ICIQ-MLUTS Long Form

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Module Title

ICIQ-MLUTS Long Form

Full Name of Module

ICIQ-Male Lower Urinary Tract Symptoms Long Form

Purpose of module The ICIQ-MLUTS Long Form is a patient-completed questionnaire for evaluating male lower urinary tract symptoms and impact on quality of life (QoL) in research and clinical practice. This questionnaire is a more in-depth assessment than the ICIQ-MLUTS and will be of increased use where a more detailed assessment is required typically in research, although similarly in both primary and secondary care institutions. The ICIQ-MLUTS Long Form provides a detailed summary of the level and impact of urinary symptoms and can facilitate patient-clinician discussions. It is an ideal research tool to assess outcome from various treatment modalities and also can be of use in epidemiological surveys.
Derivation of module ICSmale
Intended Population Adult males
Number of items 23
Question items

Frequency
Nocturia
Urgency
Urge urinary incontinence
Bladder pain
Stress urinary incontinence
Unexplained urinary incontinence
Hesitancy
Straining to start urination
Straining to continue urination
Urination position
Strength of stream

Weak stream history
Strength of stream (picture item)
Intermittency
Dysuria
Incomplete emptying
Terminal dribbling
Post micturition dribble
Nocturnal enuresis
Pad usage
Double micturition
Urinary retention

Lanuage versions available

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Associated publications Donovan J, Abrams P, Peters T, Kay H, Reynard J, Chapple C, de la Rosette J, Kondo A. The ICS-'BPH' study: the psychometric validity and reliability of the ICSmale questionnaire. BJU. 1996; 77:554-562
Level of validation according to ICI grades of recommendation

Grade A
Validity, reliability and responsiveness established with rigour in several data sets

Scoring system

1-84 overall score with greater values indicating increased symptom severity
Bother scales are not incorporated in the overall score but indicate impact of individual symptoms for the patient

Suggested modules to use in conjuction

ICIQ-MLUTSsex - Gender-specific sexual matters module
ICIQ-LUTSqol – Condition-specific quality of life module

Completion time 10-15 minutes
 
 
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Post-Treatment

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