Validity of Pelvic Pain, Urgency, and Frequency Questionnaire in Patients with Interstitial Cystitis/Painful Bladder Syndrome
Objectives To determine the validity of the Pelvic Pain, Urgency, and Frequency (PUF) questionnaire according to its correlation with cystoscopy with hydrodistension (C-HD) findings. Methods A prospective study of new patients with a clinical history consistent with interstitial cystitis/painful bla...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2007-10, Vol.70 (4), p.646-649 |
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| creator | Brewer, M. Eric White, Wesley M Klein, Frederick A Klein, Leslie M Waters, W. Bedford |
| description | Objectives To determine the validity of the Pelvic Pain, Urgency, and Frequency (PUF) questionnaire according to its correlation with cystoscopy with hydrodistension (C-HD) findings. Methods A prospective study of new patients with a clinical history consistent with interstitial cystitis/painful bladder syndrome (IC/PBS) was undertaken. All patients underwent history and physical examination, urinalysis, and urine culture and completed a PUF questionnaire before undergoing C-HD. The pertinent data collected included the preoperative PUF scores, bladder capacity, and cystoscopic findings consistent with IC/PBS (petechial hemorrhage and/or terminal hematuria). Statistical analysis was performed. Results From June 1, 2005 to December 31, 2005, 97 patients with a new clinical diagnosis of IC/PBS were prospectively evaluated. All patients completed a PUF questionnaire before C-HD. The average PUF score was 21 (range 8 to 35). The mean bladder capacity was 756 mL (range 250 to 1400). The C-HD was positive in 54 (56%) of 97 patients. Of these 54 patients, 27 had a PUF score of less than 20, 22 had a PUF score of 20 to 29, and 5 patients had a PUF score of greater than 30. When evaluated statistically, no correlation was apparent between the PUF questionnaire scores and the cystoscopic findings of IC/PBS ( P |
| doi_str_mv | 10.1016/j.urology.2007.06.1089 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68493369</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0090429507017682</els_id><sourcerecordid>68493369</sourcerecordid><originalsourceid>FETCH-LOGICAL-c451t-3c5c68f648a9cfd35f0ca673a9699bacb1cad589eb0e6c1c8844ca5f23c9167e3</originalsourceid><addsrcrecordid>eNqFkk1v1DAQhiMEokvhL1S-wKnZ2vmw4wsCVhQqVaKolKvlHU-KF6_d2klRDvx3HDZSJS6c_KFn3rEfTVGcMLpmlPGz3XqMwYXbaV1RKtaU5-tOPilWrK1EKaVsnxYrSiUtm0q2R8WLlHaUUs65eF4cMSGo6DqxKn5_184aO0wk9OQK3YMFcqWtPyU38RY9TKdEe0POI96P85F8HTENNnivbURifaYHi35I5JcdfpALP2DMwGC1I5vp7y6dzYn96MgHp43BSK4nb2LY48viWa9dwlfLelzcnH_8tvlcXn75dLF5f1lC07KhrKEF3vW86bSE3tRtT0FzUWvJpdxq2DLQpu0kbilyYNB1TQO67asaJOMC6-PizSH3Lob7-QNqbxOgc9pjGJPiXSPrmssM8gMIMaQUsVd30e51nBSjahavdmoRr2bxinI1i8-FJ0uHcbtH81i2mM7A6wXQCbTro_Zg0yMna1Hximbu3YHD7OPBYlQJsl9Ak33DoEyw_3_L238iwFlvc9efOGHahTH6bFsxlSpF1fU8JvOUUEGZ4F1V_wGubrxV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68493369</pqid></control><display><type>article</type><title>Validity of Pelvic Pain, Urgency, and Frequency Questionnaire in Patients with Interstitial Cystitis/Painful Bladder Syndrome</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Brewer, M. Eric ; White, Wesley M ; Klein, Frederick A ; Klein, Leslie M ; Waters, W. Bedford</creator><creatorcontrib>Brewer, M. Eric ; White, Wesley M ; Klein, Frederick A ; Klein, Leslie M ; Waters, W. Bedford</creatorcontrib><description>Objectives To determine the validity of the Pelvic Pain, Urgency, and Frequency (PUF) questionnaire according to its correlation with cystoscopy with hydrodistension (C-HD) findings. Methods A prospective study of new patients with a clinical history consistent with interstitial cystitis/painful bladder syndrome (IC/PBS) was undertaken. All patients underwent history and physical examination, urinalysis, and urine culture and completed a PUF questionnaire before undergoing C-HD. The pertinent data collected included the preoperative PUF scores, bladder capacity, and cystoscopic findings consistent with IC/PBS (petechial hemorrhage and/or terminal hematuria). Statistical analysis was performed. Results From June 1, 2005 to December 31, 2005, 97 patients with a new clinical diagnosis of IC/PBS were prospectively evaluated. All patients completed a PUF questionnaire before C-HD. The average PUF score was 21 (range 8 to 35). The mean bladder capacity was 756 mL (range 250 to 1400). The C-HD was positive in 54 (56%) of 97 patients. Of these 54 patients, 27 had a PUF score of less than 20, 22 had a PUF score of 20 to 29, and 5 patients had a PUF score of greater than 30. When evaluated statistically, no correlation was apparent between the PUF questionnaire scores and the cystoscopic findings of IC/PBS ( P <0.05). Conclusions As determined by the correlation with the C-HD, the PUF questionnaire appears to be neither a reliable predictor of IC/PBS nor a valuable predictor of disease severity. However, the inherent limitations of C-HD and the lack of a definitive diagnostic instrument for IC/PBS limit any authoritative conclusions. Therefore, the diagnosis of IC/PBS should remain one of exclusion and should depend on a constellation of widely recognized symptoms.