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Assessment of lower urinary tract symptoms in Saudi men using the International Prostate Symptoms Score.

Arafa MA, Farhat K, Aqdas S, Al-Atawi M, Rabah DM - Urol Ann (2015 Apr-Jun)

Bottom Line: Saudi men over the age of 40 were invited to participate in the study; in Riyadh city from August 2012 through March 2013.Based on the IPSS, a subdivision of men into three symptoms classes has been proposed, resulting in groups with mild (1265, 58.3%), moderate (505, 27.3%), and severe symptoms (81, 4.4%) and the prevalence of moderate to severe was 31.7%.Severity of symptoms is increasing with increased age.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Urology, Uro-Oncology Research Chair, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia.

ABSTRACT

Background: Benign prostatic hyperplasia-related lower urinary tract symptoms (LUTS) are common among older men, the incidence and prevalence are increasing rapidly, and they are associated with diminished health-related quality-of-life (QOL).

Objective: The aim was to describe the prevalence of LUTS in Saudi population and its relation to some other parameters.

Subjects and methods: Saudi men over the age of 40 were invited to participate in the study; in Riyadh city from August 2012 through March 2013. All participants were assessed for the serum level of prostate-specific antigen (PSA) and digital rectal examination. Participants were given a linguistically validated Arabic version of the International Prostate Symptom Score (IPSS). Demographic and other medical comorbidities were assessed.

Results: Based on the IPSS, a subdivision of men into three symptoms classes has been proposed, resulting in groups with mild (1265, 58.3%), moderate (505, 27.3%), and severe symptoms (81, 4.4%) and the prevalence of moderate to severe was 31.7%. There was a weak, but significant correlation between the total IPSS and age, total prostate volume, and PSA. Severity of symptoms is increasing with increased age. Multiple regression analysis reported that prostate volume and all individual items of IPSS except straining were significant predictors of QOL and patient satisfaction, where frequency and incomplete emptying had the heaviest impact on patient's QOL.

Conclusion: LUTS were common among men in Saudi population over 40, the prevalence increases with age and most of them were unpleased because of their urinary symptoms, poor QOL was mainly determined by individual symptoms; mainly frequency and incomplete emptying.

No MeSH data available.


Related in: MedlinePlus

Scores of different lower urinary tract symptoms across age categories
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Figure 1: Scores of different lower urinary tract symptoms across age categories

Mentions: The distribution of the mean scores of the seven individual symptoms of the IPSS across different age categories was reported in Figure 1. There was a statistical significant difference between age categories with regards to the seven individual symptoms, except straining (P = 0.000). The mean distribution for incomplete emptying, frequency, and intermittency was highest for the age group >70 years and <50 years, while, for urgency, weak stream and nocturia, the highest means were for the elder age groups (>60 years).


Assessment of lower urinary tract symptoms in Saudi men using the International Prostate Symptoms Score.

Arafa MA, Farhat K, Aqdas S, Al-Atawi M, Rabah DM - Urol Ann (2015 Apr-Jun)

Scores of different lower urinary tract symptoms across age categories
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374262&req=5

Figure 1: Scores of different lower urinary tract symptoms across age categories
Mentions: The distribution of the mean scores of the seven individual symptoms of the IPSS across different age categories was reported in Figure 1. There was a statistical significant difference between age categories with regards to the seven individual symptoms, except straining (P = 0.000). The mean distribution for incomplete emptying, frequency, and intermittency was highest for the age group >70 years and <50 years, while, for urgency, weak stream and nocturia, the highest means were for the elder age groups (>60 years).

Bottom Line: Saudi men over the age of 40 were invited to participate in the study; in Riyadh city from August 2012 through March 2013.Based on the IPSS, a subdivision of men into three symptoms classes has been proposed, resulting in groups with mild (1265, 58.3%), moderate (505, 27.3%), and severe symptoms (81, 4.4%) and the prevalence of moderate to severe was 31.7%.Severity of symptoms is increasing with increased age.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Urology, Uro-Oncology Research Chair, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia.

ABSTRACT

Background: Benign prostatic hyperplasia-related lower urinary tract symptoms (LUTS) are common among older men, the incidence and prevalence are increasing rapidly, and they are associated with diminished health-related quality-of-life (QOL).

Objective: The aim was to describe the prevalence of LUTS in Saudi population and its relation to some other parameters.

Subjects and methods: Saudi men over the age of 40 were invited to participate in the study; in Riyadh city from August 2012 through March 2013. All participants were assessed for the serum level of prostate-specific antigen (PSA) and digital rectal examination. Participants were given a linguistically validated Arabic version of the International Prostate Symptom Score (IPSS). Demographic and other medical comorbidities were assessed.

Results: Based on the IPSS, a subdivision of men into three symptoms classes has been proposed, resulting in groups with mild (1265, 58.3%), moderate (505, 27.3%), and severe symptoms (81, 4.4%) and the prevalence of moderate to severe was 31.7%. There was a weak, but significant correlation between the total IPSS and age, total prostate volume, and PSA. Severity of symptoms is increasing with increased age. Multiple regression analysis reported that prostate volume and all individual items of IPSS except straining were significant predictors of QOL and patient satisfaction, where frequency and incomplete emptying had the heaviest impact on patient's QOL.

Conclusion: LUTS were common among men in Saudi population over 40, the prevalence increases with age and most of them were unpleased because of their urinary symptoms, poor QOL was mainly determined by individual symptoms; mainly frequency and incomplete emptying.

No MeSH data available.


Related in: MedlinePlus