Age and gender stratified normative values for the International Prostate Symptom Score for adults aged 60 years and over

Booth, Lorna; Skelton, Dawn A.; Hagen, Suzanne; Booth, Joanne

doi:10.1002/nau.23735

Cited by 3 publications

(5 citation statements)

References 25 publications

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“…Current-and ex-smokers showed a higher prevalence of male LUTS. This phenomenon was more pronounced in the young age group (20)(21)(22)(23)(24)(25)(26)(27)(28)(29).…”

Section: Discussionmentioning

confidence: 87%

“…The cohort of the present study was relatively young in comparison to the other cross-sectional studies. Booth et al investigated a total of 503 males of ≥ 60 years of age (mean age: ≥ 65 years of age) and revealed no differences in the IPSS scores of smokers and non-smokers 21 . Furukawa et al examined 817 patients, including 514 males with type 2 diabetes mellitus and showed that no differences in mild or moderate nocturia and an inverse association with nocturia with a prevalence ratio of 0.47 22 .…”

Section: Discussionmentioning

confidence: 99%

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The impact of smoking on male lower urinary tract symptoms (LUTS)

Kawahara

Ito

Uemura

2020

Sci Rep

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Lower urinary tract symptoms (LUTS) are substantially prevalent and increase with age. Research on smoking as a risk factor for LUTS has been inconclusive. The present study examined the association between smoking habits and male LUTS in a population-based study using a web-based questionnaire. We firstly screened a total of 10,000 male participants who were selected according to the age distribution in the Japanese population in government data, in order to check smoking habits. We then performed a web-based survey to further investigate factors associated with LUTS, using the Overactive Bladder Symptom Score (OABSS), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and International Prostate Symptom Score (IPSS) questionnaire. Finally, 9042 participants (non-smokers, n = 3545; ex-smokers, n = 3060; and current-smokers, n = 2437) completed the full continence survey. Current-smokers (2.54 ± 2.73, 1.98 ± 3.57, 5.75 ± 7.02) and ex-smokers (2.80 ± 2.52, 1.81 ± 3.10, 6.58 ± 6.96) showed significantly higher OABSS total, ICIQ-SF total, and IPSS total scores than non-smokers (1.98 ± 2.40, 1.35 ± 2.90, 4.23 + -/6.33) (p: < 0.0001, < 0.0001, < 0.0001, respectively). In comparison to non-smokers, the prevalence of risk ratio for day-time frequency, nocturia, urgency urinary incontinence (UUI), OAB, and IPSS ≥ 8 were 1.2 1.2 1.4 1.5 1.5, respectively, in current-smokers and 1.3, 1.5, 1.5, 4.5, 1.8 in ex-smokers. The relative risk of OAB, nocturia, UUI, and IPSS ≥ 8 in ex- and current-smokers in comparison to non-smokers was high in the young age groups in comparison to the elderly groups. Current-smokers and ex-smokers showed a higher prevalence of male LUTS. This phenomenon was highly observed in relatively young age groups.

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“…Current-and ex-smokers showed a higher prevalence of male LUTS. This phenomenon was more pronounced in the young age group (20)(21)(22)(23)(24)(25)(26)(27)(28)(29).…”

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

The impact of smoking on male lower urinary tract symptoms (LUTS)

Kawahara

Ito

Uemura

2020

Sci Rep

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“…In the current literature, the most comprehensive population-based studies supported the validity, reliability, and sensitivity of the IPSS for assessing females with lower urinary tract symptoms [5,24]. In another population-based study, even age and gender-stratified normative values for the IPSS for older community-living females were identified [25]. Despite some influence from subject backgrounds, psychometric analysis revealed that the IPSS remains relevant for examining women as well as men [26].…”

Section: Gender Differencesmentioning

confidence: 87%

“…In contrast, the LUTS in men often reflected the development of benign prostatic obstruction or hyperplasia, which is generally slow and protracted [27]. However, a cohort study, aiming to explore age and gender stratified normative IPSS values for adults aged 60 years and older, displayed higher scores for men in the IPSS total and individual components except for the 70-74 years age group [25]. Additionally, a notable increase with a more linear trend was revealed in males.…”

