Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Department of Urology, Nishisaitama-chuo National Hospital, Saitama, Japan.
World J Urol. 2019 Apr;37(4):601-606. doi: 10.1007/s00345-018-2540-z. Epub 2018 Oct 25.
To better understand our urethroplasty outcome, we translated the English version of a urethral stricture surgery patient-reported outcome measure (USS-PROM) into Japanese and used it to evaluate the effect of urethroplasty for anterior urethral strictures.
The PROM quantifies lower urinary tract symptoms (LUTS) and health-related quality of life (EQ-5D), and it evaluates overall satisfaction by asking patients to choose "very satisfied", "satisfied", "unsatisfied", or "very unsatisfied". 93 Japanese-speaking male patients with anterior urethral stricture who underwent urethroplasty completed it before (baseline) and 6 months after urethroplasty. The psychometric criteria evaluated in the present study were the PROM's internal consistency, test-retest reliability, criterion validity, and responsiveness.
Q was negatively correlated with the LUTS-total scores (r = - 0.61). Cronbach's alpha was 0.80 and the test-retest intraclass correlation coefficient for the LUTS-total score was 0.82. 83 patients (89.2%) achieved stricture-free, which was defined as no re-stricture on cystoscopy and no need for additional treatment. The mean total LUTS-score improved from 12.4 at baseline to 3.7 postoperatively (p < 0.0001). The mean EQ-5D visual analogue scores and EQ-5D index improved from 61.2 and 0.76, respectively, at baseline to 77.9 and 0.89 postoperatively (p < 0.0001, p < 0.0001). 55 patients (59.1%) were "very satisfied" with the outcome of their urethroplasty and 33 (35.5%) were "satisfied".
The Japanese version of the USS-PROM has adequate psychometric properties. Urethroplasty improved not only objective data but also voiding symptoms and health-related QOL, and it resulted in a high rate of patient satisfaction.
为了更好地了解我们的尿道狭窄手术患者报告结局测量（USS-PROM）的结果，我们将英文版本的尿道狭窄手术患者报告结局测量翻译成日文，并使用它来评估前尿道狭窄尿道成形术的效果。
该 PROM 定量评估下尿路症状（LUTS）和健康相关生活质量（EQ-5D），并通过询问患者选择“非常满意”、“满意”、“不满意”或“非常不满意”来评估整体满意度。93 名讲日语的前尿道狭窄男性患者在尿道成形术前（基线）和术后 6 个月完成了 PROM。本研究评估的心理测量标准是 PROM 的内部一致性、测试-重测可靠性、标准效度和反应性。
Q 与 LUTS 总分呈负相关（r = -0.61）。LUTS 总分的克朗巴赫α系数为 0.80，测试-重测的 ICC 为 0.82。83 例（89.2%）患者无狭窄，定义为膀胱镜下无再狭窄，无需额外治疗。平均总 LUTS 评分从基线时的 12.4 分改善至术后的 3.7 分（p < 0.0001）。平均 EQ-5D 视觉模拟评分和 EQ-5D 指数分别从基线时的 61.2 和 0.76改善至术后的 77.9 和 0.89（p < 0.0001，p < 0.0001）。55 例（59.1%）患者对尿道成形术的结果非常满意，33 例（35.5%）满意。
日本版 USS-PROM 具有足够的心理测量学特性。尿道成形术不仅改善了客观数据，还改善了排尿症状和健康相关生活质量，并且患者满意度高。
