• linkedin
  • Increase Font
  • Sharebar

    Bother, symptom severity often poorly correlated in LUTS


    They also found a moderate correlation between bother scores and storage and overactive bladder (OAB) sub-scores (0.54, 0.53 respectively), and a moderate correlation between bother and voiding sub-score (0.40), but noted “considerable overlap” between symptom severity and bother; some patients with severe symptoms had little bother, while others with few symptoms had more serious bother.

    In particular, 25% of patients with no bother had Q <11 mL, and 8% had PVR >200 mL, investigators said, describing this finding as “disconcerting” in that they represent a subset of patients with LUTS in whom serious conditions could be overlooked if bother score is driving the diagnosis.

    Read: Stress is part of life, and urology nurses are no exception

    There was only a weak correlation between bother scores and incontinence and nocturia subscores (0.35 and 0.33, respectively), but most importantly, according to the authors, there was no correlation found between bother scores and either Q or PVR.

    Results in the male subset (n=753) were similar, according to data presented in a separate abstract at the ICS meeting.

    “If a patient has symptoms and they say, ‘it doesn't bother me,’ then to the extent possible, I think our response should be, ‘well, even though it doesn't bother you, let's just make sure there isn't something serious underlying your symptoms’,” Dr. Blaivas said.

    Dr. Blaivas and colleagues reported funding from the Institute for Bladder and Prostate Research. Dr. Blaivas is chief scientific officer & co-founder of Symptelligence Medical Informatics.

    More from Urology Times:

    [Quiz]: Defect observed during RARP

    New Products: FDA approves treatment for complicated UTI

    Two-drug therapy for advanced UC shows superior PFS

    Subscribe to Urology Times to get monthly news from the leading news source for urologists.

    Andrew Bowser
    Andrew Bowser is a medical writer based in Brooklyn, New York.


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available