Symptom prevalence, bother, and treatment satisfaction in men with lower urinary tract symptoms in Southeast Asia: a multinational, cross-sectional survey

The overall objective of the survey was to systematically examine patients' perspectives on lower urinary tract symptoms (LUTS) and their treatment in Southeast Asia.

A multinational cross-sectional survey involving adult men seeking consultation at urology outpatient clinics because of LUTS in Southeast Asia was conducted using convenience sampling.

Self-reported prevalence, bother, treatment and treatment satisfaction of selected LUTS including urgency, nocturia, slow stream, and post-micturition dribble were evaluated.

In total, 1535 eligible patients were enrolled in the survey. A majority of respondents were aged 56-75 years, not employed, and had not undergone prostate operation before. Overall, the self-reported prevalence of nocturia was 88% (95% CI 86-90%), slow stream 61% (95% CI 59-63%), post micturition dribble 55% (95% CI 52-58%), and urgency 52% (95% CI 49-55%). There were marked differences in the country specific prevalence of LUTS complaints. Frequently, symptoms coexisted and were combined with nocturia. More than half of patients felt at least some degree of bother from their symptoms: 61% for urgency, 57% for nocturia, 58% for slow stream, and 60% for post-micturition dribble. Before seeing the present urologists, nearly half of patients have received some form of prescribed treatment and more than 80% of patients indicated they would like to receive treatment.

Men who sought urologist care for LUTS often presented with multiple symptoms. Nocturia emerged as the most common symptom amongst the four core symptoms studied.

World journal of urology. 2017 Oct 19 [Epub ahead of print]

Lap-Yin Ho, Peggy Sau-Kwan Chu, David Terrence Consigliere, Zulkifli Md Zainuddin, David Bolong, Chi-Kwok Chan, Molly Eng, Dac Nhat Huynh, Wachira Kochakarn, Marie Carmela M Lapitan, Dinh Khanh Le, Quang Dung Le, Frank Lee, Bannakij Lojanapiwat, Bao-Ngoc Nguyen, Teng-Aik Ong, Buenaventura Jose Reyes, Apirak Santingamkun, Woon-Chau Tsang, Paul Abrams

Asia Clinic, Hong Kong, China. ., Division of Urology, Department of Surgery, Tuen Mun Hospital, Hong Kong, China., Department of Urology, University Surgical Cluster, National University Hospital, Singapore, Singapore., Urology Unit, Department of Surgery, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia., Department of Surgery, University of Santo Tomas Hospital, Metro Manila, Philippines., Division of Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China., Department of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore., Department of Urology, University Medical Center, Ho Chi Minh City Medicine and Pharmacy University, Ho Chi Minh, Vietnam., Division of Urology, Department of Surgery, Ramathibodi Hospital, Bangkok, Thailand., Division of Urology, Department of Surgery, University of the Philippines - Manila, Philippine General Hospital, Metro Manila, Philippines., Department of Urology, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue, Vietnam., Department of Surgery, Can Tho National General Hospital, Can Tho, Vietnam., The Princess Grace Hospital, London, UK., Department of Surgery, Chiang Mai University, Chiang Mai, Thailand., Bach Mai Hospital, Hanoi, Vietnam., Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia., St Luke's Medical Centre, Manila, Philippines., Chulalongkorn University, Bangkok, Thailand., Bristol Urological Institute, Southmead Hospital, Bristol, UK.