Description

Patients with uncomplicated benign prostatic hyperplasia (BPH) can be assessed using a system based on the patient's indications of how his voiding and sexual functions are affected. The scores can be used both to evaluate a specific patient's response to therapy and to compare outcomes from interventions based on matching patients by scores.


 

Question pairs composed of both symptom and bother responses:

(1) 12 voiding question pairs

(2) 3 sexual question pairs

 

Responses:

(1) symptom points: 4 responses indicating existence of symptom, graded from 0 to 3

(2) bother points: 4 responses indicating impact that the symptom has on the patient's life, graded from 0 to 3

 

product score for each question =

= (symptom points) * (bother points)

 

voiding total score =

= SUM(product score for 12 voiding question pairs)

 

sexual total score =

= SUM(product score for 3 sexual question pairs)

 

voiding symptom score =

= SUM(symptom points for 12 voiding questions)

 

voiding bother score =

= SUM(bother points for 12 voiding questions)

 

Interpretation

 

Scores

Minimum

Maximum

product score

0

9

voiding total score

0

108

sexual total score

0

27

voiding symptom score

0

36

voiding bother score

0

36

 

The sexual total score is used only to compare the patient before and after treatment.

 

Limitations:

• The system is intended for use in patients without serious complications of benign prostatic hyperplasia such as recurrent infection, bladder stones or renal impairment.

• The system assumes that all of the symptoms and bother are due to effects of benign prostatic hyperplasia.

 


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