Urethroplasty and Quality of Life: Psychometric Validation of a Dutch Version of the Urethral Stricture Surgery Patient Reported Outcome Measures

Abstract

Purpose: The study aimed to translate the Urethral Stricture Surgery Patient Reported Outcome Measures (USS-PROM) questionnaire in Dutch. To validate this translated questionnaire, the study evaluates its psychometric properties in a different population, a different environment, and a different health care system. Questions about urinary incontinence and sexual functioning were added. Materials and Methods: Between December 2014 and January 2017, Dutch-speaking adult men scheduled for urethroplasty at Ghent University Hospital were prospectively enrolled in this study. Patients completed the USS-PROM before surgery, 3-6 months after surgery, and 1 year after surgery. Psychometric criteria included content validity, criterion validity, internal consistency, reproducibility, responsiveness, and floor and ceiling effects. (EC/2014/0438). Results: A total of 100 patients were included, 39 patients completed both the preoperative and the postoperative questionnaire, and 30 patients completed the USS-PROM twice within a short period of time in order to evaluate test-retest reliability. Pearson correlation coefficients showed no statistical significant correlation between lower urinary tract symptoms (LUTS) scores and maximum flow rates. Cronbach's α was 0.81 and 0.89, respectively, for the LUTS score and the summative Male Sexual Health Questionnaire Ejaculatory Dysfunction short form (MSHQ-EjD short form) score. The intraclass correlation coefficients ranged from 0.72 to 0.94. Significant changes were observed in all items except the MSHQ-EjD short form scores. All values exceeded the predefined thresholds. Conclusions: The Dutch version of the USS-PROM has adequate psychometric properties and is a valid instrument to assess patient-reported outcome measures in men undergoing urethroplasty.

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

“…At Ghent University Hospital, patients are scheduled to revisit after 3 months, after 12 months, and annually thereafter. During these visits, anamnesis, physical examination, uroflowmetry, and Urethral Stricture Surgery Patient Reported Outcome Measures (USS-PROM) questionnaires are routinely administered [125, 126]. Additional urethrography and/or cystoscopy are/is only performed in case of obstructive voiding symptoms or a maximal flow rate of < 15 mL/s.…”

The Effectiveness of Tamoxifen in the Prevention of Recurrent Urethral Strictures Following Internal Urethrotomy

“…There are several procedures for the management of urethral stricture, ranging from minimally invasive internal urethrotomy to more invasive modalities such as urethroplasty using flaps or grafts [7][8][9].…”

Excision and Primary Anastomosis for Short Bulbar Strictures: Is It Safe to Change from the Transecting towards the Nontransecting Technique?

“…A functional definition of failure was used, but at the moment, an anatomical definition is advised as it is more accurate and objective [ 11 ]. Validated patient reported outcome measures as suggested by Jackson et al [ 24 ] were not systematically used, as it lasted to 2017 until a Dutch validation was available [ 25 ]. This prohibits any meaningful further evaluation.…”