Purpose: The study aimed to translate the Urethral Stricture Surgery Patient Reported Outcome Measures (USS-PROM) questionnaire in Dutch. To validate this translated questionnaire, the study evaluates its psychometric properties in a different population, a different environment, and a different health care system. Questions about urinary incontinence and sexual functioning were added. Materials and Methods: Between December 2014 and January 2017, Dutch-speaking adult men scheduled for urethroplasty at Ghent University Hospital were prospectively enrolled in this study. Patients completed the USS-PROM before surgery, 3-6 months after surgery, and 1 year after surgery. Psychometric criteria included content validity, criterion validity, internal consistency, reproducibility, responsiveness, and floor and ceiling effects. (EC/2014/0438). Results: A total of 100 patients were included, 39 patients completed both the preoperative and the postoperative questionnaire, and 30 patients completed the USS-PROM twice within a short period of time in order to evaluate test-retest reliability. Pearson correlation coefficients showed no statistical significant correlation between lower urinary tract symptoms (LUTS) scores and maximum flow rates. Cronbach's α was 0.81 and 0.89, respectively, for the LUTS score and the summative Male Sexual Health Questionnaire Ejaculatory Dysfunction short form (MSHQ-EjD short form) score. The intraclass correlation coefficients ranged from 0.72 to 0.94. Significant changes were observed in all items except the MSHQ-EjD short form scores. All values exceeded the predefined thresholds. Conclusions: The Dutch version of the USS-PROM has adequate psychometric properties and is a valid instrument to assess patient-reported outcome measures in men undergoing urethroplasty.

Keywords:
Urethral stricture, Urethroplasty, Quality of life, Patient-reported outcome measure, Urethral stricture surgery patient reported outcome measures
1.
Andrich DE, Mundy AR: What is the best technique for urethroplasty? Eur Urol 2008;54:1031-1041.
2.
Santucci RA, Joyce GF, Wise M: Male urethral stricture disease. J Urol 2007;177:1667-1674.
3.
Anger JT, Santucci R, Grossberg AL, Saigal CS: The morbidity of urethral stricture disease among male medicare beneficiaries. BMC Urol 2010;10:3.
4.
Latini JM, McAninch JW, Brandes SB, Chung JY, Rosenstein D: SIU/ICUD consultation on urethral strictures: epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, strictures, and pelvic fracture urethral disruption injuries. Urology 2014;83(3 suppl):S1-S7.
5.
Lumen N, Hoebeke P, Willemsen P, De Troyer B, Pieters R, Oosterlinck W: Etiology of urethral stricture disease in the 21st century. J Urol 2009;182:983-987.
6.
Hampson LA, McAninch JW, Breyer BN: Male urethral strictures and their management. Nat Rev Urol 2014;11:43-50.
7.
Rosenbaum CM, Reiss CP, Borgmann H, Salem J, Fisch M, Huber J, et al: Management of anterior urethral strictures in adults: a survey of contemporary practice in Germany. Urol Int 2017;99:43-50.
8.
Lacy JM, Cavallini M, Bylund JR, Strup SE, Preston DM: Trends in the management of male urethral stricture disease in the veteran population. Urology 2014;84:1506-1509.
9.
van Leeuwen MA, Brandenburg JJ, Kok ET, Vijverberg PL, Bosch JL: Management of adult anterior urethral stricture disease: nationwide survey among urologists in the Netherlands. Eur Urol 2011;60:159-166.
10.
Black N, Jenkinson C: Measuring patients' experiences and outcomes. BMJ 2009;339:b2495.
11.
Kessler TM, Fisch M, Heitz M, Olianas R, Schreiter F: Patient satisfaction with the outcome of surgery for urethral stricture. J Urol 2002;167:2507-2511.
12.
Tam CA, Elliott SP, Voelzke BB, Myers JB, Vanni AJ, Breyer BN, et al: The international prostate symptom score (IPSS) is an inadequate tool to screen for urethral stricture recurrence after anterior urethroplasty. Urology 2016;95:197-201.
13.
Jackson MJ, Sciberras J, Mangera A, Brett A, Watkin N, N'Dow JM, et al: Defining a patient-reported outcome measure for urethral stricture surgery. Eur Urol 2011;60:60-68.
14.
Barbagli G, Romano G, Sansalone S, Lazzeri M: [Italian validation of the English PROM-USS-Q questionnaire in patients undergoing anterior urethroplasty]. Urologia 2011;78:98-107.