Section: Gender Differencesmentioning

confidence: 95%

“…Additionally, a notable increase with a more linear trend was revealed in males. In conclusion, they proposed that men are more willing to report more symptoms than women for the majority of the IPSS questions among the older age groups [25]. In fact, one of the largest population-based survey studies solved the mystery beyond the gender-specific IPSS score issue: it was discovered that IPSS and individual component scores are higher in women younger than 49 years of age and balanced around 50-59 years of age [28].…”

Section: Gender Differencesmentioning

confidence: 99%

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Reassessing Normal Voiding Standards: A Cross-Sectional Study Based on Medical Professionals’ Evaluations with Portable Uroflowmetry and IPSS

Almas,

Dasdelen,

Seyhan

et al. 2024

JCM

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Background/Objectives: LUTS and voiding dysfunctions are prevalent in urology clinics, with uroflowmetry and IPSS as the prevailing diagnostic methods. Nevertheless, objective assessment can be constrained by age, gender, and variability in the test conditions. Portable (home) uroflowmetry addresses these limitations, allowing for more natural urinary flow recordings beyond clinic confines. This study aims to characterize spontaneous voiding patterns in healthcare professionals, exploring gender differences, variability in repeated measurements, and correlations among voiding parameters, IPSS, age, and BMI. Methods: This cross-sectional study was conducted during the SIU 43rd Congress in Istanbul using smart uroflow devices such as the Oruba Oruflow Uroflow Recorder, which were installed in public toilets. A total of 431 healthcare professionals participated by providing demographic information and completing the IPSS questionnaire. The data analysis included uroflowmetric parameters such as maximum flow rate (Qmax), average flow rate (Qave), and voided volume (VV), in addition to IPSS and demographic data to assess the possible associations with IPSS, age, BMI, and gender differences. Results: Of the participants, 76% were male and 24% female, with a higher prevalence of LUTS in women. Despite no significant gender difference in voided volume, men with lower volumes demonstrated more severe LUTS. Notably, women exhibited higher Qmax and Qave rates irrespective of their IPSS scores, contrasting with men whose flow rates declined with age and LUTS severity. In men, the total IPSS score was inversely associated with uroflowmetric performance, particularly impacting voiding symptoms over storage symptoms. Repeated measurements revealed noteworthy variability in Qmax and VV, without any influence from gender, BMI, age, or symptom severity. Conclusions: Our findings highlight the importance of gender-specific considerations in evaluating voiding complaints through uroflowmetry and IPSS. The significant variability observed in repeated uroflowmetry studies underlines the need for multiple measurements. Overall, this research emphasizes the significance of portable (home) uroflowmetry and calls for a reassessment of normal voiding standards in (non) clinical settings.

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Adults With Intellectual Disabilities and Incontinence: Assessment and Toileting Issues

Finlayson,

Skelton,

Ord

et al. 2024

J intellect Disabil Res

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BackgroundUrinary and bowel incontinence are more common in adults with intellectual disability (ID), compared to the general population. Little is known about their incontinence experiences and toileting issues. The aim was to learn about their experiences and toileting issues.MethodIncontinence and toileting issues assessment was conducted with a community‐based sample of 22 adults with ID and urinary incontinence, with or without bowel incontinence. Assessment included the IPSS, ICIQ‐UI, and POTI checklists; bladder scans; and urine sample screening for presence of a urinary tract infection.ResultsThe majority (19 adults, 86%) developed urinary incontinence during adulthood. Seven adults (32%) also experienced bowel incontinence, and constipation was the most commonly reported health condition (13 adults, 59%), other than urinary incontinence. Fifty per cent (11 adults) had been treated for a urinary tract infection within the previous 12 months.ConclusionThere is an urgent need to develop accessible and reliable incontinence assessment materials with and for adults with ID and their supporters. These assessments should pay close attention to health conditions that can cause incontinence in this group and factors associated with incontinence which are more commonly experienced by adults with ID. These factors are potentially modifiable.

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Age and gender stratified normative values for the International Prostate Symptom Score for adults aged 60 years and over

Cited by 3 publications

References 25 publications

The impact of smoking on male lower urinary tract symptoms (LUTS)

The impact of smoking on male lower urinary tract symptoms (LUTS)

Reassessing Normal Voiding Standards: A Cross-Sectional Study Based on Medical Professionals’ Evaluations with Portable Uroflowmetry and IPSS

Adults With Intellectual Disabilities and Incontinence: Assessment and Toileting Issues

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