Int Neurourol J. 2017 Sep;21(3):197-203. doi: 10.5213/inj.1734830.415. Epub 2017 Sep 12.
Seasonal Changes in Lower Urinary Tract Symptoms in Japanese Men With Benign Prostatic Hyperplasia Treated With α.
International neurourology journal
Minoru Kobayashi, Akinori Nukui, Takao Kamai
Affiliations
Affiliations
- Department of Urology, Utsunomiya Memorial Hospital, Tochigi, Japan.
- Department of Urology, Nasu Red Cross Hospital, Tochigi, Japan.
- Department of Urology, Dokkyo Medical University, Tochigi, Japan.
PMID: 28954461
PMCID: PMC5636957 DOI: 10.5213/inj.1734830.415
Abstract
PURPOSE: To investigate whether seasonal changes occurred in lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH).
METHODS: Patients aged 50 years and older with BPH treated with α
RESULTS: A total of 164 patients were enrolled. The total IPSS and QoL index did not show a significant difference between the 2 seasons. When the IPSS was divided into storage symptoms and voiding symptoms, storage symptoms in winter were substantially but nonsignificantly higher than those in summer (P=0.056). Of the 7 individual symptoms in the IPSS, a significant seasonal difference was observed only for nocturia, with a higher score in winter. Moreover, none of the uroflowmetric parameters showed a seasonal change. Voided volume had significant correlations with each symptom (urgency and nocturia) and overall subjective scores (storage, total IPSS, and QoL) exclusively in summer, while this correlation remained only for nocturia in winter.
CONCLUSIONS: As it has generally been assumed that LUTS deteriorate in winter, the present study corroborated that the severity of storage symptoms was higher in winter than in summer, even in patients treated with α
Keywords: Adrenergic alpha-Antagonists; Lower Urinary Tract Symptoms; Prostatic Hyperplasia; Seasonal Change; Urodynamics
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