ISSN 2149-3235 | E-ISSN 2149-3057
Original Article
The Modified Urdu version of International Prostate Symptom Score: A psychometric validation study
1 Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan  
2 Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia  
3 School of Pharmacy, Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia  
4 National Hospital and Medical Center, Lahore, Pakistan  
Turk J Urol 2018; 44: 335-340
DOI: 10.5152/tud.2018.44834
Key Words: Lower urinary tract symptoms; patient-reported outcome measures; psychometric.


Objective: The objective of the current study was to develop an Urdu version of the International Prostate Symptom Score (IPSS-U) and validate it for Pakistani patients suffering from lower urinary tract symptoms (LUTS).


Material and Methods: IPSS-U was developed by a two-step forward and back translation and to evaluate its psychometric properties, a prospective study involving patients suffering from LUTS (n=267) was conducted at Outpatient Urology Department, Mayo Hospital, Lahore, Pakistan. Internal consistency and reproducibility were assessed using Cronbach's alpha and the Intra-Class Correlation Coefficient (ICC). Moreover, exploratory, and confirmatory factor analyses were performed to determine dimensionality of IPSS-U items.


Results: Overall reliability of IPSS-U was satisfactory (Cronbach’s alpha=0.72, ICC of symptom questions=0.92 and ICC of QOL index=0.75). Exploratory factor analysis revealed that two factors were consistent, which together explained 59.8% of the variance. IPSS-U items 1, 3, 5 and 6 were components of the first factor whereas item 2, 4 and 7 were components of the second factor. All the items loaded high on their factors and there were no cross loadings. Moreover, confirmatory factor analysis also showed two-factor model, with acceptable fitting patterns.


Conclusion: IPSS-U is a valid and reliable non-gender specific instrument to assess the frequency and severity of LUTS in Urdu-speaking population.


Cite this article as: Salman M, Khan AH, Syed Sulaiman SA, Hughes J, Khan JH, Hussain K. The Modified Urdu version of International Prostate Symptom Score: A psychometric validation study. Turk J Urol 2018; 44: 335-40.

Key Words
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