Survey of Overactive Bladder Symptoms Influencing Bother Before and After Treatment With Tamsulosin Hydrochloride in Japanese Patients With Benign Prostatic Hyperplasia

Tsujimura, Akira; Takao, Tetsuya; Miyagawa, Yasushi; Okuda, Hidenobu; Yamamoto, Keisuke; Fukuhara, Shinichiro; Nakayama, Jiro; Ueda, Tomohiro; Kiuchi, Hiroshi; Hirai, Toshiaki; Tsujimoto, Yuichi; Miura, Hidenobu; Kanno, Nobuteru; Higashino, Makoto; Nakamura, Yoshihiro; Nishimura, Kenji; Nonomura, Norio

doi:10.1016/j.urology.2011.05.032

Cited by 12 publications

(10 citation statements)

References 27 publications

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“…The OAB questionnaire was used for the evaluation of OAB in the previous study, which assessed the impact of OAB symptoms on health‐related quality of life . We used the OABSS, for which we have reported several findings in male OAB patients with BPH and sleep apnea syndrome . The OABSS does not attach a high value to health‐related quality of life, unlike the OAB questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Finger taps and constipation are closely related to symptoms of overactive bladder in male patients with Parkinson's disease

et al. 2013

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Abbreviations & AcronymsObjectives: To assess which motor and non-motor symptoms are closely related to overactive bladder severity in male patients with Parkinson's disease. Methods: A total of 160 male patients (mean age 71.4 ± 8.2 years) diagnosed with Parkinson's disease were included in the present study at Osaka University and affiliated hospitals. The severity of Parkinson's disease was classified as stage 3, 4 or 5 based on the Hoehn and Yahr staging system. Disease duration was 8.9 ± 5.1 years. Age, seven items from the Unified Parkinson's Disease Rating Scale motor section part III and three non-motor symptoms were assessed by multivariate analysis for their impact on the overactive bladder symptom score, a specific questionnaire for overactive bladder. Results: Overactive bladder symptom score was significantly higher in the group with severe motor symptoms related to finger taps and gait than in the group with mild motor symptoms related to these two factors. Furthermore, overactive bladder symptom score of patients with erectile dysfunction and constipation was significantly higher than that in patients without these symptoms. Multivariate analysis identified only finger taps and constipation as factors independently associated with overactive bladder symptom score. Conclusions: Although a study on a larger scale is required to further assess the association of Parkinson's disease symptoms with overactive bladder symptom score, information on finger taps and severity of constipation should be obtained when assessing urological patients with Parkinson's disease.

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Section: Discussionmentioning

confidence: 99%

Finger taps and constipation are closely related to symptoms of overactive bladder in male patients with Parkinson's disease

et al. 2013

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“…Therefore, if a patient with BPH receives appropriate treatment for BOO, his OAB symptoms are expected to improve. Prior studies reported that medical treatment, such as with an alpha-blocker or 5-alpha-reductase inhibitor, and surgical treatment via transurethral resection of prostate (TURP) both significantly improve voiding symptoms as well as BPH-induced OAB symptoms [567]. …”

Section: Introductionmentioning

confidence: 99%

Predictors of urgency improvement after Holmium laser enucleation of the prostate in men with benign prostatic hyperplasia

Hur

Kim

et al. 2016

Investig Clin Urol

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PurposeTo investigate the change in urinary urgency and predictors of urgency improvement after holmium laser enucleation of the prostate (HoLEP) in men with benign prostatic hyperplasia (BPH).Materials and MethodsWe retrospectively analyzed the medical records of patients who were treated with HoLEP for BPH and had preoperative urgency measuring ≥3 on a 5-point urinary sensation scale. Those with prostate cancer diagnosed prior to or after HoLEP, a history of other prostatic and/or urethral surgery, moderate to severe postoperative complications, and neurogenic causes were excluded. Patients who had improved urgency with antimuscarinic medication after HoLEP were excluded. We divided the patients into 2 groups based on urgency symptoms 3 months after HoLEP: improved and unimproved urgency. Improved urgency was defined as a reduction of 2 or more points on the 5-point urinary sensation scale. Preoperative clinical and urodynamic factors as well as perioperative factors were compared between groups.ResultsIn total, 139 patients were included in this study. Voiding parameters in all patients improved significantly after HoLEP. Seventy-one patients (51.1%) had improved urgency, while 68 (48.9%) did not show any improvement. A history of acute urinary retention (AUR) and postvoid residual were associated with postoperative urgency improvement in univariate analysis. In multivariate analysis, a history of AUR was an independent factor affecting urgency improvement.ConclusionsA preoperative history of AUR could influence the change in urgency after HoLEP surgery in patients with BPH.