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2007.06.1089</identifier><identifier>PMID: 17707887</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Chronic Disease ; Cystitis, Interstitial - complications ; Cystitis, Interstitial - diagnosis ; Cystitis, Interstitial - physiopathology ; Cystoscopy ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Pelvic Pain - complications ; Surveys and Questionnaires ; Syndrome ; Urinary Bladder - physiopathology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Urination Disorders - complications ; Urodynamics ; Urology</subject><ispartof>Urology (Ridgewood, N.J.), 2007-10, Vol.70 (4), p.646-649</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-3c5c68f648a9cfd35f0ca673a9699bacb1cad589eb0e6c1c8844ca5f23c9167e3</citedby><cites>FETCH-LOGICAL-c451t-3c5c68f648a9cfd35f0ca673a9699bacb1cad589eb0e6c1c8844ca5f23c9167e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2007.06.1089$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19372620$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17707887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brewer, M. Eric</creatorcontrib><creatorcontrib>White, Wesley M</creatorcontrib><creatorcontrib>Klein, Frederick A</creatorcontrib><creatorcontrib>Klein, Leslie M</creatorcontrib><creatorcontrib>Waters, W. Bedford</creatorcontrib><title>Validity of Pelvic Pain, Urgency, and Frequency Questionnaire in Patients with Interstitial Cystitis/Painful Bladder Syndrome</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objectives To determine the validity of the Pelvic Pain, Urgency, and Frequency (PUF) questionnaire according to its correlation with cystoscopy with hydrodistension (C-HD) findings. Methods A prospective study of new patients with a clinical history consistent with interstitial cystitis/painful bladder syndrome (IC/PBS) was undertaken. All patients underwent history and physical examination, urinalysis, and urine culture and completed a PUF questionnaire before undergoing C-HD. The pertinent data collected included the preoperative PUF scores, bladder capacity, and cystoscopic findings consistent with IC/PBS (petechial hemorrhage and/or terminal hematuria). Statistical analysis was performed. Results From June 1, 2005 to December 31, 2005, 97 patients with a new clinical diagnosis of IC/PBS were prospectively evaluated. All patients completed a PUF questionnaire before C-HD. The average PUF score was 21 (range 8 to 35). The mean bladder capacity was 756 mL (range 250 to 1400). The C-HD was positive in 54 (56%) of 97 patients. Of these 54 patients, 27 had a PUF score of less than 20, 22 had a PUF score of 20 to 29, and 5 patients had a PUF score of greater than 30. When evaluated statistically, no correlation was apparent between the PUF questionnaire scores and the cystoscopic findings of IC/PBS ( P <0.05). Conclusions As determined by the correlation with the C-HD, the PUF questionnaire appears to be neither a reliable predictor of IC/PBS nor a valuable predictor of disease severity. However, the inherent limitations of C-HD and the lack of a definitive diagnostic instrument for IC/PBS limit any authoritative conclusions. Therefore, the diagnosis of IC/PBS should remain one of exclusion and should depend on a constellation of widely recognized symptoms.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Cystitis, Interstitial - complications</subject><subject>Cystitis, Interstitial - diagnosis</subject><subject>Cystitis, Interstitial - physiopathology</subject><subject>Cystoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Pelvic Pain - complications</subject><subject>Surveys and Questionnaires</subject><subject>Syndrome</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urination Disorders - complications</subject><subject>Urodynamics</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhiMEokvhL1S-wKnZ2vmw4wsCVhQqVaKolKvlHU-KF6_d2klRDvx3HDZSJS6c_KFn3rEfTVGcMLpmlPGz3XqMwYXbaV1RKtaU5-tOPilWrK1EKaVsnxYrSiUtm0q2R8WLlHaUUs65eF4cMSGo6DqxKn5_184aO0wk9OQK3YMFcqWtPyU38RY9TKdEe0POI96P85F8HTENNnivbURifaYHi35I5JcdfpALP2DMwGC1I5vp7y6dzYn96MgHp43BSK4nb2LY48viWa9dwlfLelzcnH_8tvlcXn75dLF5f1lC07KhrKEF3vW86bSE3tRtT0FzUWvJpdxq2DLQpu0kbilyYNB1TQO67asaJOMC6-PizSH3Lob7-QNqbxOgc9pjGJPiXSPrmssM8gMIMaQUsVd30e51nBSjahavdmoRr2bxinI1i8-FJ0uHcbtH81i2mM7A6wXQCbTro_Zg0yMna1Hximbu3YHD7OPBYlQJsl9Ak33DoEyw_3_L238iwFlvc9efOGHahTH6bFsxlSpF1fU8JvOUUEGZ4F1V_wGubrxV</recordid><startdate>20071001</startdate><enddate>20071001</enddate><creator>Brewer, M. Eric</creator><creator>White, Wesley