Descazeaud A, Coloby P, Davin J L, De La Taille A, Karsenty G, Kouri G, Rossi D, Pouteau J C, Zerbib M
Service d'urologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France.
Service d'urologie, centre hospitalier René-Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
Prog Urol. 2017 Mar;27(3):176-183. doi: 10.1016/j.purol.2017.01.002. Epub 2017 Mar 9.
Our objective was to validate the VPSS (visual prostatic symptom score) score in the French language for the identification and monitoring of BPH-related LUTS in urological practice.
A prospective observational survey was carried out between September the 15th 2014 and July the 30th 2015 in urology practices. The first 4 consecutive patients aged over 60 years, with BPH-related LUTS requiring prescription of an alpha-blocker, were enrolled. We translated a "visual prostatic symptom score" (VPSS) into French and adapted it slightly. At the first visit and follow-up visit (1-3 months after the first visit), the patient completed 2 questionnaires: the French language version of the IPSS and the VPSS.
Of the urologists contacted, 169 enrolled at least one patient and returned information; 550 questionnaires were included in the statistical analysis. The median IPSS and VPSS total scores, subscores and quality of life scores all decreased significantly (P<0.0001) between enrolment and the follow-up visit 1-3 months later. Correlations between the IPSS and VPSS at enrolment and the follow-up visit and their variation were all significant. Total VPSS was significantly correlated with total IPSS, as were the irritative, obstructive and quality of life subscores evaluated on the corresponding pictograms.
This study showed the VPSS to be a simple and useful tool for identifying and monitoring BPH-related LUTS.
我们的目的是验证法语版的VPSS（视觉前列腺症状评分）在泌尿外科实践中用于识别和监测与良性前列腺增生（BPH）相关的下尿路症状（LUTS）的有效性。
于2014年9月15日至2015年7月30日在泌尿外科开展了一项前瞻性观察性调查。纳入前4例连续的年龄超过60岁、因与BPH相关的LUTS而需要处方α受体阻滞剂的患者。我们将“视觉前列腺症状评分”（VPSS）翻译成法语并稍作修改。在首次就诊和随访（首次就诊后1 - 3个月）时，患者完成2份问卷：法语版的国际前列腺症状评分（IPSS）和VPSS。
在联系的泌尿外科医生中，169位至少纳入了1例患者并返回了信息；550份问卷纳入了统计分析。在纳入时和1 - 3个月后的随访之间，IPSS和VPSS的总分、子分数及生活质量分数的中位数均显著下降（P<0.0001）。纳入时和随访时IPSS与VPSS之间及其变化的相关性均显著。VPSS总分与IPSS总分显著相关，在相应象形图上评估的刺激性、梗阻性和生活质量子分数也是如此。
本研究表明VPSS是用于识别和监测与BPH相关的LUTS的一种简单且有用的工具。
4级。
