Bueno-García-Reyes P

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I want to congratulate the author of the study “Visual Prostate Symptom Score (VPSS): Is It An Effective Alternative For The Assessment Of Lower Urinary Tract Symptoms? Experience In A Reference Center In Southeastern Mexico” as it points out the importance of accessibility to a basic, yet important, tool to assess lower urinary tract symptoms (LUTS). By using a visual version of the widely known International Prostate Symptom Score (IPSS), it is possible to reach populations in which language and cultural level could be an obstacle, promoting best practice for urological patients in Mexico.
The importance of standardized questionnaires and instruments, such as the IPSS, has been repeatedly highlighted for evaluation, management, and follow-up of LUTS. They are included in the most relevant LUTS international guidelines. Furthermore, IPSS can provide objective comparison before and after treatment, it being conservative or invasive. Most of the literature describing different treatment options for LUTS and bladder outlet obstruction (BOO) use IPSS to measure the success of the intervention.

REFERENCES

1. D’Silva KA, Dahm P, Wong CL. Does this man with lower urinary tract symptoms have bladder outlet obstruction?: The Rational Clinical Examination: a systematic review. JAMA. 2014 Aug 6;312(5):535–42. doi: https://doi. org/10.1001/jama.2014.5555

2. Young GJ, Metcalfe C, Lane JA, Lewis AL, Abrams P, Blair PS, et al. Prostate Surgery for Men with Lower Urinary Tract Symptoms: Do We Need Urodynamics to Find the Right Candidates? Exploratory Findings from the UPSTREAM Trial. Eur Urol Focus. 2021;S2405-4569(21)00310-2. doi: https://doi. org/10.1016/j.euf.2021.11.010