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Relationship between IPSS and Uroflowmetry in Patients with Urinary Symptoms

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dc.creatorFonseca, Carmenspa
dc.creatorOliveros, Carlosspa
dc.creatorEscobar, Rebecaspa
dc.creatorAzuero, Juliánspa
dc.creatorAlmendrales, Fabián Dazaspa
dc.date.accessioned2020-05-26T00:02:02Z
dc.date.available2020-05-26T00:02:02Z
dc.date.created2019spa
dc.description.abstractIntroduction Clinical questionnaires for urinary symptoms were designed to perform an objective evaluation of urinary symptoms and thus avoid invasive and expensive studies. However, patients present symptoms that make difficult the discernment between infravesical obstruction and hypocontractile detrusor. The aim of this study is to determine the correlation between uroflowmetry and symptom severity using the IPSS (International Prostate Symptom Score) in patients with urinary symptoms, compared with urodynamics and to determine its correlation with the diagnosis of infra-vesical obstruction or hypocontractile detrusor. Methods Observational retrospective study in which the clinical records of the patients who consulted for urinary emptying symptoms at La Samaritana University Hospital in Bogotá, Colombia, between April 2016 and April 2017 were reviewed. The IPSS was performed in all patients. Additionally, uroflowmetry and urodynamics were documented with the Medical Measurement System SN077116. Results A total of 27 patients were included in the study. The average age was 67.26 years. The mild IPSS was found in 22% of the patients, moderate 59% and severe 19%. Patterns were identified in uroflowmetry with bell curves in 26% of patients, plateau 41% and intermittent in 33%. 37% of the patients had a Qmax lower than 10 mL/s which was considered obstructive and a PdetQmax less than 40 cm H2O in 37%, which is consistent with the results of uroflowmetry, in addition to being related to high postvoid residual volume. Conclusion There is a correlation between IPSS and Qmax associated with urodynamic patterns. The use of indices as non-invasive methods to reduce costs is comparable with the urodynamic findings; however, there is a non-negligible percentage of patients with Qmax less than 10 mL/s who do not correspond to infravesical obstruction. It is necessary to take into account that up to 23% of patients can have moderate or severe IPSS without the origin of the symptoms being obstructive. © 2019 Sociedad Colombiana de Urología.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1055/s-0038-1676862
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23439
dc.language.isoengspa
dc.publisherThieme Medical Publishers, Inc.spa
dc.relation.citationEndPage306
dc.relation.citationIssueNo. 4
dc.relation.citationStartPage303
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 28
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.28, No.4 (2019); pp. 303-306spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85077005222&doi=10.1055%2fs-0038-1676862&partnerID=40&md5=d6b9eb9cd0c74c795a078210059a84c3spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordBladder emptyingspa
dc.subject.keywordClinical articlespa
dc.subject.keywordColombiaspa
dc.subject.keywordHumanspa
dc.subject.keywordInternational prostate symptom scorespa
dc.subject.keywordLower urinary tract symptomspa
dc.subject.keywordObservational studyspa
dc.subject.keywordPostvoid residual urine volumespa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordUrodynamicsspa
dc.subject.keywordUroflowmetryspa
dc.subject.keywordIpssspa
dc.subject.keywordLower urinary tract symptomsspa
dc.subject.keywordSymptom severityspa
dc.subject.keywordUroflowmetryspa
dc.titleRelationship between IPSS and Uroflowmetry in Patients with Urinary Symptomsspa
dc.title.TranslatedTitleRelación entre IPSS y uroflujometría en pacientes con síntomas urinariosspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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