Prevalence of lower urinary tract symptoms in Finnish men: a population‐based study

Abstract

Objective To determine the prevalence of lower urinary among 70-year-old men). Most of the symptoms were mild, with post-micturition dribbling and nocturia the tract symptoms (LUTS) in Finnish men, using a population-based cross-sectional survey. most prevalent symptoms, and stress incontinence the least prevalent. Subjects and methods In 1994, a modified Danish prostatic symptom score system (DAN-PSS-1) questionConclusions The high incidence of LUTS may indicate a high prevalence of benign prostatic enlargement secnaire on the occurrence and severity of LUTS was mailed to all men (3143) born in 1924, 1934 or ondary to benign prostatic hyperplasia, but other causes are also involved. With the increase in the 1944 living in the city of Tampere or 11 rural and semi-rural municipalities in the same county.mean age of the general population, the number of individuals with LUTS is likely to increase and must Results After exclusions, 68% of the men were ultimately included in the study. LUTS were common and be considered when resources are planned for medical care. increased with age so that the prevalence of at least one symptom was 89% in the whole population (84% Keywords Epidemiology, ageing, benign prostatic hyperplasia and enlargement (BPE), symptomatic BPE among 50-year-old, 91% among 60-year-old and 94% examined using special questionnaires, mostly validated

False Positive Screening Results in the Finnish Prostate Cancer Screening Trial

“…In the youngest age cohort (screened initially at age 55), the risk was 9.0% and in the oldest men (first screen at age 67 with only two rounds of screening) it was 15.7%. As previously noted, the incidence of PSA-elevating diseases other than PC (prostatitis, BPH) increases with age (Koskimäki et al, 1998;Rhodes et al, 1999;Wright et al, 2002) and explains the higher FP proportion in older men. This explanation is also consistent with the finding that men who used BPH medication had an increased risk for an FP result, despite the PSA-lowering effect of finasteride (Etzioni et al, 2005).…”

“…It has been previously reported that B70% of men with elevated PSA do not have PC (Catalona et al, 1994;Schröder et al, 1998). The proportion of FP results is likely to increase with age, as prostatic diseases, such as chronic prostatitis and BPH, become more common (Koskimäki et al, 1998;Rhodes et al, 1999;Wright et al, 2002). The proportion of FP results has been estimated to be 7 -8% (Lafata et al, 2004;Määttänen et al, 2007) per screen (with 1 year of follow-up after the test).…”

Molecular Mechanisms of Bladder Outlet Obstruction in Transgenic Male Mice Overexpressing Aromatase (Cyp19a1)

“…9,10 Congenital or acquired BOO can result in a stiff-walled, fibrotic bladder with low capacity, high pressure, and noncompliance, which may ultimately damage the kidneys. 10 The incidence of lower urinary tract symp- …”

“…[5][6][7][8] BOO, which reduces or prevents the flow of urine into the urethra, and urinary tract infection, bladder cancer, and incontinence comprise the major causes of lower urinary tract symptoms. 9,10 Congenital or acquired BOO can result in a stiff-walled, fibrotic bladder with low capacity, high pressure, and noncompliance, which may ultimately damage the kidneys. 10 The incidence of lower urinary tract symp-toms was shown to be higher among men with prostatic enlargement, which can narrow the urethral lumen.…”

“…9,10 Congenital or acquired BOO can result in a stiff-walled, fibrotic bladder with low capacity, high pressure, and noncompliance, which may ultimately damage the kidneys. 10 The incidence of lower urinary tract symp-toms was shown to be higher among men with prostatic enlargement, which can narrow the urethral lumen. 9,11 Despite the higher prevalence of benign prostatic hyperplasia, the detailed pathogenetic role of benign prostatic hyperplasia in inducing BOO remains unknown.…”