The Utility of the International Prostate Symptom Score (IPSS) for Evaluating Lower Urinary Tract Symptoms (LUTS) in Lumbar Degenerative Diseases

Abstract

The authors compared the utility of the International Prostate Symptom Score IPSS and Japan Orthopaedic Association JOA score for evaluating lower urinary tract symptoms LUTS associated with lumbar degenerative diseases. A total of 178 patients with lumbar degenerative diseases were assessed according to the IPSS and JOA score. These included 32 females F group , 80 males without urinary tract lesions Mn group , and 66 males with urinary tract lesions Mu group. Patients with 8 points on the IPSS and 3 points on the JOA score were classified as LUTS. Additionally, we investigated both storage and voiding symptoms using IPSS. Patients with 4 points from a possible maximum of 15 across 3 questions relating to storage and voiding symptoms on the IPSS were defined as symptom. Among all 178 patients, LUTS positivity was detected in 85 patients 48 by the IPSS and in 81 patients 46 by the JOA score. In the F group, 10 patients 31 were LUTS on both scoring systems. In the Mn group, 33 41 and 39 patients 49 were LUTS on the IPSS and JOA score, respectively. Thus, there was good statistical correlation between the IPSS and JOA score. However, a more detailed analysis of the findings revealed that the group defined as normal by JOA score had worse symptoms on the IPSS 25 of the 178 patients, including 14 in the F group and 22 in the Mn group. Moreover, IPSS clearly identified many cases with storage symptoms and many mixed cases with both voiding and storage symptoms associated with lumbar degenerative disease. In conclusion, IPSS was considered to be a more sensitive and useful scoring system than the JOA score for evaluating LUTS associated with lumbar degenerative diseases.

Walking-Evoked Erection in Patients with Lumbar Degenerative Diseases: Eight Cases and Review of the Literature

“…Additionally, an overactive bladder has often been diagnosed in patients with lumbar degenerative diseases, the frequency of which is 21%-44%, as per previous reports [5,24]. It is reported that walking may induce urge incontinence due to overactive bladder and often occurs after paresthesias in the genitalia or perianal region, the mechanism of which is similar to the development of walkingevoked erection.…”