Indian Journal of Urology
ORIGINAL ARTICLE
Year
: 2020  |  Volume : 36  |  Issue : 2  |  Page : 123--129

Can new, improvised Visual Prostate Symptom Score replace the International Prostate Symptom Score? Indian perspective


KN Sanman1, Ranjit Shetty1, Rajeshkumar Reddy Adapala1, Santosh Patil2, GG Laxman Prabhu1, P Venugopal1 
1 Department of Urology, Kasturba Medical College (A Unit of Manipal Academy of Higher Education), Mangalore, India
2 Department of Urology, BLDEU's, Shri B. M. Patil Medical College and Research Centre, Vijayapura, Karnataka, India

Correspondence Address:
Ranjit Shetty
Department of Urology, Kasturba Medical College (A Unit of Manipal Academy of Higher Education), Mangalore
India

Introduction: Visual Prostate Symptom Score (VPSS) was introduced to overcome the drawbacks of the International Prostate Symptom Score (IPSS). However, this score also has potential for improvement. Materials and Methods: The primary objective of this study was to evaluate the utility of VPSS in patients with benign enlarged prostate (BEP) after uroflowmetric validation of the stream component. The secondary objective was to improve VPSS by adding a new severity grading and to assess if the DQnew upgraded VPSSDQ can replace IPSS in terms of ease of completion without assistance and the time taken. Results: Of 115 patients, 42.60% of them were of thea age group between 61– 70 years; mean ± standard deviation age was 64.75 years ± 8.042 (range 48– 90 years). Nineteen (16.52%) patients, who had education level ≥10th grade completed IPSS without assistance.. One hundred and eight (93.91%) patients completed VPSS without assistance (P = 0.000). None of those (0/6) with no formal education (but able to read and write) could complete the IPSS without assistance, whereas 66.67% completed the VPSS without assistance. Six minutes and two minutes was the average time taken to complete IPSS (4– 10 min) and VPSS (1– 3 min), respectively. Responses to different variables of VPSS were statistically significant (P < 0.001) compared to the IPSS. Correlation between the severity grading of the two scores was statistically significant (P < 0.001), with a statistically significant positive correlation between VPSS and IPSS (r = +0.582, P < 0.001). The new severity grading system developed on par with the IPSS, improvising the existing VPSS, showed statistically significant positive correlation to the IPSS (r = +0.587, P < 0.001). Conclusions : VPSS correlated well with IPSS. The DQnew improvised VPSSDQ developed by incorporating severity grading is a potential tool that can replace IPSS by overcoming its limitations.


How to cite this article:
Sanman K N, Shetty R, Adapala RR, Patil S, Prabhu GL, Venugopal P. Can new, improvised Visual Prostate Symptom Score replace the International Prostate Symptom Score? Indian perspective.Indian J Urol 2020;36:123-129


How to cite this URL:
Sanman K N, Shetty R, Adapala RR, Patil S, Prabhu GL, Venugopal P. Can new, improvised Visual Prostate Symptom Score replace the International Prostate Symptom Score? Indian perspective. Indian J Urol [serial online] 2020 [cited 2022 Jan 24 ];36:123-129
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2020;volume=36;issue=2;spage=123;epage=129;aulast=Sanman;type=0