Correlation of Uroflowmetry and American Urology Association Symptom Score(AUASS) in case of lower urinary tract symptoms

Dr. Hrishi Kumar; Dr. Atul Kumar Singh; Dr. Pushpendra Shukla

Volume : VIII, Issue : VI, June - 2019

Correlation of Uroflowmetry and American Urology Association Symptom Score(AUASS) in case of lower urinary tract symptoms

Dr. Hrishi Kumar, Dr. Atul Kumar Singh, Dr. Pushpendra Shukla

Abstract :

INTRODUCTION– Lower urinary tract symptoms(LUTS) is a term used to describe a group of symptoms related to lower urinary tract. The most widely used assessment tool for severity of LUTS are International Prostate Symptom Score(IPSS) and American Urological Association Symptom Score(AUASS). Uroflowmetry in a LUTS patient is an essential tool to identify factors contributing to lower urinary tract dysfunction and and to predict the outcome including undesirable side effects of a contemplated treatment. AIMS & OBJECTIVES– 1. To study the incidence of various symptoms of LUTS in men and their distribution among patient. 2. To study the severity assessment of individual cases with help of AUA scoring index. 3. To study and correlate the role of uroflowmetry in evaluation of these patients. METHODOLOGY– Carried out in 154 cases in 1year duration.Men having luts were selected and intereviewed for AUA symptom score ,uroflowmetry and other relevent investigation were done to arrive at a final diagnosis and correlation with AUASS and uroflowmetry findings were calculated RESULT– 1. Nocturia was the most common complain reported in 94.81% of patients followed by frequency (93.51%),sense of incomplete emptying (87.66%),weakstream (85.07%), straining(84.42%), urgency(78.58%) and intermittency(72.73%). 2. A.U.A symptom score showed high correlation with maximum flow rate(r=–.66 and p<.001) and average correlation(r= – .32 and p<.001) with average flow rate and low correlation with other parameters,the significance level was extreme with maximum and average flow rate and high with voiding time and flow time. CONCLUSION– Among uroflowmetry findings Maximum flow rate and Average flow rate are highly correlated with LUTS severity.