Urgency and other lower urinary tract symptoms in men aged ≥ 40 years: a Belgian epidemiological survey using the ICIQ‐MLUTS questionnaire. Issue 3 (4th February 2015)

• Record Type: Journal Article
• Authors: De Ridder, D.; Roumeguère, T.; Kaufman, L.
• Is Part Of: International journal of clinical practice. Volume 69:Issue 3(2015)
• Page Start: 358
• Page End: 365
• Publication Date: 2015-02-04
• Subjects: Clinical medicine -- Periodicals; Medicine -- Periodicals; 610.5
• DOI: 10.1111/ijcp.12541
• Languages: English
• ISSNs: 1368-5031

Abstract

<abstract abstract-type="main" id="ijcp12541-abs-0001"> <title>Summary</title> <sec id="ijcp12541-sec-0001" sec-type="section"> <title>Background and Aims</title> <p>The aim of this study was to assess prevalence and associated bother of male lower urinary tract symptoms (LUTS), especially of urgency and other storage symptoms, since these are generally assumed to be underdiagnosed/undertreated in men.</p> </sec> <sec id="ijcp12541-sec-0002" sec-type="section"> <title>Methods</title> <p>Data on bladder condition of men ≥ 40 years were prospectively collected by 124 general practitioners (GPs) during a regular visit for any reason, using the validated ICIQ‐MLUTS questionnaire. For 13 symptoms, prevalence (scale 0–4) and bother (scale 0–10) were scored. General bladder‐related quality of life (scale 0–3) was also assessed.</p> </sec> <sec id="ijcp12541-sec-0003" sec-type="section"> <title>Results</title> <p>Data from 5890 men (mean age: 61.2 years) were analysed. A total of 7.7% had urgency most or all of the time (score ≥ 3) and 6.2% had bothersome urgency (score ≥ 3 + bother score ≥ 5). Nocturia (69.2%) and urgency (58.3%) were the most prevalent and bothersome symptoms. Both prevalence and bother of all LUTS increased with age. Additionally, 28.9% of men reported to be a little bothered by their bladder condition in everyday life, while 11.9% were bothered a lot/very much (2.5% in age group 40–49 years increasing to 29.2% in those > 80 years).</p> </sec> <sec id="ijcp12541-sec-0004" sec-type="section"> <title>Conclusions</title> <p>In the general population of men ≥ 40 years who visited a GP for any reason, 41% indicated to be at least a little bothered by their bladder condition. The prevalence of LUTS, especially nocturia and urgency, is high and a significant number of men indicated to be seriously bothered. Increasing awareness of male LUTS, and storage symptoms in particular, is warranted to discuss management options that could increase quality of life.</p> </sec> </abstract>