15.
Kluth LA, Dahlem R, Becker A, Schmid M, Soave A, Rosenbaum C, et al: Psychometric validation of a German language version of a PROM for urethral stricture surgery and preliminary testing of supplementary ED and UI constructs. World J Urol 2016;34:369-375.
16.
Bazaev VV, Shibaev AN, Pavlova YV: [Validation of the Russian version of the questionnaire to assess the effectiveness of surgical treatment of patients with anterior urethral stricture (patient-reported outcome measure for urethral stricture surgery (PROM-USS): a pilot study]. Urologiia 2015;5:15-19; quiz 20-21.
17.
Puche-Sanz I, Martin-Way D, Flores-Martin J, Exposito-Ruiz M, Vicente-Prados J, Nogueras-Ocana M, et al: Psychometric validation of the Spanish version of the USS-PROM questionnaire for patients who undergo anterior urethral surgery. Actas Urol Esp 2016;40:322-327.
18.
Donovan JL, Abrams P, Peters TJ, Kay HE, Reynard J, Chapple C, et al: The ICS-ʼBPHʼ Study: the psychometric validity and reliability of the ICSmale questionnaire. Br J Urol 1996;77:554-562.
19.
Donovan JL, Peters TJ, Abrams P, Brookes ST, de aa Rosette JJ, Schafer W: Scoring the short form ICSmaleSF questionnaire. International Continence Society. J Urol 2000;164:1948-1955.
20.
Peeling WB: Diagnostic assessment of benign prostatic hyperplasia. Prostate Suppl 1989;2:51-68.
21.
EuroQol Group: EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199-208.
22.
Rosen RC, Catania JA, Althof SE, Pollack LM, O'Leary M, Seftel AD, et al: Development and validation of four-item version of male sexual health questionnaire to assess ejaculatory dysfunction. Urology 2007;69:805-809.
23.
Beysens M, Palminteri E, Oosterlinck W, Spinoit AF, Hoebeke P, Francois P, et al: Anastomotic repair versus free graft urethroplasty for bulbar strictures: a focus on the impact on sexual function. Adv Urol 2015;2015:912438.
24.
Lumen N, Spiers S, De Backer S, Pieters R, Oosterlinck W: Assessment of the short-term functional outcome after urethroplasty: a prospective analysis. Int Braz J Urol 2011;37:712-718.
25.
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al: Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007;60:34-42.
26.
Voelzke BB: Critical review of existing patient reported outcome measures after male anterior urethroplasty. J Urol 2013;189:182-188.
27.
Erickson BA, Breyer BN, McAninch JW: The use of uroflowmetry to diagnose recurrent stricture after urethral reconstructive surgery. J Urol 2010;184:1386-1390.
28.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A: The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997;49:822-830.
29.
Utomo E, Blok BF, Pastoor H, Bangma CH, Korfage IJ: The measurement properties of the five-item international index of erectile function (IIEF-5): a dutch validation study. Andrology 2015;3:1154-1159.
30.
Xie H, Xu YM, Xu XL, Sa YL, Wu DL, Zhang XC: Evaluation of erectile function after urethral reconstruction: a prospective study. Asian J Androl 2009;11:209-214.
31.
Erickson BA, Granieri MA, Meeks JJ, Cashy JP, Gonzalez CM: Prospective analysis of erectile dysfunction after anterior urethroplasty: incidence and recovery of function. J Urol 2010;183:657-661.
32.
Coursey JW, Morey AF, McAninch JW, Summerton DJ, Secrest C, White P, et al: Erectile function after anterior urethroplasty. J Urol 2001;166:2273-2276.
33.
Palminteri E, Berdondini E, De Nunzio C, Bozzini G, Maruccia S, Scoffone C, et al: The impact of ventral oral graft bulbar urethroplasty on sexual life. Urology 2013;81:891-898.
34.
Barbagli G, De Angelis M, Romano G, Lazzeri M: Long-term followup of bulbar end-to-end anastomosis: a retrospective analysis of 153 patients in a single center experience. J Urol 2007;178:2470-2473.
35.
Patel DP, Elliott SP, Voelzke BB, Erickson BA, McClung CD, Presson AP, et al: Patient-reported sexual function after staged penile urethroplasty. Urology 2015;86:395-400.
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2017
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