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CTRI Number  CTRI/2025/02/080815 [Registered on: 18/02/2025] Trial Registered Prospectively
Last Modified On: 10/02/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Study Comparing the Effectiveness of IPSS and VPSS, Questionnaires for Evaluating Urinary Symptoms. 
Scientific Title of Study   A prospective, observational study to compare the effectiveness of self-administered patient questionnaires, the International Prostate Symptom Score (IPSS) and the Visual Prostate Symptom Score (VPSS), in evaluating lower urinary tract symptoms in patients with benign prostatic enlargement. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sivaprasad Gourabathini 
Designation  Consultant Urologist 
Affiliation  Bhaktivedanta Hospital and Research Institute  
Address  OPD 09, 1st Floor, Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107

Thane
MAHARASHTRA
401107
India 
Phone  8879614446  
Fax    
Email  drsivaprasad.g@bhaktivedantahospital.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sivaprasad Gourabathini 
Designation  Consultant Urologist 
Affiliation  Bhaktivedanta Hospital and Research Institute  
Address  OPD 09, 1st Floor, Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107

Thane
MAHARASHTRA
401107
India 
Phone  8879614446  
Fax    
Email  drsivaprasad.g@bhaktivedantahospital.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sivaprasad Gourabathini 
Designation  Consultant Urologist 
Affiliation  Bhaktivedanta Hospital and Research Institute  
Address  OPD 09, 1st Floor, Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107

Thane
MAHARASHTRA
401107
India 
Phone  8879614446  
Fax    
Email  drsivaprasad.g@bhaktivedantahospital.com  
 
Source of Monetary or Material Support  
Bhaktivedanta Hospital and Research Institute, Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107 
 
Primary Sponsor  
Name  Bhaktivedanta Hospital and Research Institute 
Address  Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sivaprasad Gourabathini  Bhaktivedanta Hospital and Research Institute  OPD No. 09, first floor, Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107
Thane
MAHARASHTRA 
8879614446

drsivaprasad.g@bhaktivedantahospital.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bhaktivedanta Hospital Ethics Committee for Biomedical and Health Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N401||Benign prostatic hyperplasia withlower urinary tract symptoms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL   NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  99.00 Year(s)
Gender  Male 
Details  Male patients older than 45 years of age.

Male patients who presented to the Urology OPD with chief complaint of Lower Urinary Tract Symptoms (LUTS).

Patients giving consent for taking part in the study.

 
 
ExclusionCriteria 
Details  Patients who had undergone surgical treatment due to a diagnosis of Benign Prostatic Hyperplasia.
Patients who had been receiving medical treatment with a diagnosis of Benign Prostatic Hyperplasia.
Patients with urethral stricture.
Patients with a prostate-specific antigen (PSA) level above 4 ng/dl.
Patients with systemic neurological disease.
Patients with history of pelvic radiotherapy.
Patients who had been diagnosed with Neurogenic Bladder.
Patients with Vesical calculi, Cystitis/Urinary Tract Infection, Carcinoma Bladder.
Patients who are Blind/Visually impaired.
Patients with indwelling Per urethral or Suprapubic catheters.
Patients on Diuretic therapy.
Patients with voided volume less than 150 mL.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Validation of VPSS as a simplified alternative to IPSS, focusing on its reduced number of questions and use of pictorial aids.
Development and validation of a new severity grading system for VPSS to improve its diagnostic capability in the Indian context.
Patient preference and ease of use of VPSS compared to IPSS, evaluated through feedback and completion rates.
Overall clinician efficiency improvement by utilizing VPSS in routine practice.
 
on week 24. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Benign Prostatic Hyperplasia (BPH) is a common condition in aging men, with a global prevalence of 20–62% in men over 50 years. It leads to lower urinary tract symptoms (LUTS) such as reduced urinary frequency, urgency, nocturia, hesitancy, and incomplete bladder emptying, impacting quality of life. The primary objectives of this study are to compare the diagnostic effectiveness of the International Prostate Symptom Score (IPSS) and Visual Prostate Symptom Score (VPSS) in evaluating LUTS, correlate these scores with uroflowmetry results, assess the impact of education and age on their completion, and analyze the time taken for completion. The secondary objectives include validating VPSS as a simplified alternative to IPSS by introducing a new severity grading system, assessing patient preferences and ease of use, and improving clinician efficiency. The eligibility criteria include male patients over 45 years with LUTS, while excluding those with prior BPH treatment, neurological conditions, or other confounding urological issues. The intervention involves non-pharmacological assessments using IPSS and VPSS questionnaires. The rationale of the study is to evaluate VPSS as a reliable and simpler tool, particularly for populations with low literacy, compared to IPSS. The data collected will include education level, time taken to complete the forms, assistance required, uroflowmetry results, and patient feedback. The study duration is six months, with a sample size of 100 patients. The endpoints include validation of VPSS as a simplified alternative, development of a new severity grading system, and improved clinician efficiency in routine practice 
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