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- Title
Optimizing individual treatment outcomes in men with lower urinary tract symptoms using storage subscale score/total International Prostate Symptom Score (IPSS) as a new IPSS ratio.
- Authors
ALTINTAŞ, Serkan; ACAR, İsmail Cenk; ESKİÇORAPÇI, Saadettin Yılmaz; ZÜMRÜTBAŞ, Ali Ersin; BOLAT, Deniz; TUNCAY, Ömer Levent; SINIK, Mehmet Zafer
- Abstract
Background/aim: To evaluate the effects of the storage/total International Prostate Symptom Score (s/T) ratio on the selection and success of medical therapy in men with lower urinary tract symptoms (LUTS). Materials and methods: A total of 54 men (>45 years of age) with moderate or severe LUTS were divided into 2 groups according to the s/T ratio: Group 1 at <0.43 and Group 2 at >0.43. Tamsulosin (0.4 mg to Group 1) and tolterodine ER (4 mg to Group 2) were administered. Patients were evaluated during the 1st and 3rd months of follow-up treatment. Results: Thirty-seven (68.5%) and 17 (31.5%) patients were in Groups 1 and 2, respectively. The mean s/T ratios in Groups 1 and 2 increased to 0.38 ± 0.19 from 0.33 ± 0.08 (P = 0.03) and decreased to 0.54 ± 0.18 from 0.59 ± 0.1 (P = 0.17) during the 3rd month of follow-up, respectively. The treatment success rates of Groups 1 and 2 were 88.4% and 75.7%, respectively. Nine unsuccessful cases were treated with combination therapy and the treatment success was 86.6% at follow-up. Conclusion: The s/T ratio is effective to determine symptom dominance in men with LUTS and can guide medical treatment selection through better identification of symptoms.
- Subjects
URINARY organ diseases; PROSTATE diseases; TOLTERODINE; DRUG administration; FOLLOW-up studies (Medicine); MALE reproductive organ diseases; COMBINATION drug therapy; THERAPEUTICS
- Publication
Turkish Journal of Medical Sciences, 2014, Vol 44, Issue 6, p1124
- ISSN
1300-0144
- Publication type
Article
- DOI
10.3906/sag-1209-86