Urologia Internationalis
Original Paper
Comparative Study of International Prostate Symptom Scores and Urodynamic Parameters in Men and Women with Lower Urinary Tract SymptomsOn S.-J. · Ku J.H.Department of Urology, Seoul National University College of Medicine, Seoul, Korea
|
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Received: July 27, 2005
Accepted: November 28, 2005
Published online: May 05, 2006
Issue release date: May 2006
Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 4
ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)
For additional information: https://www.karger.com/UIN
Abstract
Background: We compared urinary symptoms and urodynamic parameters in men and women with lower urinary tract symptoms. Methods: A total of 164 individuals (76 men and 88 women) were rated according to the International Prostate Symptom Score and underwent a detailed urodynamic investigation. Patients were stratified by age into 2 groups, namely, those <50 years (the younger group) and those >50 years (the elderly group). Results: In the elderly group, scores of voiding symptoms for men were higher than those for women (p = 0.012). Maximum flow rates (Qmax) for women were higher than those for men (p = 0.025 for the younger groups, and p < 0.001 for the elderly groups). Detrusor pressure at Qmax (p < 0.001), opening pressure (p < 0.001) and closing pressure (p = 0.023) were elevated in elderly men vs. in elderly women. A multiple linear regression analysis identified straining (β = 0.479, p < 0.05) and incomplete emptying (β = 0.487, p < 0.05) as the only variables influencing quality of life (QOL) in younger men and women, respectively. In elderly men, nocturia (β = 0.352, p < 0.05) and frequency (β = 0.287, p < 0.05) were significantly associated with QOL. Frequency (β = 0.452, p < 0.05) possibly explained a QOL reduction in elderly women. Conclusions: Our findings suggest that in the elderly patients, storage symptoms are more associated with QOL than voiding symptoms. However, storage symptoms were not associated with QOL in younger men.
© 2006 S. Karger AG, Basel
Related Articles:
References
- Hampel C, Wienhold D, Benken N, Eggersmann C, Thuroff JW: Definition of overactive bladder and epidemiology of urinary incontinence. Urology 1997;50(suppl 6A):4–14.
-
Homma Y, Imajo C, Takahashi S, Kawabe K, Aso Y: Urinary symptoms and urodynamics in a normal elderly population. Scand J Urol Nephrol 1994;157(suppl):27–30.
- Chai TC, Belville WD, McGuire EJ, Nyquist L: Specificity of the American Urological Association voiding symptom index: comparison of unselected and selected samples of both sexes. J Urol 1993;150:1710–1713.
- Chancellor MB, Rivas DA: American Urological Association symptom index for women with voiding symptoms: lack of index specificity for benign prostatic hyperplasia. J Urol 1993;150:1706–1709.
- Lepor H, Machi G: Comparison of AUA symptom index in unselected males and females between fifty-five and seventy-nine years of age. Urology 1993;42:36–41.
- Terai A, Matsui Y, Ichioka K, Ohara H, Terada N, Yoshimura K: Comparative analysis of lower urinary tract symptoms and bother in both sexes. Urology 2004;63:487–491.
- Madersbacher S, Pycha A, Klingler CH, Schatzl G, Marberger M: The International Prostate Symptom Score in both sexes: a urodynamics-based comparison. Neurourol Urodyn 1999;18:173–182.
- Abrams P, Cardozo L, Fall M, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A: The standardization of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Neurourol Urodyn 2002;21:167–178.
- Andersson KE: Storage and voiding symptoms: pathophysiologic aspects. Urology 2003;62(suppl 5B):3–10.
- Yang JM, Huang WC: Implications of abdominal straining in women with lower urinary tract symptoms. Urology 2002;60:428–433.
- Digesu GA, Hutchings A, Salvatore S, Selvaggi L, Milani R, Khullar V: Pressure flow study: a useful diagnostic test of female lower urinary tract symptoms. Neurourol Urodyn 2004;23:104–108.
- Lepor H, Sunaryadi I, Hartanto V, Shapiro E: Quantitative morphometry of the adult human bladder. J Urol 1992;148:414–417.
-
van Mastrigt R: Age dependence of urinary bladder contractility. Neurourol Urodyn 1992;11:315–317.
External Resources
- Kakizaki H, Matsuura S, Mitsui T, Ameda K, Tanaka H, Koyanagi T: Questionnaire analysis on sex difference in lower urinary tract symptoms. Urology 2002;59:58–62.
- Djavan B: Lower urinary tract symptoms/benign prostatic hyperplasia: fast control of the patient’s quality of life. Urology 2003;62(suppl 3):6–14.
- Ku JH, Kim ME, Jeon YS, Lee NK, Park YH: Impact of urinary symptoms on bothersomeness and quality of life in young men. Urology 2002;60:442–448.
- Witjes WP, de la Rosette JJ, Donovan JL, Peters TJ, Abrams P, Kay HE, Hofner K, Kinn AC, Walter S: The International Continence Society ‘Benign Prostatic Hyperplasia’ Study: international differences in lower urinary tract symptoms and related bother. J Urol 1997;157:1295–1300.
Article / Publication Details
Received: July 27, 2005
Accepted: November 28, 2005
Published online: May 05, 2006
Issue release date: May 2006
Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 4
ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)
For additional information: https://www.karger.com/UIN
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Get Permission
PubMed ID
