Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men’s Health Study

Sarma, Aruna V.; Wei, John T.; Jacobson, Debra J.; Dunn, Rodney L.; Roberts, Rosebud O.; Girman, Cynthia J.; Lieber, Michael M.; Cooney, Kathleen A.; Schottenfeld, David; Montie, James E.; Jacobsen, Steven J.

doi:10.1016/s0090-4295(03)00154-7

Cited by 90 publications

(82 citation statements)

References 14 publications

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“…18,[22][23][24] It should also be mentioned here that, our observed prevalence was also higher than results obtained elsewhere in which IPSS tool was employed. 14,19,25 However, the prevalence in this present study was comparable to reports from hospital-based studies in south-western Nigeria (88.0%), Ethiopia (84.4%) and Port Harcourt, Nigeria (72.2%). 15,16,26 These observations tend to indicate that prevalence of LUTS suggestive of BPH in hospital-based studies is comparatively higher than that reported in population-based studies.…”

Section: Discussionsupporting

confidence: 84%

Lower urinary tract symptoms suggestive of benign prostatic hyperplasia among Ghanaian men: a hospital-based cross-sectional prospective study

et al. 2016

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INTRODUCTIONLower urinary tract symptoms (LUTS) of benign prostatic hyperplasia (BPH) are common clinical presentation in elderly men. It affects 15-60% of patients greater than 40 years which poses public health burden. 1,2 LUTS are used to define the complex of those symptoms which includes bladder storage, sensation or voiding symptoms. These symptoms are often associated with prostate enlargement which is a common aetiology of ABSTRACT Background: Lower urinary tract symptoms (LUTS) of benign prostatic hyperplasia (BPH) are common in the elderly. This study sought to determine the prevalence of LUTS among patients visiting the urology clinic at Komfo Anokye Teaching Hospital, Kumasi, Ghana and to explore its presentation patterns. Methods: Simple randomized sampling technique was used to recruit 225 subjects with a mean age of 67.96±14.57 (range=40-100years) in a prospective cross-sectional study. LUTS related characteristics and international prostate symptom score (IPSS) questionnaire were employed to obtain relevant data. Results: The average IPSS of the studied participants was 17.52±7.83. Based on the IPSS, the prevalence of LUTS suggestive of BPH was 88.89%. Bladder storage symptoms were also recorded at 88.59% whilst prostate enlargement based on digital rectal examination (DRE) was 60.4% among the studied subjects. PSA levels ≥4.0ng/ml gave a prevalence of 81.5%. The prevalence of prostate enlargement defined as PSA ≥1.5ng/ml was 85.23% among the studied subjects whilst 63.11% of the subjects examined had troublesome LUTS. Urgency was the most predominantly reported LUTS (93.3%) among the subjects studied. Conclusions: This study has clearly shown that, the most prevalent urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia were bladder storage symptoms and urgency. These symptoms when present clinically therefore, suggest benign prostatic hyperplasia and that the prevalence estimates of LUTS in older men are relatively higher at diagnosis.

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Section: Discussionsupporting

confidence: 84%

Lower urinary tract symptoms suggestive of benign prostatic hyperplasia among Ghanaian men: a hospital-based cross-sectional prospective study

et al. 2016

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“…none, mild (1-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and severe ( ≥ 20) was used (Table 3) [3, 13,15]. Importantly, the IPSS sum scores found in this sample are similar to those found in previous epidemiological studies using a self-administered IPSS.…”

Section: Invitations To Complete the Epilutssupporting

confidence: 67%

The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study

Coyne¹,

Sexton²,

Thompson³

et al. 2009

BJU International

628

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respondents selected a link to an informed consent page, followed by the survey. Participants were asked to rate how often they experienced individual LUTS during the previous 4 weeks, on a five-point Likert scale, and, if experienced, how much the symptom bothered them. Descriptive statistics were used to summarize and present the data. RESULTSResponses rates for the USA, the UK and Sweden were 59.6%, 60.6% and 52.3%, respectively, with a final sample of 30 000 (USA 20 000; UK 7500; Sweden 2500). The mean age (range) of the participants was 56.6 (40-99) years; the mean percentages for race were 82.9% white, 6.7% black, 6.0% Hispanic and 4.4% Asian/other. The prevalence of LUTS was defined by two symptom frequency thresholds, i.e. at least 'sometimes' and at least 'often' for all LUTS except incontinence, where frequency thresholds were at least 'a few times per month' and at least 'a few times per week' .The prevalence of at least one LUTS at least 'sometimes' was 72.3% for men and 76.3% for women, and 47.9% and 52.5% for at least 'often' for men and women, respectively. For most LUTS, at least half of the participants were bothered 'somewhat' or more using a frequency threshold of at least 'sometimes' . For a threshold of at least 'often', 'somewhat' or more bother was reported by ≥ 70% of participants except for terminal dribble in men and split stream in women. CONCLUSIONIn this large population study of three countries, LUTS are highly prevalent among men and women aged > 40 years. In general, LUTS experienced 'often' or more are bothersome to most people.

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“…In a study of men residing in Olmsted County, Minnesota, 26 percent of those aged 40-49 years experienced moderate to severe lower urinary tract symptoms, and this proportion increased to 45 percent among those aged 70-79 years (1). Lower urinary tract symptoms (LUTS) in elderly men were traditionally attributed to the enlarging prostate.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Combined Therapy with Tamsulosin Hydrochloride and Meloxicam in Patients with Benign Prostatic Hyperplasia Symptoms and Impact on Nocturia and Sleep Quality

et al. 2013

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Comparison of lower urinary tract symptom severity and associated bother between community-dwelling black and white men: the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men’s Health Study

Cited by 90 publications

References 14 publications

Lower urinary tract symptoms suggestive of benign prostatic hyperplasia among Ghanaian men: a hospital-based cross-sectional prospective study

Lower urinary tract symptoms suggestive of benign prostatic hyperplasia among Ghanaian men: a hospital-based cross-sectional prospective study

The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study

The Effect of Combined Therapy with Tamsulosin Hydrochloride and Meloxicam in Patients with Benign Prostatic Hyperplasia Symptoms and Impact on Nocturia and Sleep Quality

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