Gender and Age Differences in the Perception of Bother and Health Care Seeking for Lower Urinary Tract Symptoms: Results from the Hospitalised and Outpatients’ Profile and Expectations Study

Apostolidis, Apostolos; Kirana, Paraskevi‐Sofia; Chiu, Gretchen R.; Link, Carol L.; Tsiouprou, M.; Hatzichristou, Dimitrios

doi:10.1016/j.eururo.2009.07.050

Cited by 51 publications

(44 citation statements)

References 31 publications

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“…These results are consistent with those reported in previous research . The HRQL scores for participants with LUTS were lower than those for participants without LUTS , and only a few participants with LUTS seek professional help .…”

Section: Discussionsupporting

confidence: 92%

Prevalence, associated factors, and relationship to quality of life of lower urinary tract symptoms: a cross-sectional, questionnaire survey of cancer patients

et al. 2013

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The high prevalence of LUTS suggests that cancer treatment might be linked to LUTS, which in turn has a negative effect on a patient's quality of life. These results suggest that future research should involve studies in larger, more homogeneous samples. Health care providers should monitor the presence of LUTS and deliver the management and treatments of LUTS to optimise cancer patients' quality of life.

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Section: Discussionsupporting

confidence: 92%

Prevalence, associated factors, and relationship to quality of life of lower urinary tract symptoms: a cross-sectional, questionnaire survey of cancer patients

et al. 2013

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“…These findings suggest that postmicturition symptoms may often be overlooked often during investigations and studies, corresponding to some of the earlier research [15,30]. Finally, it is also worth noting that female sufferers experienced greater discomfort than male sufferers, which indicates a different perception and response to LUTS in men and women, in accordance with the results of Apostolidis et al [31]. The great discomfort from LUTS, coupled with the inconsistency of occurrence rates, certainly supports the need for an appropriate symptom discomfort assessment tool to be used in clinical practice for the identification of the symptoms that really require medical intervention.…”

Section: Discussionsupporting

confidence: 80%

Prevalence, risk factors and the bother of lower urinary tract symptoms in China: a population-based survey

Wang

et al. 2015

Int Urogynecol J

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Lower urinary tract symptoms are highly prevalent in China and many known risk factors are associated with these bothersome symptoms. However, the perception of the extent of symptom discomfort differed between sexes, and it may not correspond with symptom prevalence. Thus, an appropriate symptom discomfort assessment tool is needed to identify the clinically relevant conditions that warrant treatment.

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“…The IPSS questionnaire has been used for decades to evaluate the severity of LUTS/BPH, and has also been applied to other conditions causing LUTS [20], [21]. However, IPSS-T correlates poorly with BOO or OAB, and is unreliable for establishing a definitive diagnosis in men with LUTS [22].…”

Section: Discussionmentioning

confidence: 99%

International Prostatic Symptom Score — Voiding/Storage Subscore Ratio in Association with Total Prostatic Volume and Maximum Flow Rate Is Diagnostic of Bladder Outlet-Related Lower Urinary Tract Dysfunction in Men with Lower Urinary Tract Symptoms

et al. 2013

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ObjectivesThe aim of this study was to investigate the predictive values of the total International Prostate Symptom Score (IPSS-T) and voiding to storage subscore ratio (IPSS-V/S) in association with total prostate volume (TPV) and maximum urinary flow rate (Qmax) in the diagnosis of bladder outlet-related lower urinary tract dysfunction (LUTD) in men with lower urinary tract symptoms (LUTS).MethodsA total of 298 men with LUTS were enrolled. Video-urodynamic studies were used to determine the causes of LUTS. Differences in IPSS-T, IPSS-V/S ratio, TPV and Qmax between patients with bladder outlet-related LUTD and bladder-related LUTD were analyzed. The positive and negative predictive values (PPV and NPV) for bladder outlet-related LUTD were calculated using these parameters.ResultsOf the 298 men, bladder outlet-related LUTD was diagnosed in 167 (56%). We found that IPSS-V/S ratio was significantly higher among those patients with bladder outlet-related LUTD than patients with bladder-related LUTD (2.28±2.25 vs. 0.90±0.88, p<0.001). TPV was similar between the two groups; however, in contrast to patients with bladder-related LUTD, patients with bladder outlet-related LUTD had higher detrusor voiding pressure, lower Qmax values, and greater postvoid residual volumes. The combination of TPV30 ml and Qmax10 ml/sec had a PPV of 68.8% and a NPV of 53.5% for bladder outlet-related LUTD. When IPSS-T12 or IPSS-T15 was considered as an additional criterion, PPV increased to 75.0% and 78.5%, respectively, and the NPV decreased to 50.9% and 50.2%, respectively. When IPSS-V/S>1 or >2 was factored into the equation instead of IPSS-T, PPV were 91.4% and 97.3%, respectively, and NPV were 54.8% and 49.8%, respectively.ConclusionsCombination of IPSS-T with TPV and Qmax increases the PPV of bladder outlet-related LUTD. Furthermore, including IPSS-V/S>1 or >2 into the equation results in a higher PPV than IPSS-T. IPSS-V/S>1 is a stronger predictor of bladder outlet-related LUTD than IPSS-T.

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Gender and Age Differences in the Perception of Bother and Health Care Seeking for Lower Urinary Tract Symptoms: Results from the Hospitalised and Outpatients’ Profile and Expectations Study

Cited by 51 publications

References 31 publications

Prevalence, associated factors, and relationship to quality of life of lower urinary tract symptoms: a cross-sectional, questionnaire survey of cancer patients

Prevalence, associated factors, and relationship to quality of life of lower urinary tract symptoms: a cross-sectional, questionnaire survey of cancer patients

Prevalence, risk factors and the bother of lower urinary tract symptoms in China: a population-based survey

International Prostatic Symptom Score — Voiding/Storage Subscore Ratio in Association with Total Prostatic Volume and Maximum Flow Rate Is Diagnostic of Bladder Outlet-Related Lower Urinary Tract Dysfunction in Men with Lower Urinary Tract Symptoms

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