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No Relationship Between the International Prostate Symptom Score and Post-Void Residual Volume in Primary Care

Authors Lammers HA, Teunissen TAM, Bor H, Smid IS, Lagro-Janssen ALM

Received 19 December 2019

Accepted for publication 17 February 2020

Published 5 May 2020 Volume 2020:12 Pages 167—174


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Jan Colli

HA Lammers, TAM Teunissen, H Bor, IS Smid, ALM Lagro-Janssen

Radboudumc, Department of Primary and Community Care/Gender & Women’s Health, Nijmegen, the Netherlands

Correspondence: HA Lammers
Radboudumc, Huispost 117, Postbus 9101, Nijmegen 6500 HB, the Netherlands
Tel +316 52378946

Background: Lower urinary tract symptom (LUTS) is a common condition in older men. In accordance with the Dutch College of General Practitioners Guideline “Micturition symptoms in men”, the diagnosis can be made based on a patient’s medical history and a physical examination. GPs lack additional tools in primary care to assess the residual urine volume. A residual volume usually requires a referral to a urologist. We hypothesized that the IPSS screening questionnaire score (measuring the severity of symptoms) might be related to patients’ residual urine volume. The research objective was to examine the relation between the IPSS score and the residual urine volume.
Methods: In a cross-sectional study, we analysed patients’ IPSS and residual urine volume. Men aged over 50 with LUTS who consulted Dutch primary-care physicians were included. The interventions comprised an IPSS screening and a bladder scan. Data regarding the patients’ residual volume, total IPSS score, single IPSS score, IPSS storage score, and IPSS voiding score were recorded and analysed. We used odds ratios to describe the relation between the IPSS categories associated with the presence of a normal or abnormal (above 100 cc and above 200 cc) residual urine volume.
Results: A total of  126 patients were included in this study. Patients with higher scores on the overall IPSS, separate IPSS, IPSS storage and IPSS voiding showed no higher odds ratios of having an abnormal residual volume, neither above 100 mL or 200 mL.
Conclusion: We did not find a relation between the IPSS core to an abnormal residual urine volume in men aged over 50 with LUTS consulting primary-care physicians.
Trial Registration: This study has been approved by the Central Committee on Research Involving Human Subjects for the Arnhem-Nijmegen Region and is registered with ToetsingOnline under ID number 29822.091.10.

Keywords: lower urinary tract symptoms, primary care, international prostate symptom score, post-void residual volume

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