Severity and bother of lower urinary tract symptoms among men aged 30–80 years: Tampere Ageing Male Urological Study (TAMUS)

Pöyhönen, Antti; Åkerla, Jonne; Häkkinen, Jukka; Koskimäki, Juha; Tammela, Teuvo L.J.; Auvinen, Anssi

doi:10.1080/21681805.2018.1505944

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…[ 15 ] In the population based studies, up to 0.7% of the young men have been noted to need an alpha-adrenergic antagonist for the voiding symptoms. [ 16 ] Literature suggests that one-third to half of all the men with PBNO are refractory to alpha-adrenergic blockers. [ 17 18 ] Current guidelines, such as the European Association of Urology Guidelines, recommend UDS before invasive intervention in men under the age of 50 years with a weak strength rating.…”

Section: Discussionmentioning

confidence: 99%

Urodynamics in the evaluation of lower urinary tract symptoms in young adult men: A systematic review

Singh

Mittal

Sinha³

et al. 2023

Indian J Urol

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Introduction: This review aims to systematically evaluate the available evidence on the different urodynamic diagnoses of lower urinary tract symptoms (LUTS) in young adult men aged 18–50 years and to summarize the various urodynamic parameters based on these diagnoses. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-analysis statement and the search was performed in PubMed, Embase, and Cochrane library from inception till September 2021. A total of 295 records were identified using a combination of keywords such as LUTS, urodynamics (UDS), and young males. The review was registered in PROSPERO (CRD42021214045). Results: All the ten studies, which were included in this analysis, categorised the patients into either of the four primary diagnoses after the UDS – primary bladder neck obstruction (PBNO), dysfunctional voiding, detrusor underactivity (DU), or detrusor overactivity. Five of these studies used the conventional UDS, and in the other five a video UDS was performed. The most common abnormality on the conventional UDS was DU with a pooled estimate of 0.24 (95% confidence interval [CI] - 0.104–0.463, I 2 -95.35, (τ 2 -1.07). The most common abnormality on the video UDS was PBNO with a pooled estimate of 0.49 (95% CI - 0.413–0.580, I 2 -66.59, 2 -0.09). The point estimates of various UDS parameters were also recorded. Conclusion: A urodynamic diagnosis was possible in 79% and 98% of the young men who underwent a conventional UDS or a video UDS, respectively. However, the men subjected to the conventional UDS and the video UDS had significant differences in their primary urodynamic diagnostic label. These results will help to plan future trials for the evaluation and management of LUTS in young men.

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Section: Discussionmentioning

confidence: 99%

Urodynamics in the evaluation of lower urinary tract symptoms in young adult men: A systematic review

Singh

Mittal

Sinha³

et al. 2023

Indian J Urol

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Prevalence and Risk Factors of Postmicturition Dribble in Men

Liu,

Ko,

2023

Urological Science

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Purpose: We investigated postmicturition dribble (PMD) prevalence rates and risk factors in men. Materials and Methods: This cross-sectional study included 1037 men aged 31–86 years who participated in a male health survey. PMD was defined by involuntary urine loss immediately after urine was passed and was scaled from 0 to 5, depending on symptom severity. A score of ≥3 was considered significant PMD. PMD prevalence was also determined by age group, and logistic regression analyses were performed to identify risk factors. Results: The mean age of participants was 55.3 ± 8.9 years. Overall, 232 (22.4%) reported significant PMD. PMD prevalence significantly increased with age (P = 0.013): it was 18.2%, 17.2%, 20.8%, 28.7%, and 30.1% in men aged 30–39, 40–49, 50–59, 60–69, and ≥70 years old, respectively. Univariate analyses revealed that age, peak flow rate (Qmax), and prostate specific antigen levels were associated with significant PMD, while in multivariate analyses, only decreased Qmax was an independent risk factor. Conclusion: PMD was identified as a common condition in men across all age groups, and its prevalence significantly increased with age. The condition correlated more with voiding symptoms when compared with storage symptoms, and was associated with decreased Qmax.

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Severity and bother of lower urinary tract symptoms among men aged 30–80 years: Tampere Ageing Male Urological Study (TAMUS)

Cited by 2 publications

References 18 publications

Urodynamics in the evaluation of lower urinary tract symptoms in young adult men: A systematic review

Urodynamics in the evaluation of lower urinary tract symptoms in young adult men: A systematic review

Prevalence and Risk Factors of Postmicturition Dribble in Men

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