The Prevalence of Lower Urinary Tract Symptoms in Korean Men Aged 40 Years or Older: A Population-Based Survey
2
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to evaluate the prevalence of lower urinary tract symptoms (LUTS) among Korean men aged ≥40 years. Methods: We performed a population-based, cross-sectional door-to-door survey on a geographically stratified random sample of men aged ≥40 years. All respondents were asked about the presence of individual LUTS using a questionnaire based on 2002 International Continence Society definitions. For comparison, we also defined nocturia as two or more nocturnal micturitions per night. The International Prostate Symptom Score (IPSS) questionnaire was used to assess LUTS severity. Results: Responses from 1,842 subjects were analyzed. The overall prevalence of LUTS was 83.4%. Storage LUTS (70.1%) were more prevalent than voiding (60.4%) or postmicturition LUTS (38.3%). When nocturia was defined as two or more nocturnal micturitions per night, voiding symptoms became most prevalent (storage, 39.7%; voiding, 60.4%; and postmicturition, 38.3%). More than 90% of our population described the severity of their urinary symptoms as moderate (8–19) or severe (20–35). The prevalence and severity of LUTS increased with age. Conclusions: LUTS are highly prevalent among Korean men, and its prevalence increases with age. Increased public awareness and a larger number of treatment options are needed to appropriately manage symptoms and their consequences.
Abstract
Purpose: The aim of this study was to evaluate the prevalence of lower urinary tract symptoms (LUTS) among Korean men aged ≥40 years. Methods: We performed a population-based, cross-sectional door-to-door survey on a geographically stratified random sample of men aged ≥40 years. All respondents were asked about the presence of individual LUTS using a questionnaire based on 2002 International Continence Society definitions. For comparison, we also defined nocturia as two or more nocturnal micturitions per night. The International Prostate Symptom Score (IPSS) questionnaire was used to assess LUTS severity. Results: Responses from 1,842 subjects were analyzed. The overall prevalence of LUTS was 83.4%. Storage LUTS (70.1%) were more prevalent than voiding (60.4%) or postmicturition LUTS (38.3%). When nocturia was defined as two or more nocturnal micturitions per night, voiding symptoms became most prevalent (storage, 39.7%; voiding, 60.4%; and postmicturition, 38.3%). More than 90% of our population described the severity of their urinary symptoms as moderate (8–19) or severe (20–35). The prevalence and severity of LUTS increased with age. Conclusions: LUTS are highly prevalent among Korean men, and its prevalence increases with age. Increased public awareness and a larger number of treatment options are needed to appropriately manage symptoms and their consequences.
참고문헌 (27)
- Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Neurourol Urodyn, 21, pp.167~178 (2002)
- Garraway WM, "High prevalence of benign prostatic hypertrophy in the community", Lancet, 338, pp.469~471 (1991)
- Malmsten UG, "Urinary incontinence and lower urinary tract symptoms: an epidemiological study of men aged 45 to 99 years", J Urol, 158, pp.1733~1737 (1997)
- Chong C, "The prevalence of lower urinary tract symptoms and treatment-seeking behaviour in males over 40 years in Singapore: a community-based study", Prostate Cancer Prostatic Dis, 15, pp.273~277 (2012)
- Lee YS, "Prevalence of overactive bladder, urinary incontinence, and lower urinary tract symptoms: results of Korean EPIC study", World J Urol, 29, pp.185~190 (2011)
- 조정기, "Analysis of the Risk Factors for Overactive Bladder on the Basis of a Survey in the Community", Investigative and Clinical Urology, 53(8), pp.541~546 (2012), 대한비뇨기과학회[DOI]
- Lee KS, "Prevalence of urinary incontinence in Korean women: results of a National Health Interview Survey", World J Urol, 26, pp.179~185 (2008)
- 김세영, "Association between Lower Urinary Tract Symptoms and Vascular Risk Factors in Aging Men: The Hallym Aging Study", Investigative and Clinical Urology, 51(7), pp.477~482 (2010), 대한비뇨기과학회
- Choo MS, "Prevalence of urinary incontinence in Korean women:an epidemiologic survey", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.1309~1315 (2007)
- 권춘식, "Prevalence, Risk Factors, Quality of Life, and Health-Care Seeking Behaviors of Female Urinary Incontinence: Results From the 4th Korean National Health and Nutrition Examination Survey VI (2007–2009)", International Neurourology Journal, 18(1), pp.31~36 (2014), 대한배뇨장애요실금학회
- Yip SK, "Treatment-seeking behavior in Hong Kong Chinese women with urinary symptoms", Int Urogynecol J Pelvic Floor Dysfunct, 14, pp.27~30 (2003)
- Homma Y, "An epidemiological survey of overactive bladder symptoms in Japan", BJU Int, 96, pp.1314~1318 (2005)
- Li MK, "An Asian multinational prospective observational registry of patients with benign prostatic hyperplasia, with a focus on comor bidities, lower urinary tract symptoms and sexual function", BJU Int, 101, pp.197~202 (2008)
- Hunskaar S, "The prevalence of urinary incontinence in women in four European countries", BJU Int, 93, pp.324~330 (2004)
- Stewart WF, "Prevalence and burden of overactive bladder in the United States", World J Urol, 20, pp.327~336 (2003)
- Andersson SO, "Prevalence of lower urinary tract symptoms in men aged 45-79 years: a population-based study of 40,000 Swedish men", BJU Int, 94, pp.327~331 (2004)
- Coyne KS, "National community prevalence of overactive bladder in the United States stratified by sex and age", Urology, 77, pp.1081~1087 (2011)
- Vaughan CP, "The prevalence of clinically meaningful overactive bladder: bother and quality of life results from the population-based FINNO study", Eur Urol, 59, pp.629~636 (2011)
- Boyle P, "The prevalence of lower urinary tract symptoms in men and women in four centres. The UrEpik study", BJU Int, 92, pp.409~414 (2003)
- Irwin DE, "Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study", Eur Urol, 50, pp.1306~1314 (2006)
- 이학민, "Epidemiology of Lower Urinary Tract Symptoms: Emphasis on the Status in Korea", Investigative and Clinical Urology, 55(5), pp.300~308 (2014), 대한비뇨기과학회
- Barry MJ, "The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association", J Urol, 148, pp.1549~1557 (1992)
- Verhamme KM, "Incidence and prevalence of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in primary care: the Triumph project", Eur Urol, 42, pp.323~328 (2002)
- Choi J, "Is the higher prevalence of benign prostatic hyperplasia related to lower urinary tract symptoms in Korean men due to a high transition zone index?", Eur Urol, 42, pp.7~11 (2002)
- Tikkinen KA, "Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland", Eur Urol, 57, pp.488~496 (2010)
- Ikeda Y, "Risk factors for overactive bladder in the elderly population: a community-based study with face-to-face interview", Int J Urol, 18, pp.212~218 (2011)
- Coyne KS, "The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study", BJU Int, 104, pp.352~360 (2009)