Patient opinion of lower urinary tract symptoms and their treatment: a cross-sectional survey in Hong Kong public urology clinics

Abstract

Introduction: Lower urinary tract symptoms collectively represent a common condition among ageing men. There are, however, limited data on the frequency of individual symptoms in patients who seek specialist care. We conducted a multinational survey in South-East Asia to evaluate patients' self-reported prevalence, bother, treatment, and treatment satisfaction of four lower urinary tract symptoms namely, urgency, nocturia, slow stream, and post-micturition dribble. This report presents the analysis of the Hong Kong subpopulation. Methods:This cross-sectional survey involved adult men aged over 18 years who attended a urology out-patient clinic because of lower urinary tract symptoms. A structured questionnaire, translated and validated in the local languages, was selfadministered by patients. Results:Of 1436 respondents surveyed in the region, 225 were from Hong Kong of whom most were aged 56 to 75 years, retired, and had no history of any previous prostate surgery. Overall, the self-reported prevalence of nocturia of at least one void per night was 93% (95% confidence interval, 90%-97%), slow stream 76% (71%-82%), post-micturition dribble 70% (64%-76%), and urgency 50% (43%-56%). Symptoms for which most respondents reported "some" or "a lot" of bother included: nocturia, defined as at Patient opinion of lower urinary tract symptoms and their treatment: a cross-sectional survey in

A Comprehensive Community-Based Prevalence Study on Nocturia in Hong Kong Male Adults

“…First of all, the current prevalence results were consistent with the report of a recent telephone-based survey conducted in Hong Kong [20]. These community-based prevalence levels were remarkedly lower than those reported in the local clinical settings [19]. Comparing with other Asian and Western countries [26][27][28][29], Hong Kong was shown to be at relatively high nocturia prevalence.…”

“…In Hong Kong, nocturia was identified as the most prevalent LUTS affecting two-thirds of men ≥40 years who have reported two or more voids per night [18]. Recently, local prevalence of nocturia were reported exceptionally high as 93% and 77% for ≥1 and ≥2 voids per night, respectively in male patients surveyed in multiple public urology clinics, and many had self-reported that 'some" or "a lot of" bothersome feeling was caused by nocturia [19]. However, another telephone-based survey has revealed a relatively lower prevalence among men aged >40 in the community at 63% for ≥1 void and 32% for ≥2 voids per night [20].…”

Cross-cultural translation into Chinese and psychometric evaluation of a screening tool for nocturia: the Targeting the individual’s Aetiology of Nocturia to Guide Outcomes (TANGO) questionnaire

“…2 Across urology clinics in Southeast Asian countries, nocturia has emerged as the most common presenting symptom (up to 88%) among men with LUTS requiring treatment 3 ; however, at least half of these patients were dissatisfied with the results of treatment. 4 Nocturia is no longer considered a distinct urologic disease. 5 Indeed, it is related to disorders within and outside the lower urinary tract, which are associated with diminished bladder capacity, increased rate and volume of nocturnal urine production, sleep disturbance, or a combination of these symptoms.…”