Analyzing Why Men Seek Treatment for Lower Urinary Tract Symptoms and Factors Associated With Non-Improvement

To determine the motivating factor for why men seek urologic care and determine persistence of these symptoms and any factors that influence resolution.

Men presenting to an outpatient urology clinic with lower urinary tract symptoms (LUTS) were prospectively evaluated.

At each of two visits, surveys were administered including: the American Urological Association Symptom Index (AUA-SI), and a chief LUTS complaint (CLC) identification form (CLCIF). On the CLCIF, symptoms were considered "transient" if only seen at V1 and "persistent" if they were selected at both visits.

Sixty-five percent of the 1240 participants were able to specify a CLC. Among these, nocturia was by far the most common and was found to be persistent in 49% of cases. When comparing the groups of patients who presented with transient verses persistent nocturia, older age (p

The majority of men with LUTS can identify a predominant CLC. Of these, nocturia is the primary CLC of most men and is does not improve in almost 50% of those studied. By improving our identification of a predominant CLC and the patient factors that influence both the development and persistence of urinary symptoms, we may start to better evaluate and hopefully focus treatment on the most bothersome urinary symptom.

Urology. 2015 Aug 20 [Epub ahead of print]

Charles Welliver, Randy Sulaver, Adam Whittington, Brian T Helfand, Ömer Onur Çakır, James W Griffith, Kevin T McVary

Albany Medical College, Division of Urology, Albany, NY; Albany Stratton Veterans Affairs Hospital, Division of Urology, Albany, NY.  Southern Illinois University School of Medicine, Division of Urology, Springfield, IL. , Division of Urology, NorthShore University Health System, Evanston, IL. , Division of Urology, NorthShore University Health System, Evanston, IL. , Istanbul Bagcilar Research and Training Hospital, Department of Urology, Istanbul, Turkey. , Department of Medical Social Sciences, Northwestern University, Chicago, IL. , Southern Illinois University School of Medicine, Division of Urology, Springfield, IL.

PubMed

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