M</creator><creator>Klein, Frederick A</creator><creator>Klein, Leslie M</creator><creator>Waters, W. Bedford</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20071001</creationdate><title>Validity of Pelvic Pain, Urgency, and Frequency Questionnaire in Patients with Interstitial Cystitis/Painful Bladder Syndrome</title><author>Brewer, M. Eric ; White, Wesley M ; Klein, Frederick A ; Klein, Leslie M ; Waters, W. Bedford</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-3c5c68f648a9cfd35f0ca673a9699bacb1cad589eb0e6c1c8844ca5f23c9167e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Cystitis, Interstitial - complications</topic><topic>Cystitis, Interstitial - diagnosis</topic><topic>Cystitis, Interstitial - physiopathology</topic><topic>Cystoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Pelvic Pain - complications</topic><topic>Surveys and Questionnaires</topic><topic>Syndrome</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urination Disorders - complications</topic><topic>Urodynamics</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brewer, M. Eric</creatorcontrib><creatorcontrib>White, Wesley M</creatorcontrib><creatorcontrib>Klein, Frederick A</creatorcontrib><creatorcontrib>Klein, Leslie M</creatorcontrib><creatorcontrib>Waters, W. Bedford</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brewer, M. Eric</au><au>White, Wesley M</au><au>Klein, Frederick A</au><au>Klein, Leslie M</au><au>Waters, W. Bedford</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validity of Pelvic Pain, Urgency, and Frequency Questionnaire in Patients with Interstitial Cystitis/Painful Bladder Syndrome</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2007-10-01</date><risdate>2007</risdate><volume>70</volume><issue>4</issue><spage>646</spage><epage>649</epage><pages>646-649</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objectives To determine the validity of the Pelvic Pain, Urgency, and Frequency (PUF) questionnaire according to its correlation with cystoscopy with hydrodistension (C-HD) findings. Methods A prospective study of new patients with a clinical history consistent with interstitial cystitis/painful bladder syndrome (IC/PBS) was undertaken. All patients underwent history and physical examination, urinalysis, and urine culture and completed a PUF questionnaire before undergoing C-HD. The pertinent data collected included the preoperative PUF scores, bladder capacity, and cystoscopic findings consistent with IC/PBS (petechial hemorrhage and/or terminal hematuria). Statistical analysis was performed. Results From June 1, 2005 to December 31, 2005, 97 patients with a new clinical diagnosis of IC/PBS were prospectively evaluated. All patients completed a PUF questionnaire before C-HD. The average PUF score was 21 (range 8 to 35). The mean bladder capacity was 756 mL (range 250 to 1400). The C-HD was positive in 54 (56%) of 97 patients. Of these 54 patients, 27 had a PUF score of less than 20, 22 had a PUF score of 20 to 29, and 5 patients had a PUF score of greater than 30. When evaluated statistically, no correlation was apparent between the PUF questionnaire scores and the cystoscopic findings of IC/PBS ( P <0.05). Conclusions As determined by the correlation with the C-HD, the PUF questionnaire appears to be neither a reliable predictor of IC/PBS nor a valuable predictor of disease severity. However, the inherent limitations of C-HD and the lack of a definitive diagnostic instrument for IC/PBS limit any authoritative conclusions. Therefore, the diagnosis of IC/PBS should remain one of exclusion and should depend on a constellation of widely recognized symptoms.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17707887</pmid><doi>10.1016/j.urology.2007.06.1089</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Chronic Disease Cystitis, Interstitial - complications Cystitis, Interstitial - diagnosis Cystitis, Interstitial - physiopathology Cystoscopy Female Humans Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Pelvic Pain - complications Surveys and Questionnaires Syndrome Urinary Bladder - physiopathology Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urination Disorders - complications Urodynamics Urology |
| title | Validity of Pelvic Pain, Urgency, and Frequency Questionnaire in Patients with Interstitial Cystitis/Painful Bladder Syndrome |
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