Association between the self-perception period of lower urinary tract symptoms and the International Prostate Symptom Score

Urol Int. 2012;88(4):431-7. doi: 10.1159/000334913. Epub 2012 Mar 8.

Abstract

Objectives: The timing of visiting a hospital after self-perception of lower urinary tract symptoms (LUTS) is different between individuals. The association between the self-perception period (S-PP) of LUTS and the progression of LUTS has seldom been documented. The aim of this study was to investigate the association between the S-PP of LUTS and the International Prostate Symptom Score (IPSS).

Subjects and methods: This was a cross-sectional study comprising 267 men aged 40 years and older who participated in a prostate examination survey between February and May 2009. Survey questionnaires included items on the IPSS, the S-PPs of seven individual LUTSs assessed in the IPSS.

Results: The S-PP of LUTS became significantly longer as the severity of LUTS increased. Of the seven symptoms, a weak urinary stream and nocturia showed longer S-PPs than others. Partial correlation between the S-PP and IPSS showed a statistically significant positive correlation. Linear regression analysis showed a statistically significant relationship that unstandardized coefficients included 0.051 and 0.005 for IPSS and quality of life.

Conclusions: These findings suggest that the S-PP is an independent risk factor for LUTS progression. S-PPs have to be considered for treatment or prevention of LUTS.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Analysis of Variance
  • Cross-Sectional Studies
  • Disease Progression
  • Humans
  • Linear Models
  • Lower Urinary Tract Symptoms / diagnosis*
  • Lower Urinary Tract Symptoms / epidemiology
  • Lower Urinary Tract Symptoms / physiopathology
  • Lower Urinary Tract Symptoms / psychology
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prevalence
  • Prostatic Hyperplasia / diagnosis*
  • Prostatic Hyperplasia / epidemiology
  • Prostatic Hyperplasia / physiopathology
  • Prostatic Hyperplasia / psychology
  • Republic of Korea
  • Risk Assessment
  • Risk Factors
  • Self Concept*
  • Severity of Illness Index
  • Surveys and Questionnaires*
  • Time Factors
  • Urinary Bladder / physiopathology*
  • Urodynamics