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VISUAL PROSTATE SYMPTOM SCORE (VPSS)-AN EMERGING PROGNOSTIC INDICTAOR FOR A SUCCESSFUL PROSTATE SURGERY

. Muhammad Osama, Sherjeel Saulat, Jahanzaib sheikh, Umber Rasheed, Anil Kumar Utraadi, Ashba Mushtaque


Abstract

OBJECTIVE:

In our study our basic aim is to find a correlation between these two questionnaires both pre and post operatively (after BIPOLAR TURP), and to find out the whether VPSS can be utilized as an alternative tool to assess the patients’ symptoms and its prognostic significance before and after surgical procedure.

MATERIALS AND METHODS:

This was a prospectively study conducted at Tabba Kidney Institute with a sample size of 214 patients. The patients were given both the questionnaires pre and post operatively (after 4 weeks of BIPOLAR TURP). All patients were allowed to fill the questionnaires by themselves. Correlation was noted down between the total VPSS and IPSS scores and various uroflowmetry parameters both pre and post operatively.

RESULTS:

Our results showed statistically significant correlation between the VPSS and IPSS total scores both pre operatively and after bi-polar TURP (being assessed at 4 weeks). The mean IPSS score preoperatively was 21.54(out of 35) and that of VPSS was 11.90 (out of 17). VPSS and IPSS mean value after bipolar TURP was 4.6 and 8.9 respectively with p-value of <0.005. Furthermore, both VPSS and IPSS mean value correlated well with the uroflowmetry parameters with p-value of <0.005.

CONCLUSION:

Most of the patients seek assistance from medical personnel to answer IPSS which leads to biasness, instead, VPSS is a simple questionnaire depicted by pictograms that can be easily answered by the patients with low education levels.

Keywords:


IPSS, VPSS, TURP, LUTs

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