Prospective Evaluation of a New Visual Prostate Symptom Score, the International Prostate Symptom Score, and Uroflowmetry in Men With Urethral Stricture Disease

Evaluation of the visual prostate symptom score in a male population with great language diversity and limited education: A study from Namibia

“…In a further analysis of the uroflowmetry data, Heyns et al [12] found that the VPSS question on the subject's assessment of his urinary stream showed a significant negative correlation with Qmax (r=-0.37, p=0.002) and Qave (r=-0.31, p=0.011), whereas the IPSS question on the subject's urinary stream did not correlate significantly with Qmax or Qave. In a study of 100 men followed up after a diagnosis of urethral stricture, Wessels and Heyns [13] found that the VPSS correlated significantly with the IPSS, Qmax and urethral diameter and took significantly less time to complete than the IPSS.…”

“…[13] The pictogram of the force of the urinary stream (question 3 in the original version) was moved to become question A, because the pictogram of urination made it easier for the patient to understand the pictograms of frequency and nocturia (questions 2 and 3 in the original, and questions B and C in the modified VPSS). [11][12][13] The following demographic data were collected: the patient's age, his mother's language, his home language, which languages he was able to understand, speak and read or write, years of schooling, occupation and monthly income. The patient was requested to fill in the IPSS and VPSS, with assistance if necessary from a physician and/or a nurse able to speak the patient's home language.…”

“…[10] We developed a visual prostate symptom score (VPSS) that uses pictograms to assess the force of the urinary stream, daytime urinary frequency, nocturia and QoL. [11][12][13] At the time we were unaware that Peeling [14] had described a pictogram representing the force of the urinary stream in 1989, and that in 2006 Ushijima et al [15] had described a visual analogue scale for the IPSS, consisting of facial pictograms with expressions ranging from a broad smile (delighted) to a tearful face (distressed).…”

Correlation Between Visual Prostate Symptom Score and Uroflowmetry Parameters in Patients with Benign Enlargement of Prostate

“…Newly devised VPSS aims to address the difficulties associated with the use of IPSS and has greatly 8,9,14,15 succeeded in that . In current study, mean IPSS and VPSS were 23 and 11.84, respectively.…”

“…Visual prostate symptom score (VPSS) is a pictogram based scoring system aimed to address difficulties encountered [8][9][10] with IPSS and uroflowmetry parameters .…”