Defending the Detrusor: A Clinician’s Perspective

It does have a lot of value. When those guys come in, number one is I have them fill it out by hand. I want their memory of what it's been like to live with their symptoms right in front of them. Then they sign their name. They're accountable for it. They can look at it and go, "Wow, that's me." Then I take it and I say, "Wow, that's you. Mr. Smith, I just want you to know, I'm so glad you came in today because this is a problem. We worry about you guys when that score is eight and above. Not just about the prostate, as it says right here, but actually a little known secret, Mr. Smith, is that it's really about your bladder health. That's why we have to talk today because--"

That's when I segued to the next point, which is critical. We have to provide a sense of urgency and gravity to the situation. I let them know, "Hey, there's only two main organs that you can't transplant. Your brain and your bladder. Your bladder is that amazingly complex that you cannot transplant that. We need to take care of it. It is that precious. That's why, Mr. Smith, we've got to figure out what's going on here."