Madsen and Iversen developed a clinical evaluation sheet that can be used to identify patients with benign prostatic hypertrophy who are candidates for surgery.
(1) symptoms
(2) history of previous urinary tract infection (UTI)
(3) residual urine
(4) trabeculations on cystoscopy
(5) visual obstruction seen during cystoscopy
(6) bladder stones seen on cystoscopy
(7) azotemia or hydronephrosis
|
Parameter |
Finding |
Points |
|---|---|---|
|
symptoms |
none (symptom score 0) |
0 |
|
|
mild (symptom score 1 – 9) |
1 |
|
|
moderate (symptom score 10 – 20) |
5 |
|
|
severe (symptom score > 20) |
10 |
|
previous UTI |
no |
0 |
|
|
yes |
3 |
|
complete retention |
none |
0 |
|
|
single |
5 |
|
|
repeated |
10 |
|
residual urine |
< 30 mL |
0 |
|
|
30 – 100 mL |
3 |
|
|
101 – 500 mL |
4 |
|
|
> 500 mL |
5 |
|
trabeculations on cystoscopy |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
3 |
|
|
severe |
5 |
|
visual obstruction |
absent |
0 |
|
|
present |
3 |
|
bladder stones |
absent |
0 |
|
|
present |
5 |
|
azotemia or hydronephrosis |
absent |
0 |
|
|
present |
10 |
clinical evaluation score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 51
• A score >= 10 indicates a patient who is a candidate for surgery.
Purpose: To identify a patient with BPH who is a candidate for surgery by using the clinical evaluation sheet of Madsen and Iversen.
Specialty: Urology
Objective: clinical diagnosis, including family history for genetics
ICD-10: N40,
