title: Relationship between visual prostate score (VPSS) and maximum flow rate (Qmax) in men with urinary tract symptoms.
abstract: OBJECTIVE
  To evaluate correlation between visual prostate score (VPSS) and maximum flow rate (Qmax) in men with lower urinary tract symptoms.
  
  
  METHODS
  This is a cross sectional study conducted at a university Hospital. Sixty-seven adult male patients>50 years of age were enrolled in the study after signing an informed consent. Qmax and voided volume recorded at uroflowmetry graph and at the same time VPSS were assessed. The education level was assessed in various defined groups. Pearson correlation coefficient was computed for VPSS and Qmax.
  
  
  RESULTS
  Mean age was 66.1±10.1 years (median 68). The mean voided volume on uroflowmetry was 268±160mL (median 208) and the mean Qmax was 9.6±4.96mLs/sec (median 9.0). The mean VPSS score was 11.4±2.72 (11.0). In the univariate linear regression analysis there was strong negative (Pearson's) correlation between VPSS and Qmax (r=-848, p<0.001). In the multiple linear regression analyses there was a significant correlation between VPSS and Qmax (β-http://www.blogapaixonadosporviagens.com.br/p/caribe.html after adjusting the effect of age, voided volume (V.V) and level of education. Multiple linear regression analysis done for independent variables and results showed that there was no significant correlation between the VPSS and independent factors including age (p=0.27), LOE (p=0.941) and V.V (p=0.082).
  
  
  CONCLUSIONS
  There is a significant negative correlation between VPSS and Qmax. The VPSS can be used in lieu of IPSS score. Men even with limited educational background can complete VPSS without assistance.
authors.affiliation: Aga Khan University, Surgery karachi, Sind, Pakistan.
authors.forename: Mazhar A
authors.initials: MA
authors.lastname: Memon
authors.affiliation: Aga Khan University, Surgery karachi, Sind, Pakistan.
authors.forename: M Hammad
authors.initials: MH
authors.lastname: Ather
mesh_terms: D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D003950:Diagnostic Techniques, Urological; D004522:Educational Status; D006801:Humans; D016014:Linear Models; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis* / Q000503:physiopathology*; D008297:Male; D011446:Prospective Studies; D011467:Prostate / Q000503:physiopathology*; D012016:Reference Values; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D063189:Symptom Assessment / Q000379:methods*; D013997:Time Factors; D014554:Urination / Q000502:physiology*; D014563:Urodynamics