Beyond IPSS: Getting a More Holistic View of LUTS
When urgency, frequency, or nocturia scores are high, clinicians consider overlapping conditions like OAB and BPH—an important step in setting the right expectations for treatment outcomes.
In our latest webinar, we discussed how clinical experts go beyond the standard IPSS questionnaire to get a more complete picture of lower urinary tract symptoms (LUTS).
*One key insight: separating IPSS scores into storage and voiding subtypes can help identify predominant symptoms and guide more precise diagnoses.
Transcript:
When you're conducting the IPSS, are there any questions that you ask your patients a little bit of your own know-how to actually kind of complement what IPSS is missing so that you get a bit more holistic picture about different symptoms? And the frequency of it.
Well, a lot of people sort of separate out the sub score of the IPSS into the storage and voiding subtypes. And I think that's really helpful. You can see what are the predominant symptoms. One thing that I'm always looking out for is looking at the storage symptoms, so the urgency, frequency and nocturia.
And if they are really high, either A, they have OAB, we've knock out the right diagnosis. B, they've got two concurrent diagnoses, BPH, OAB, and also you have to be able to counsel them.
Because storage LUTs, OAB symptoms don't necessarily resolve entirely in everyone after BPO surgery. And I'll add that Nocturia is really, I call it a fickle foe.