Determinants of Doctor Consultation for Micturition Problems in an Elderly Male Population

Wolfs, G.G.M.C.; Knottnerus, J. André; Horst, F. G. van der; Visser, Adriaan; Janknegt, R. A.

doi:10.1159/000019527

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…In line with previous international publications [25] we distinguished three symptom levels, i.e. minor (IPSS 0-7), moderate (IPSS [8][9][10][11][12][13][14][15][16][17][18][19] and severe complaints (IPSS 20-35). Men were considered to have voiding problems if they had an IPSS of > 7.…”

Section: Discussionsupporting

confidence: 78%

“…LUTS can have a significant effect on men's life in terms of the degree of bother, worry, interference with daily living and psychological well-being [6,7]. Nevertheless, many men with LUTS do not consult a physician [4,[8][9][10][11][12][13][14][15][16][17] so they lack the medical attention that could alleviate their symptoms and worries. Only if a patient perceives his symptoms as a problem will he consult a physician.…”

Section: Introductionmentioning

confidence: 99%

“…Only if a patient perceives his symptoms as a problem will he consult a physician. Several studies explored the reasons why men with LUTS attended a physician [10][11][12][13][14]16,18]; they showed that men with moderate to severe symptoms are more likely to seek medical care than men with mild symptoms. Increased attendance to the GP was also related to a greater interference of symptoms with everyday life [11,12] and greater age [10][11][12]18].…”

Section: Introductionmentioning

confidence: 99%

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Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

Wolters¹,

Wensing²,

Weel

et al. 2002

BJU International

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Objective To determine associations among lower urinary tract symptoms (LUTS), symptom severity, subjective beliefs and social influences when seeking primary medical care in men aged ≥ 50 years. returned. Two groups of men with an IPSS of > 7 were compared: those who consulted their GP in the previous 2 years because of voiding problems (268 cases) and the controls (272) who did not visit a GP for these symptoms. Cases more often thought a physician could improve their condition (OR 2.85), appeared to be more often advised by others to seek medical care (OR 6.36) and thought more often that this advice influenced their decision (OR 13.95). They also had more frequently received information from the media (OR 2.66) which affected their attendance (OR 12.52). In a multiple regression analysis, advice from others or information from the media were stronger predictors of seeking care than the influence of symptoms on daily life, the IPSS or the BS. Conclusion Social influences, i.e. advice from others or the media, were more important factors in the decision to seek medical care than symptom severity. Subjects and methods

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

Wolters¹,

Wensing²,

Weel

et al. 2002

BJU International

View full text Add to dashboard Cite

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“…A study on incontinence reported a higher rate of seeking health care among men than among women. Perhaps incontinence is this tipping point [23].…”

Section: Discussionmentioning

confidence: 99%

Why do men suffering from LUTS seek primary medical care? A qualitative study

Lammers

Wijnhoven

Teunissen

et al. 2015

Evaluation Clinical Practice

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“…Moreover, not every healthcare professional interested in voiding has a uroflowmeter and ultrasound equipment. Many general practitioners and neurologists seeing patients with voiding complaints would like to have an impression about their patients’ voiding capabilities [14,15]. Symptoms, voiding diaries, uroflowmetry, and postvoid residual in combination could provide a potential prediction of obstruction in many cases which may reduce the further need for invasive testing.…”

Section: Discussionmentioning

confidence: 99%

Applicability of a Disposable Home Urinary Flow Measuring Device as a Diagnostic Tool in the Management of Males with Lower Urinary Tract Symptoms

et al. 2012

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Introduction: To investigate the accuracy of uroflowmetry with disposable Q_Single compared to measurements with a home-based digital device and compared to a single clinical measurement. Patients and Methods: 60 men with lower urinary tract symptoms were included in a prospective, open-label, multicenter study. Uroflowmetry measurements were done using three devices/methods: single clinic-based method, followed by up to 12 measurements using the disposable home-based Q_Single and up to 12 measurements using a home-based digital device. Subjective data on ease of use of Q_Single and preference of patients was investigated and objective measures of Q_max and voided volume from the three devices were compared. Results: Mean Q_max values of 12, 13 and 16 ml/s were achieved with the Q_Single device, standard clinic method, and digital device, respectively. Mean Q_max obtained with the Q_Single device did not differ from that obtained with the clinic method. A significantly higher mean Q_max was recorded for the digital device. Mean voided volumes recorded with each device differed marginally. Handling capabilities of the Q_Single device were considered good by all subjects. Conclusions: The accuracy of Q_max and voided volume mean measurements with Q_Single was comparable to one standard clinic recording. Q_Single offers a viable alternative to reduce the number of clinic visits and can be used by other caregivers.

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Determinants of Doctor Consultation for Micturition Problems in an Elderly Male Population

Cited by 14 publications

References 23 publications

Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

Why do men suffering from LUTS seek primary medical care? A qualitative study

Applicability of a Disposable Home Urinary Flow Measuring Device as a Diagnostic Tool in the Management of Males with Lower Urinary Tract Symptoms

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