Development and validation of a symptom assessment tool for postmicturition dribble: A prospective, multicenter, observational study in Korea

PLoS One. 2019 Oct 11;14(10):e0223734. doi: 10.1371/journal.pone.0223734. eCollection 2019.

Abstract

Objectives: Postmicturition dribble (PMD) is a very common symptom in males with lower urinary tract symptoms (LUTS) worldwide, but there is no adequate questionnaire to assess it. Therefore, we developed a questionnaire named the Hallym Post Micturition Dribble Questionnaire (HPMDQ) to assess PMD, and the aim of this study is to validate it.

Methods: A series of consecutive male patients newly diagnosed with LUTS and over 40 years of age who visited any of 5 medical institutions were included. LUTS were assessed in all patients using the International Prostate Symptom Score (IPSS), and PMD was assessed using the HPMDQ.

Results: In total, 2134 male patients aged 40 to 91 years were included in this study. Of these patients, 1088 (51.0%) reported PMD. In the PMD group, the mean values for HPMDQ-Q1, HPMDQ-Q2, HPMDQ-Q3 and HPMDQ total score were 1.39, 1.10, 1.76 and 4.25, respectively. In the non-PMD group, the mean values of these scores were 0, 0.18, 1.52 and 1.58, respectively. The difference in HPMDQ scores between the 2 groups was statistically significant. PMD was significantly associated with the voiding symptoms of LUTS, prostate size and postvoid residual but not with storage symptoms.

Conclusions: The HPMDQ, which consists of 5 questions (frequency, severity, bother, quality of life and response to treatment for PMD), was developed, and its use for assessing PMD is validated in this study. It may be a useful tool for further research and in clinical practice for PMD.

Publication types

  • Multicenter Study
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Humans
  • Lower Urinary Tract Symptoms / epidemiology
  • Lower Urinary Tract Symptoms / physiopathology*
  • Male
  • Middle Aged
  • Prevalence
  • Prospective Studies
  • Republic of Korea / epidemiology
  • Surveys and Questionnaires
  • Symptom Assessment / methods*
  • Urination

Grants and funding

This work was supported by Hallym University Medical Center Research Fund (HURF-2015-57) to SHL. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.