OBJECTIVES: Following current European Guidelines, Lower Urinary Tract Symptoms (LUTS) are produced by several causes and, thus, thorough clinical assessment should be undertaken for a correct therapeutic management. This study was conducted in order to assess the symptoms profile and their impact on Health-Related Quality of Life (HRQL) of male patients attending urology outpatient clinics. MATERIAL AND METHODS: Epidemiological, cross-sectional study including adult male patients (n=826) presenting with at least one de novo previously untreated LUTS. Socio-demographic and clinical variables were collected. Patients completed IPSS, Bladder Control Self-Assessment Questionnaire (B-SAQ) and SF-12 questionnaires. RESULTS: Mean age (SD) was 65 (10) years. A combination of storage, voiding and post-micturition symptoms were present in 69% of subjects and 30% showed >2 urgency episodes and >6 micturitions daily (storage symptoms -SS- sub-population). Storage symptoms were the reason for consultation in 86%. Mean peak urinary flow (Q(max)) was 11.4 mL/s, in 44% of patients,prostate volume was 20-40 mL and 91% showed moderate or severe symptoms on IPSS with an overall mean (SD) score of 17 (7). SS sub-population had higher B-SAQ scores (6,9 vs 4,8 for symptoms; 7,8 vs 5,1 for bother), and worse HRQL (IPSS item 8). CONCLUSIONS: These findings support the importance of addressing treatment adequately according to patient profile, bothersomeness and impact on HRQL.
OBJECTIVES: Following current European Guidelines, Lower Urinary Tract Symptoms (LUTS) are produced by several causes and, thus, thorough clinical assessment should be undertaken for a correct therapeutic management. This study was conducted in order to assess the symptoms profile and their impact on Health-Related Quality of Life (HRQL) of male patients attending urology outpatient clinics. MATERIAL AND METHODS: Epidemiological, cross-sectional study including adult male patients (n=826) presenting with at least one de novo previously untreated LUTS. Socio-demographic and clinical variables were collected. Patients completed IPSS, Bladder Control Self-Assessment Questionnaire (B-SAQ) and SF-12 questionnaires. RESULTS: Mean age (SD) was 65 (10) years. A combination of storage, voiding and post-micturition symptoms were present in 69% of subjects and 30% showed >2 urgency episodes and >6 micturitions daily (storage symptoms -SS- sub-population). Storage symptoms were the reason for consultation in 86%. Mean peak urinary flow (Q(max)) was 11.4 mL/s, in 44% of patients,prostate volume was 20-40 mL and 91% showed moderate or severe symptoms on IPSS with an overall mean (SD) score of 17 (7). SS sub-population had higher B-SAQ scores (6,9 vs 4,8 for symptoms; 7,8 vs 5,1 for bother), and worse HRQL (IPSS item 8). CONCLUSIONS: These findings support the importance of addressing treatment adequately according to patient profile, bothersomeness and impact on HRQL.
Authors: Javier C Angulo; María P Calderín; Yolanda Fernández; Miriam González; Esther Gómez; Maria B Herreros; Purificación Peñasco; Manuela Zapatero; Juan F Dorado Journal: Aten Primaria Date: 2017-07-24 Impact factor: 1.137
Authors: Michael E Chua; Marie Carmela M Lapitan; Marcelino L Morales; Aristotle Bernard Maniego Roque; John Kenneth Domingo Journal: Prostate Int Date: 2014-03-30
Authors: Margarita Landeira; Ana M Mora Blázquez; Rodrigo Martins de Almeida; Patrick J O Covernton; José Medina-Polo; Antonio Alcántara Montero Journal: Int J Clin Pract Date: 2020-09-19 Impact factor: 3.149