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“…When assessing LUTS in patients, it is essential to use validated questionnaires, such as the IPSS, the OABSS and the QOL index. [1][2][3][4] However, as LUTS comprise various urinary symptoms with diverse basal conditions, the aforementioned questionnaires cannot cover the condition's entire spectrum. 5 To solve this problem, Homma et al developed the CLSS questionnaire, which includes questions regarding 10 important symptoms selected from 25 symptoms defined by the International Continence Society standardization committee: daytime frequency, nocturia, urgency, urgency incontinence, stress incontinence, slow stream, straining, incomplete emptying, bladder pain and urethral pain.…”

Section: Introductionmentioning

confidence: 99%

Evaluation and validation of the Core Lower Urinary Tract Symptom Score as an outcome assessment tool for the treatment of benign prostatic hyperplasia: Effects of the α1‐adrenoreceptor antagonist silodosin

et al. 2013

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Abbreviations & AcronymsAbstract: We investigated the Core Lower Urinary Tract Symptom Score as an outcome assessment tool for the treatment of lower urinary tract symptoms using silodosin. In addition, the ability of the Core Lower Urinary Tract Symptom Score to detect overactive bladder in male patients with lower urinary tract symptoms was examined. The present study included 241 males with benign prostatic hyperplasia treated at 31 medical facilities between June 2009 and December 2010. All patients were given silodosin, and the effects of silodosin intake were measured using four questionnaires: the Core Lower Urinary Tract Symptom Score, International Prostate Symptom Score, Overactive Bladder Symptom Score and Quality-of-Life index. The efficacy of silodosin for treating lower urinary tract symptoms was validated according to the total scores of all four questionnaires weighted equally (P < 0.05). Spearman's ρ among the Core Lower Urinary Tract Symptom Score, International Prostate Symptom Score and Overactive Bladder Symptom Score showed a mild-high correlation. However, the correlation between the baseline values of the Core Lower Urinary Tract Symptom Score and Quality-of-Life index was low in the groups with benign prostatic hyperplasia (ρ = 0.314) and benign prostatic hyperplasia/overactive bladder (ρ = 0.244). Our findings showed the Core Lower Urinary Tract Symptom Score, both its total score and each subscore, is able to show the efficacy of silodosin, similar to other questionnaires. The Core Lower Urinary Tract Symptom Score is also useful for identifying overactive bladder symptoms in patients with benign prostatic hyperplasia. As the Core Lower Urinary Tract Symptom Score does not correlate well with the Quality-of-Life index, these two questionnaires might be better used in combination to assess treatment outcomes.

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Survey of Overactive Bladder Symptoms Influencing Bother Before and After Treatment With Tamsulosin Hydrochloride in Japanese Patients With Benign Prostatic Hyperplasia

Cited by 12 publications

References 27 publications

Finger taps and constipation are closely related to symptoms of overactive bladder in male patients with Parkinson's disease

Finger taps and constipation are closely related to symptoms of overactive bladder in male patients with Parkinson's disease

Predictors of urgency improvement after Holmium laser enucleation of the prostate in men with benign prostatic hyperplasia

Evaluation and validation of the Core Lower Urinary Tract Symptom Score as an outcome assessment tool for the treatment of benign prostatic hyperplasia: Effects of the α1‐adrenoreceptor antagonist silodosin

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