MP24-16 THE LURN SI-10 AND IPSS SIMILARLY QUANTIFY IMPROVEMENT FOLLOWING BPH SURGERY, BUT THE LURN SI-10 ALSO CAPTURES SYMPTOMS INCLUDING INCONTINENCE AND PAIN DURING RECOVERY

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You have accessJournal of UrologyCME1 Apr 2023MP24-16 THE LURN SI-10 AND IPSS SIMILARLY QUANTIFY IMPROVEMENT FOLLOWING BPH SURGERY, BUT THE LURN SI-10 ALSO CAPTURES SYMPTOMS INCLUDING INCONTINENCE AND PAIN DURING RECOVERY David Nusbaum, Clark Judge, George Javitch, Brian Helfand, Abigail Smith, James Griffith, and Alexander Glaser David NusbaumDavid Nusbaum More articles by this author , Clark JudgeClark Judge More articles by this author , George JavitchGeorge Javitch More articles by this author , Brian HelfandBrian Helfand More articles by this author , Abigail SmithAbigail Smith More articles by this author , James GriffithJames Griffith More articles by this author , and Alexander GlaserAlexander Glaser More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003249.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The LURN SI-10 was designed for comprehensive but practical clinical use in the assessment of lower urinary tract symptoms (LUTS). The LURN SI-10 was previously shown to demonstrate convergent validity with the International Prostate Symptom Score (IPSS) at baseline while also identifying other common and bothersome symptoms such as pain and urinary incontinence (UI), but to date the LURN SI-10 has not yet been evaluated in the postoperative setting. We hypothesize that the LURN SI-10 will show similar responses to treatment as the IPSS while also capturing UI and pain. METHODS: Clinical variables and responses to LURN SI-10 and IPSS were compared at baseline, 6 weeks, and 3 months postoperatively following BPH surgeries. Proportions of patients reporting pain and UI on LURN SI-10 were compared. Multivariate analysis was performed to determine predictors of improvement. RESULTS: 333 men underwent BPH surgery: 157 underwent Aquablation, 48 Rezum, 33 Urolift, 34 TURP, 54 PVP, and 7 robotic simple prostatectomy. Baseline characteristics were similar across groups, except for prostate volume, which was larger for Aquablation and simple prostatectomy (median 88 ml and 160ml, respectively). IPSS and LURN SI-10 scores, as well as respective improvements in bother and quality of life scores, decreased similarly at postoperative timepoints, reflecting expected improvement after surgery (p<0.001 for all; Figure). However, the LURN SI-10 also detected symptoms including UI and pain during the postoperative period, and these symptoms were associated with higher total LURN SI-10 and IPSS scores (Table; Figure). CONCLUSIONS: The LURN SI-10 and IPSS instruments respond similarly after surgery, but the LURN SI-10 has the additional benefit of assessing symptoms that may be important during recovery including UI and pain. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e324 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information David Nusbaum More articles by this author Clark Judge More articles by this author George Javitch More articles by this author Brian Helfand More articles by this author Abigail Smith More articles by this author James Griffith More articles by this author Alexander Glaser More articles by this author Expand All Advertisement PDF downloadLoading ...