and postvoid residual but not with storage symptoms.

Conclusions

The HPMDQ, which consists of 5 questions (frequency, severity, bother, quality of life and response to treatment for PMD), was developed, and its use for assessing PMD is validated in this study. It may be a useful tool for further research and in clinical practice for PMD.

Klíčová slova:

Bladder – Chi square tests – Prostate gland – Quality of life – Questionnaires – Urine – Urology – Urination


Zdroje

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