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Type: Journal article
Title: Prevalence and factors associated with uncomplicated storage and voiding lower urinary tract symptoms in community-dwelling Australian men
Author: Martin, S.
Haren, M.
Marshall, V.
Lange, K.
Wittert, G.
Citation: World Journal of Urology, 2011; 29(2):179-184
Publisher: Springer-Verlag
Issue Date: 2011
ISSN: 0724-4983
Statement of
Sean A. Martin, Matthew T. Haren, Villis R. Marshall, Kylie Lange, Gary A. Wittert and Members of the Florey Adelaide Male Ageing Study
Abstract: PURPOSE: To determine the prevalence of, and associated risk factors for, voiding and storage lower urinary tract symptoms (LUTS) in a population-based sample of Australian men. METHODS: Data were collected from 1,103 men randomly selected, community-dwelling men, as part of the Florey Adelaide Male Ageing Study, after exclusion of men with prostate or bladder cancer or prior surgery to either organ. The presence of LUTS was assessed using the International Prostate Symptom Score. Urine flow was measured via flow meter. Demographic, clinical, and bio-psychosocial data were collected by questionnaire. RESULTS: The prevalence of total, storage, and voiding LUTS was 18.1, 28.0 and 12.6%, respectively. The most common storage symptoms were frequency (12.3%), nocturia (9.9%) and urgency (8.1%), and voiding symptoms were weak stream (8.5%), intermittency (5.4%), incomplete emptying (5.1%) and straining (2.4%). There were linear associations between storage LUTS and increased abdominal fat mass, plasma glucose and low HDL cholesterol (components of the metabolic syndrome), obstructive sleep apnoea (OSA) risk, and retirement. Voiding symptoms were associated with a previous diagnosis of benign prostatic enlargement (BPH), mean peak urine flow, total energy intake, elevated risk of OSA, erectile dysfunction, physician-diagnosed thyroid dysfunction and higher household income. CONCLUSIONS: The close association of storage LUTS with the metabolic syndrome, and of both storage and voiding LUTS with OSA, suggest that these conditions should be considered in men presenting with LUTS.
Keywords: Prostatism/epidemiology; urinary tract physiological phenomena; cohort studies; men’s health; Australia/epidemiology
Description: Published online: 21 October 2010
Rights: © Springer-Verlag 2010
RMID: 0020104881
DOI: 10.1007/s00345-010-0605-8
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Appears in Collections:Medicine publications

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