Prevalence of storage lower urinary tract symptoms in male patients attending Spanish urology office. Urinary urgency as predictor of quality of life

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• 作者：J. Cambronero Santos^a ; ^{javicambro@yahoo.es} ; C. Errando Smet^b
• 关键词：Lower urinary tract symptoms ; Filling-type LUTS ; Urinary urgency ; Quality of life
• 刊名：Actas Urológicas Españolas (English Edition)
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：40
• 期：10
• 页码：621-627
• 全文大小：1157 K
• 卷排序：40

文摘

The study sought to determine the symptomatic profile of men with lower urinary tract symptoms (LUTS) who visited a urology clinic in Spain and its impact on their health-related quality of life (HRQL).Materials and methodsA national, epidemiological cross-sectional study was conducted and included 291 urology clinics. The prevalence of storage LUTS was investigated in 25,482 men. The study collected sociodemographic and clinical data from a subgroup of 1015 patients with storage LUTS who filled out the International Prostate Symptom Score (IPSS), Overactive Bladder Questionnaire Short Form (OABq-SF) and Patient Perception of Bladder Condition (PPBC) questionnaires. The impact of urinary urgency on HRQL was analyzed.ResultsThe prevalence of storage LUTS was 41%, increasing with age: 14.1%, 41.5% and 60.8% for patients aged 18–49, 50–64 and ≥65 years, respectively. Of the 1015 selected patients, only 2.6% had storage symptoms exclusively. Symptom severity (IPSS) increased with age. Nocturia, frequency and urgency were the most common symptoms and had the most impact on HRQL (IPSS and OABq-SF). The number of urgency episodes was inversely correlated with the HRQL (r = −0.773; p < 0.0001). In the multivariate analysis, only the IPSS and OABq-SF bother scores were significant predictors of HRQL (p < 0.001).ConclusionStorage LUTS are highly prevalent among patients attending urology clinics in Spain. The severity of the urgency (number of urgency episodes) predicted a poorer quality of life for the patient.