The responsiveness of the ICSmale questionnaire to outcome: Evidence from the ICS-'BPH' study

J. L. Donovan, S. T. Brookes, J. J M C H De La Rosette, T. J. Peters, D. Porru, A. Kondo, N. Dabhoiwala, R. Millard, R. Bosch, J. Nordling, A. Matos Ferreira, K. Höfner, H. Mostafid, S. Walter, I. Nissenkorn, C. Frimodt Moller, M. Mendes Silva, C. Chapple, P. Abrams

Research output: Contribution to journalArticlepeer-review


Objective. To evaluate the responsiveness of the ICSmale questionnaire to the outcome of treatments for lower urinary tract symptoms (LUTS). Patients and methods. Consecutive men aged > 45 years attending 23 urology centres in 12 countries, with symptoms suggestive of bladder outlet obstruction secondary to benign prostatic hyperplasia (BPH), were recruited to Phase I of the International Continence Society (ICS)-'BPH' study. In Phase II of the ICS-'BPH' study, 355 men in 15 centres in nine countries were followed up, having proceeded to treatment according to clinical practice. All men completed the ICS-'BPH' study questionnaire at baseline and follow-up, including the ICSmale which concerns LUTS and related problems. Results. Patients included in Phase II were similar to those in Phase I according to age and levels of baseline symptoms. Patients received a range of treatments: 32% TURP, 29% drug therapies, 20% watchful waiting, 9% minimally invasive therapies and 10% 'others' (including open prostatectomy). For patients who underwent TURP, most LUTS, including voiding and filling symptoms, were highly statistically significantly better at follow-up than at baseline (P <0.0001). For drug, minimally invasive and 'other' treatments, fewer LUTS were highly statistically significantly better, For those undergoing watchful waiting, no symptoms were significantly different between baseline and follow-up, Conclusion. The ICSmale questionnaire, in addition to being psychometrically valid and reliable, is responsive to change in outcome.

Original languageEnglish
Pages (from-to)243-248
Number of pages6
JournalBJU International
Issue number3
Publication statusPublished - 1999


  • Benign prostatic hyperplasia
  • Lower urinary tract symptoms
  • Quality of life
  • Questionnaire

ASJC Scopus subject areas

  • Urology


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