Analyzing Why Men Seek Treatment for Lower Urinary Tract Symptoms and Factors Associated With Nonimprovement

Welliver, Robert C.; Sulaver, Randy; Whittington, Adam; Helfand, Brian T.; Çakır, Ömer Onur; Griffith, James W.; McVary, Kevin T.

doi:10.1016/j.urology.2015.08.006

Cited by 32 publications

(23 citation statements)

References 14 publications

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“…Treatment-seeking behaviour for LUTS is correlated with the symptom severity, degree of bother, costs and bene ts of treatment [40,41]. To the best of our knowledge, this is the rst study to report on the association between awareness of nocturia and treatment-seeking behaviour in Malaysia.…”

Section: Discussionmentioning

confidence: 87%

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

Yow

Tiong²,

Mai

et al. 2020

Preprint

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Background: Nocturia is widely prevalent condition with detrimental effects on quality of life and general health. In Malaysia, there is a lack of up-to-date prevalence study on nocturia. This study aimed to investigate the prevalence of nocturia and awareness pertaining to nocturia among Malaysian adults.Methods: A cross-sectional population-based study was conducted among Malaysian adults aged ≥ 18 years old. The data was collected by mixed mode self-administered questionnaire from May 2019 to September 2019. Nocturia was defined as one or more voids at night.Results: There were a total of 4616 respondents with 74.5% of response rate. The overall prevalence of nocturia among Malaysian adults was found to be 57.3%. In multivariate analysis, respondents aged 31 – 40 (1.91 [1.52 - 2.40]) or > 60 years old (2.03 [1.48 - 2.71]), and those who presented with hypertension (2.84 [2.28 - 3.53]), diabetes mellitus (1.78 [1.42 - 2.25]), renal disease (3.58 [1.93 - 6.63]) or overactive bladder (1.61 [1.10 - 2.35]) were associated with higher prevalence of nocturia. A significantly lower disease prevalence (p < 0.05) was noted among those aged 41 – 50 (0.73 [0.59 - 0.91]), male (0.78 [0.69 - 0.88]) and Chinese (0.47 [0.30 - 0.74]) or Indian (0.34 [0.21 - 0.54]) ethnicities. A total of 37.3% of respondents with nocturia reported that they faced sleeping difficulty about half the time or more after waking up in the middle of night. Those who had ≥ 2 voids per night experienced significantly higher mean bother score than those who had 1 void per night (p < 0.001). Approximately half (56.7%) of all respondents were not aware that night time urination is a medical condition. Only 25.2% of respondents with nocturia had sought medical attention for their nocturia.Conclusion: The prevalence of nocturia among Malaysian adults is high and strongly influenced by age, gender, race and comorbidities. However, the general awareness on nocturia among Malaysians is poor and relates to low treatment-seeking behaviour we found. The findings also highlighted the impact of nocturia on sleep and the need for nocturia education to better address this disease.

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Section: Discussionmentioning

confidence: 87%

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

Yow

Tiong²,

Mai

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…treatment modalities do not improve symptoms in about half of the patients. 5 Because the etiology of nocturia is multifactorial, careful diagnosis of the underlying cause(s) and choice of the correct treatment modalities is of utmost importance to improve success rates. 6 The cause of the relative lack of success itself is multifactorial and may result from inadequate diagnostic accuracy leading to a lack of cause-specific therapy, leaving room for improvement through education and treatment guidelines.…”

Section: Introductionmentioning

confidence: 99%

ICI‐RS 2015—Is a better understanding of sleep the key in managing nocturia?

Denys

Cherian

Rahnama’i

et al. 2016

Neurourology and Urodynamics

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In order to optimize the management of nocturia and nocturnal polyuria (NP), future research has to focus on the development of unambiguous terminology regarding nocturia and NP, the role of renal function profiles and simplified frequency volume charts as guidance of individualized therapy and the role of sleep disorders such as periodic limb movements during sleep and habitual voiding as a response to awakening. Neurourol. Urodynam. 37:2048-2052, 2018. © 2016 Wiley Periodicals, Inc.

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“…Lower urinary tract symptoms (LUTS) are irritating symptoms that are present in approximately 41% of adult men 1 . Nocturia is the most common (accounting for up to 69% of LUTS) and most persistent LUTS in men 2 3 4 5 6 . Nocturia has detrimental effects on quality of life, impairs work productivity, and increases mortality by elevating the risk of fractures, especially in the elderly 2 7 .…”

mentioning

confidence: 99%

Analysis of the Prevalence and Factors Associated with Nocturia in Adult Korean Men

Kim

Bang

Kim

et al. 2017

Sci Rep

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This study investigated the prevalence of and factors associated with nocturia in Korean men. A total of 92,626 participants aged between 19 and 103 years from the 2011 Korean Community Health Survey (KCHS) were enrolled. Simple and multiple logistic regression analyses with complex sampling investigated participants’ personal health and socioeconomic and disease factors. The prevalence of nocturia ≥1 time and ≥2 times/night was 41.8% and 17.6%, respectively, and nocturia increased with age (1.44 [1.39–1.50] for each 10-year increase, P < 0.001). Lower income levels (lowest, 1.27 [1.19–1.36]; low-middle, 1.13 [1.07–1.19]; upper-middle, 1.00 [0.95–1.06], P = 0.022) and higher levels of stress (severe, 1.38 [1.23–1.55]; moderate, 1.23 [1.16–1.31]; some, 1.11 [1.05–1.16]) exhibited dose-dependent relationships with nocturia (≥1 time; P < 0.001). Low education level (1.27 [1.20–1.36]), long sleep duration (1.33 [1.18–1.50]), and type of occupation showed significant associations with nocturia (≥1 time; P < 0.001). Underweight (1.19 [1.05–1.34]), hypertension (1.09 [1.03–1.15]), diabetes mellitus (1.32 [1.23–1.41]), hyperlipidaemia (1.28 [1.20–1.35]), and cerebral stroke (1.63 [1.40–1.89]) were significantly related to nocturia (≥1 time; P < 0.001). Married men were less likely to experience nocturia ≥2 times per night (0.72 [0.64–0.82], P < 0.001).

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Analyzing Why Men Seek Treatment for Lower Urinary Tract Symptoms and Factors Associated With Nonimprovement

Cited by 32 publications

References 14 publications

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

ICI‐RS 2015—Is a better understanding of sleep the key in managing nocturia?

Analysis of the Prevalence and Factors Associated with Nocturia in Adult Korean Men

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