LOWER URINARY TRACT SYMPTOMS

FREQUENCY IN MEN AGED 40 OR ABOVE

Abstract

Introduction: Lower urinary tract symptoms are one of the commonest
presentation in urology clinics. Lower Urinary tract symptoms include storage symptoms
(frequency, urgency, urge incontinency and nocturia), voiding symptoms (hesitancy, dysuria,
intermittency, poor stream of urine, terminal dribbling and residual urine sensation). Correct
determination of prevalence of LUTS might help the health service provider to plan appropriate
management strategies. So this study was designed to determine frequency of LUTS in men
aged 40 or above. Study Design: Descriptive, cross sectional study. Period: January 2015
to December 2015. Setting: Urology Department of Bahawal Victoria Hospital, Bahawalpur.
Materials & Methods: Total 228 patients of 40-80 years of age with lower urinary tract symptoms
were included. Patients with foleys in situ, previously operated for urinary tract disease, urinary
tract stones and urinary bladder mass were excluded. These patients were assessed to
determine frequency of lower urinary tract symptoms. Results: Mean age was 65.69 ± 7.91
years. Mean duration of disease was 5.36 ± 2.19 months. Frequency of LUTS was seen in 138
(60.53%) men with urgency in 22.81%, nocturia in 57.89%, frequency in 19.30%, poor stream
in 15.79%, incomplete emptying of bladder in 33.33%, urge incontinence in 22.81%, terminal
dribbling in 55.26% and hesitancy in 15.16% men. Conclusion: This study concluded that
the frequency of lower urinary tract symptoms were urgency in 22.81%, nocturia in 57.89%,
frequency in 19.30%, poor stream in 15.79%, incomplete emptying of bladder in 33.33%, urge
incontinence in 22.81%, terminal dribbling in 55.26% and hesitancy in 15.16% patients of age
≥40 years with nocturia being the most common symptom and frequency of all symptoms
increases with age.