Terminal dribbling in male patients with lower urinary tract symptoms: relationship with International Prostate Symptom Score and with intravesical prostatic protrusion

BMC Urology

Research Article

Ji Sung Shim¹  Jae Hyun Bae¹  Jae Young Park¹  Hoon Choi¹  Je Jong Kim²  Jeong Gu Lee²  Du Geon Moon²  Jae Heon Kim³ 

[1] Department of Urology, Korea University Ansan Hospital, Ansan, Republic of Korea;Department of Urology, Korea University College of Medicine, Seoul, Republic of Korea;Department of Urology, Korea University College of Medicine, Seoul, Republic of Korea;Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea;

关键词: Benign Prostate Hyperplasia;    Lower Urinary Tract Symptom;    Prostate Volume;    International Prostate Symptom Score;    International Continence Society;   

DOI  :  10.1186/s12894-015-0082-x

 received in 2015-05-20, accepted in 2015-08-06,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundTerminal dribbling is one of the lower urinary tract symptoms (LUTS) that has not been widely studied. The aim of this study was to investigate the associations between terminal dribbling (TD) and other parameters such as International Prostate Symptom Score (IPSS) and intravesical prostatic protrusion (IPP).MethodsMedical records of male patients with LUTS aged 40 years and older were prospectively collected. Data regarding TD defined by the International Continence Society standardization subcommittee, IPSS, prostate-specific antigen, total prostate volume, and IPP on transrectal ultrasonography were obtained. TD was confirmed by the subsequent uroflowmetry (uroflowmetry-confirmed TD). Logistic regression analysis was performed to identify the parameters affecting TD and uroflowmetry-confirmed TD.ResultsAmong the 578 men, 226 patients (39.1 %) complained of TD and 157 patients (27.2 %) had objective findings of TD on uroflowmetry. In the logistic regression analysis, IPSS voiding subscore were correlated with TD (Odds ratio 1.06). In addition, IPP was the only significant risk factor for uroflowmetry-confirmed TD (Odds ratio 2.83). Each question of IPSS is not correlated with TD or uroflowmetry-confirmed TD.ConclusionsWhile the symptom of TD is well correlated with IPSS voiding subscore, objective evidence of TD on uroflowmetry had strong correlation with IPP. TD should be investigated further to reveal its clinical impact and guide a proper management.

【 授权许可】

CC BY   
© Kim et al. 2015