Abstract
Background: As the evidence has been increasing about the
post-micturition dribble (PMD) symptom, widely accepted
lower-urinary tract symptoms (LUTS) questionnaires fail to assess PMD
alone. In this study, our primary aim is to evaluate the validity and
reliability of the Turkish version of the Hallym Post Micturition
Dribble Questionnaire (Turkish HPMDQ). The secondary objective is to
appraise the relationship between PMD and other LUTS and the
effectiveness of bulbar urethral massage in patients with PMD.
Methods: The English version of HPMDQ went through a
multi-stage translation process. The final draft of the Turkish HPMDQ
and IPSS were queried to male patients who admitted to the urology
outpatient clinic between June 2020 and September 2020. The responses of
103 patients who satisfy the inclusion criteria were analysed. 55 people
suffering from PMD were offered bulbar urethral massage for one month
and then re-applied with the questionnaires.
Results: The kappa coefficient for the total score for the
Turkish HPMDQ was 0.789. Considering the relationship between the HPMDQ
and the IPSS, the HPMDQ’s total score correlated significantly with that
of the total IPSS (ρ: 0.660, p < 0.001), the voiding symptoms
of the LUTS (ρ: 0.621, p < 0.001), and post-void residual
volume (ρ: 0.614, p < 0.001) but not with the storage symptoms
of the LUTS (p=0.245). The mean value of HPMDQ-Q5, evaluating the
treatment response of bulbar urethra massage, was 1.81+1.02, suggesting
an effective treatment of PMD.
Conclusions: The Turkish version of HPMDQ was observed as a
reliable tool for evaluating patients with PMD. This study also showed
that bulbar urethral massage is an effective method to relieve PMD.
Keywords: Post-micturition dribble, questionnaire, Turkish
validation, incontinence