International Brazilian Journal of Urology (Mar 2021)

Luts-V: A new simplified score for assessing lower urinary tract symptoms in men

  • Caroline Santos Silva,
  • Ueslei Menezes de Araujo,
  • Mateus Andrade Alvaia,
  • Kátia Santana Freitas,
  • Taciana Leonel Nunes Tiraboschi,
  • Cristiano Mendes Gomes,
  • José de Bessa Júnior

DOI
https://doi.org/10.1590/s1677-5538.ibju.2020.0278
Journal volume & issue
Vol. 47, no. 3
pp. 525 – 532

Abstract

Read online Read online

ABSTRACT Objectives: Develop and validate a new and simplified score for evaluating the lower urinary tract symptoms in men. Materials and methods: We modified the existing visual prostate symptom score, including changes in the images, sequence, and new alternatives, resulting in a new visual score (LUTS visual score-LUTS-V). For the validation of the new tool, we used the International Prostatic Symptom Score as the gold-standard and the new LUTS-V to 306 men. The total IPSS score and the total LUTS-V score of each subject were evaluated to determine the agreement between the two instruments. ROC curve was used to evaluate the diagnostic accuracy and best cut-off of LUTS-V. Sensitivity, specificity, and diagnostic odds ratios were used to describe the diagnostic properties. Results: The mean age of the participants was 59 [52-87] years. There was a significant correlation between LUTS-V and IPSS. (r=0.72 (p 4 was the best threshold, with a sensitivity of 74% and specificity of 78%. Conclusions: LUTS-V is a simple, self-administered tool with a significant discriminatory power to identify subjects with moderate to severe LUTS and may represent a useful instrument for the diagnosis and follow-up of men with urinary symptoms.

Keywords