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Int Neurourol J. 2014 Jun;18(2):86-90. doi: 10.5213/inj.2014.18.2.86. Epub 2014 Jun 26.

Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting.

International neurourology journal

Eduardo de Paula Miranda, Cristiano Mendes Gomes, Fábio César Miranda Torricelli, José de Bessa, José Everton de Castro, Bruno Roberto da Silva Ferreira, Ariel Gustavo Scafuri, Homero Bruschini, Miguel Srougi

Affiliations

  1. Division of Urology, Hospital das Clinicas, University of Sao Paulo Medical School, Sao Paulo, Brazil.
  2. Federal University of Ceara School of Medicine, Fortaleza, Brazil.

PMID: 24987561 PMCID: PMC4076485 DOI: 10.5213/inj.2014.18.2.86

Abstract

PURPOSE: Lower urinary tract symptoms are numerous, but the specific impact of each of these symptoms on the quality of life (QoL) has not been evaluated in community-dwelling men. An assessment of these symptoms and their effects on QoL was the focus of this study.

METHODS: We performed a cross-sectional study with 373 men aged >50 years from a community setting. Patients completed the International Prostate Symptom Score questionnaire, which includes questions on each of the specific urinary symptoms and a question addressing health-related QoL that are graded from 0 to 5. We used the Pearson correlation test to assess the impact of each symptom on QoL.

RESULTS: Nocturia (58.9%) was the most prevalent urinary symptom. The mean score was 0.9±1.4 for incomplete emptying, 1.0±1.5 for frequency, 0.9±1.3 for intermittency, 0.8±1.3 for urgency, 1.0±1.5 for weak stream, 0.5±1.0 for straining, and 2.0±1.6 for nocturia. Nocturia and frequency were the only symptoms associated with poorer QoL, with nocturia showing a stronger association.

CONCLUSIONS: Nocturia affects 50% of community dwelling men aged >50 years, and is the lower urinary tract symptom with the greatest negative impact on QoL.

Keywords: Epidemiology; Lower urinary tract symptoms; Nocturia; Prostatic hyperplasia; Quality of life

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