Prevalence of lower urinary tract symptoms in a community‐based survey of men in Turkey

Aki, Fazıl Tuncay; Aygün, Cem; Bilir, Nazmi; Erkan, I.; Ozen, Haluk

doi:10.1046/j.1442-2042.2003.00638.x

Cited by 22 publications

(13 citation statements)

References 18 publications

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“…In comparison, cross‐sectional community surveys and health service databases in other countries have reported prevalence rates of moderate‐to‐severe LUTS of 10% in The Netherlands (80 774 men aged ≥45 years) , 17% in Spain (1804 men aged ≥40 years) , 18% in France (2972 men aged 50–80 years) , 24% in Iran (7374 men aged ≥40 years) , 25% in Turkey (257 men aged 40–79 years) , and 25%, 42% and 46% in the USA (1050 men aged 50–79 years, 441 men aged >50 years, and 5697 aged ≥65 years, respectively) .…”

Section: Resultsmentioning

confidence: 99%

Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) – focus on the UK

et al. 2014

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Key Messages• Lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) can be bothersome and negatively impact on a patient's quality of life (QoL).• As the prevalence of LUTS/BPH increases with age, the burden on the healthcare system and society may increase due to the ageing population. This review unifies literature on the burden of LUTS/BPH on patients and society, particularly in the UK.• LUTS/BPH is associated with high personal and societal costs, both in direct medical costs and indirect losses in daily functioning, and through its negative impact on QoL for patients and partners.• LUTS/BPH is often underdiagnosed and undertreated. Men should be encouraged to seek medical advice for this condition and should not accept it as part of ageing, while clinicians should be more active in the identification and treatment of LUTS/BPH.To assess the burden of illness and unmet need arising from lower urinary tract symptoms (LUTS) presumed secondary to benign prostatic hyperplasia (BPH) from an individual patient and societal perspective with a focus on the UK. Embase, PubMed, the World Health Organization, the Cochrane Database of Systematic Reviews and the York Centre for Reviews and Dissemination were searched to identify studies on the epidemiological, humanistic or economic burden of LUTS/BPH published in English between October 2001 and January 2013. Data were extracted and the quality of the studies was assessed for inclusion. UK data were reported; in the absence of UK data, European and USA data were provided. In all, 374 abstracts were identified, 104 full papers were assessed and 33 papers met the inclusion criteria and were included in the review. An additional paper was included in the review upon a revision in 2014. The papers show that LUTS are common in the UK, affecting ≈3% of men aged 45-49 years, rising to >30% in men aged ≥85 years. European and USA studies have reported the major impact of LUTS on quality of life of the patient and their partner. LUTS are associated with high personal and societal costs, both in direct medical costs and indirect losses in daily functioning. While treatment costs in the UK are relatively low compared with other countries, the burden on health services is still substantial. LUTS associated with BPH is a highly impactful condition that is often undertreated. LUTS/BPH have a major impact on men, their families, health services and society. Men with LUTS secondary to BPH should not simply accept their symptoms as part of ageing, but should be encouraged to consult their physicians if they have bothersome symptoms.

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Section: Resultsmentioning

confidence: 99%

Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) – focus on the UK

et al. 2014

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“…These assessments are also valid for Turkey, and there have been a few studies regarding the prevalence of UI only in women . Furthermore, only one study investigated the prevalence of LUTS in men aged ≥40 years, and no studies were carried out to investigate the prevalence of OAB . Therefore, the objective of the present study was to estimate the population‐based prevalence of LUTS, OAB and UI among men and women aged ≥18 years in western Turkey using validated questionnaires and current ICS definitions.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of lower urinary tract symptoms, overactive bladder and urinary incontinence in western Turkey: Results of a population‐based survey

et al. 2014

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Objective: To estimate the prevalence of lower urinary tract symptoms, urinary incontinence and overactive bladder in western Turkey. Method: This cross-sectional, population-based survey was carried out between May and October 2012. A random sample of 2128 women and men aged ≥18 years was selected from the health registries. A questionnaire including sociodemographic data, comorbid conditions, lower urinary tract symptoms, overactive bladder and urinary incontinence symptoms, body mass index, vital signs, and dipstick urinalysis was developed. The questions were answered by the participants, and remaining data were provided by the site staff. International Continence Society definitions were used. Results: A total of 1571 (74%) individuals agreed to participate, and analysis were carried out on 1555 people (636 men [40.9%] and 919 women [59.1%]) after 16 individuals with a nitrite-positive dipstick test were excluded. Lower urinary tract symptoms were reported by 71.0% of the study population. The prevalence of storage, voiding and post-micturition symptoms were 56.1% (44.2% men, 64.1% women), 39.3% (40.9% men, 37.8% women) and 30.7% (38.6% men, 28.7% women), respectively. The most prevalent storage symptom was urgency, which was reported by 29.3% of the study population (20.1% men, 35.6% women). The prevalence of urge, stress and mixed urinary incontinence were: 6.5% (3.9% men, 8.2% women), 14.1% (3.9% men, 21.2% women) and 5.6% (0.8% men, 9.0% women), respectively. Conclusion: The present study is the first and largest population-based survey evaluating the prevalence of lower urinary tract symptoms, urinary incontinence and overactive bladder in Turkey. Our findings show these symptoms are highly prevalent in western Turkey.

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“…The prevalence of BPH in a slightly older population of 33 077 men in France aged 55–70 years consulting their GP was 57.5%[13]. Studies of BPH prevalence conducted in Tunisia [14], Iran [15], Turkey [16] and Italy [17] have reported prevalence rates of LUTS attributed to BPH of 16.1%, 22.4%, 24.9% and 19%, respectively.…”

Section: Introductionmentioning

confidence: 99%

Implications of recent epidemiology studies for the clinical management of lower urinary tract symptoms

et al. 2009

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and bother of LUTS and treatment-seeking behaviour. Examining the clinical implications of these findings might provide directions to physicians for managing their patients with LUTS. For example, common findings of separate patient groups spanning a spectrum from those with typically one urinary symptom of mild to moderate severity to those with multiple more severe LUTS and frequent comorbidities might further encourage the diagnosis and treatment of comorbid conditions as a standard part of the management of patients with LUTS. Likewise, understanding that the impact of LUTS on HRQL and the degree of bother, rather than the frequency of LUTS, are significant drivers for treatment seeking might aid in assisting patients to make decisions about treatment. KEYWORDS LUTS, epidemiology, prevalence, sexual dysfunction, comorbidities, clinical managementLower urinary tract symptoms (LUTS) include storage, voiding, and postmicturition symptoms, and occur commonly in both men and women. Findings from two recent epidemiological studies, the Epidemiology of LUTS study and the Boston Area Community Health survey, further extend the understanding of the prevalence of individual LUTS, the overlap of LUTS in men and women, the associations of LUTS with other comorbid conditions, the impact of LUTS on health-related quality of life (HRQL), and the relationships between frequency

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Prevalence of lower urinary tract symptoms in a community‐based survey of men in Turkey

Abstract: The prevalence of LUTS in the Turkish community is fairly high, it increases with age and has an impact on QOL that is not negligible.

Cited by 22 publications

References 18 publications

Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) – focus on the UK

Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) – focus on the UK

Prevalence of lower urinary tract symptoms, overactive bladder and urinary incontinence in western Turkey: Results of a population‐based survey

Implications of recent epidemiology studies for the clinical management of lower urinary tract symptoms

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