Department of Urology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.
Int Braz J Urol. 2019 Jan-Feb;45(1):137-144. doi: 10.1590/S1677-5538.IBJU.2018.0496.
To compare the International Prostate Symptom Score (IPSS) and novel Visual Prostate Symptom Score (VPSS) in patients with lower urinary tract symptoms (LUTS), to correlate scores with uroflowmetry and prostate volume and assess patient perceptions regarding pain prior to, and after prostate biopsy.
Patients with LUTS who had an indication for transrectal ultrasound (TRUS) biopsy were included. Patients completed the IPSS-, VPSS- and prostate biopsy pain assessment questionnaires. Assessment included uroflowmetry, post- void residual volume and prostate volume (measured with TRUS).
One hundred men were included. There were statistically significant correlations between the VPSS score and IPSS score (correlation coefficient (r) = 0.802); VPSS and Qmax (r = -0.311); VPSS and. Qave (r = -0.344); prostate volume with VPSS (r = 0.194) and Qmax (r = -0.260). The VPSS was quicker to complete than the IPSS (mean 100 vs. 165 seconds). The mean anticipated pain score before biopsy was 2.8 (range 0-6), and after biopsy (experienced pain) it was 1.8 (range 0-5). The pain during biopsy was less than expected in 67% of patients.
In men with LUTS scheduled to undergo prostate biopsy, the VPSS score correlated positively with the IPSS score. Men with limited education take less time to complete the VPSS. Patient's perception of expected pain or discomfort during TRUSguided prostate biopsy was significantly higher than the pain actually experienced during biopsy. Men with lower education level had significantly higher expectation of pain prior to biopsy, but similar pain during biopsy.
比较国际前列腺症状评分（IPSS）和新型视觉前列腺症状评分（VPSS）在有下尿路症状（LUTS）的患者中的表现，将评分与尿流率和前列腺体积相关联，并评估患者在前列腺活检前和后对疼痛的感知。
纳入有经直肠超声（TRUS）活检指征的 LUTS 患者。患者完成了 IPSS、VPSS 和前列腺活检疼痛评估问卷。评估包括尿流率、剩余尿量和前列腺体积（用 TRUS 测量）。
共纳入 100 名男性。VPSS 评分与 IPSS 评分之间存在显著相关性（相关系数（r）=0.802）；VPSS 与最大尿流率（Qmax）之间呈负相关（r = -0.311）；VPSS 与平均尿流率（Qave）之间呈负相关（r = -0.344）；前列腺体积与 VPSS 评分（r = 0.194）和 Qmax 之间呈负相关（r = -0.260）。VPSS 评分完成时间比 IPSS 评分快（平均 100 秒对 165 秒）。活检前预期疼痛评分平均为 2.8（范围 0-6），活检后（实际疼痛）为 1.8（范围 0-5）。67%的患者表示活检时的疼痛低于预期。
在计划接受前列腺活检的有 LUTS 的男性中，VPSS 评分与 IPSS 评分呈正相关。受教育程度较低的男性完成 VPSS 评分所需的时间更短。患者对 TRUS 引导下前列腺活检过程中预期的疼痛或不适的感知明显高于实际活检过程中的疼痛。受教育程度较低的男性在活检前对疼痛的预期明显更高，但在活检过程中疼痛相似。
