Psychometric validation of a German language version of a PROM for urethral stricture surgery and preliminary testing of supplementary ED and UI constructs

Kluth, Luis A.; Dahlem, Roland; Becker, Andreas; Schmid, Marianne; Soave, Armin; Rosenbaum, Clemens M.; Ludwig, Tim; Christ, Natalie; Rink, Michael; Reiß, Philip; Engel, Oliver; Riechardt, Silke; Chun, Felix K.‐H.; Fisch, Margit; Ahyai, Sascha

doi:10.1007/s00345-015-1610-8

Cited by 37 publications

(39 citation statements)

References 34 publications

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“…The mean age of the sample in present study was considerably younger than the original study; however, the reliability and internal consistency of the two studies was comparable . In comparison to the German version of MLUTS, the reliability and internal consistency of Persian version was higher that may be because they were candidate of surgery and more severe suffering in German study …”

Section: Discussioncontrasting

confidence: 52%

Cross‐cultural adaptation of the international consultation incontinence questionnaire male lower urinary tract symptoms—long form (ICIQ‐MLUTS‐LF) in Persian

Pourmomeny

Mazdak

2016

Neurourology and Urodynamics

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Section: Discussioncontrasting

confidence: 52%

Cross‐cultural adaptation of the international consultation incontinence questionnaire male lower urinary tract symptoms—long form (ICIQ‐MLUTS‐LF) in Persian

Pourmomeny

Mazdak

2016

Neurourology and Urodynamics

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“…While these cited reports mostly rely on functional outcomes after excision and primary anastomosis, Ahyai et al reported a postoperative de-novo UI and overall UI in 11% and 42% of patients, respectively [5]. In our current study, mean postoperative ICIQ sum score was 9.8, which is higher compared to a mean of 3.4 in a predominantly non-radiogenic stricture reference cohort [16]. Furthermore, more than 50% of patients reported daily leaking and thus, our data corroborate the higher risk of UI following BMGU for radiation-induced strictures.…”

Section: Discussioncontrasting

confidence: 49%

“…Intriguingly, the EQ-5D index value reported in the current series is comparable to those of reference populations after urethroplasty for non-radiogenic strictures [17], indicating no more, no less problems regarding the different generic health profiles. However, the mean EQ VAS score was 65, which is a patient-reported reflection of the perceived overall health state, and this was significantly lower when compared to reference mean scores of 81 [16] and 79 [17] in patients with predominantly non-radiogenic strictures. Consequently and not surprisingly, the long-winded treatment course following PCa diagnosis with the occurrence of urethral stricture as a late UAE appears to have a vital impact on the subjective health state, even though activities of daily living do not seem to be impaired.…”

Section: Discussionmentioning

confidence: 77%

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Buccal mucosal graft urethroplasty for radiation-induced urethral strictures: an evaluation using the extended Urethral Stricture Surgery Patient-Reported Outcome Measure (USS PROM)

et al. 2020

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Objectives To evaluate objective treatment success and subjective patient-reported outcomes in patients with radiationinduced urethral strictures undergoing single-stage urethroplasty. Patients and methods Monocentric study of patients who underwent single-stage ventral onlay buccal mucosal graft urethroplasty for a radiation-induced stricture between January 2009 and December 2016. Patients were characterized by descriptive analyses. Kaplan-Meier estimates were employed to plot recurrence-free survival. Recurrence was defined as any subsequent urethral instrumentation (dilation, urethrotomy, urethroplasty). Patient-reported functional outcomes were evaluated using the validated German extension of the Urethral Stricture Surgery Patient-Reported Outcome Measure (USS PROM). Results Overall, 47 patients were available for final analyses. Median age was 70 (IQR 65-74). Except for two, all patients had undergone pelvic radiation therapy for prostate cancer. Predominant modality was external beam radiation therapy in 70% of patients. Stricture recurrence rate was 33% at a median follow-up of 44 months (IQR 28-68). In 37 patients with available USS PROM data, mean six-item LUTS score was 7.2 (SD 4.3). Mean ICIQ sum score was 9.8 (SD 5.4). Overall, 53% of patients reported daily leaking and of all, 26% patients underwent subsequent artificial urinary sphincter implantation. Mean IIEF-EF score was 4.4 (SD 7.1), indicating severe erectile dysfunction. In 38 patients with data regarding the generic health status and treatment satisfaction, mean EQ-5D index score and EQ VAS score was 0.91 (SD 0.15) and 65 (SD 21), respectively. Overall, 71% of patients were satisfied with the outcome. Conclusion The success rate and functional outcome after BMGU for radiation-induced strictures were reasonable. However, compared to existing long-term data on non-irradiated patients, the outcome is impaired and patients should be counseled accordingly.Keyword Lower urinary tract symptoms · Patient satisfaction · Quality of life · Radiotherapy · Urinary incontinence Malte W. Vetterlein and Luis A. Kluth contributed equally.

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“…In 2013 the same group presented the first paper that prospectively evaluated the USS-PROM reporting continuous relief of patient’s symptoms and QoL in the 2-year follow-up period, setting a reference point which other groups can compare their performances with (10). The USS-PROM was also recently validated to Italian and German (17, 18). …”

Section: Discussionmentioning

confidence: 99%

Assessment of satisfaction and Quality of Life using self - reported questionnaires after urethroplasty: a prospective analysis

et al. 2017

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Objectives To assess patient satisfaction and quality of life after urethroplasty using two different self-reported outcome measures and to compare it with objective clinical data.Materials and Methods We prospectively collected data from 35 consecutive patients who underwent urethroplasty from January 2013 to September 2014. Patient demographics, International Prostate Symptom Score (IPSS), quality of life score, urethral stricture surgery patient-reported outcome measure (USS-PROM), maximum flow rate (Qmax) and post-void residual urine were collected before, two and eight months after surgery. Failure occurred when any postoperative instrumentation was performed. General estimation equation was used to compare the results and linear regression analysis to correlate both questionnaires with objective data.Results Mean age was 61 years. Urethroplasties were equally divided between anastomotic and buccal mucosa grafts and 19 patients (59.3%) had a previous urethral procedure. Overall success rate was 87.5%. IPSS improved from a mean 19 at baseline to 5.32 at 8 months (p <0.001). The mean USS-PROM score also improved from 13.21 preoperatively to 3.36 after surgery (p <0.001) and 84.3% of patients were satisfied or very satisfied with surgical results. Mean Qmax increased from 4.64mL/s to 11mL/s (p <0.001). Strong negative correlation was found respectively between flow rate and USS-PROM (r=-0.531, p <0.001) and with IPSS (r=-0.512, p <0.001).Conclusions Significant improvements in urinary symptoms and in quality of life are expected after urethroplasty and they are correlated with objective measures.

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Psychometric validation of a German language version of a PROM for urethral stricture surgery and preliminary testing of supplementary ED and UI constructs

Cited by 37 publications

References 34 publications

Cross‐cultural adaptation of the international consultation incontinence questionnaire male lower urinary tract symptoms—long form (ICIQ‐MLUTS‐LF) in Persian

Cross‐cultural adaptation of the international consultation incontinence questionnaire male lower urinary tract symptoms—long form (ICIQ‐MLUTS‐LF) in Persian

Buccal mucosal graft urethroplasty for radiation-induced urethral strictures: an evaluation using the extended Urethral Stricture Surgery Patient-Reported Outcome Measure (USS PROM)

Assessment of satisfaction and Quality of Life using self - reported questionnaires after urethroplasty: a prospective analysis

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