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The natural history of lower urinary tract symptoms in black American men: relationships with aging, prostate size, flow rate and bothersomeness.
J Urol 2001; 165(5):1521-5JU

Abstract

PURPOSE

Studies of lower urinary tract symptoms in men have been restricted to predominately white populations and these observations may not be generalized to black American men. A goal of the Flint Men's Health Study was to evaluate the prevalence of lower urinary tract symptoms in a community based sample of black American men.

MATERIALS AND METHODS

We identified 721 eligible subjects after a 2-stage stratified sampling protocol of black American men residing in Flint, Michigan and an in-home interview. Of these men 364 (50%) completed the study protocol, including serum prostate specific antigen measurement, digital rectal examination, uroflowmetry and transrectal ultrasound. These men comprised our study group. Patients completed the American Urological Association (AUA) symptom and bothersomeness scores. Moderate to severe symptoms and impairment were defined as an AUA symptom score of greater than 7 and bothersomeness score of greater than 3, respectively. Data were stratified by 10-year age groups.

RESULTS

Prostate volume increased, while the peak urinary flow rate decreased with increasing age (p <0.001). Total AUA symptom and bothersomeness scores were marginally associated with age (p = 0.08 and 0.01, respectively). Although only 8.2% of the men reported an enlarged prostate and 3% reported being on medical therapy for benign prostatic hyperplasia, moderate to severe lower urinary tract symptoms were reported by 39.6% and moderate to severe impairment was present in 35%.

CONCLUSIONS

To our knowledge this is the first study to describe the prevalence of lower urinary tract symptoms and its associations with age, prostate size and peak flow rate in a black American population. A large proportion of the men in this study had from moderate to severe lower urinary tract symptoms, of whom many were undiagnosed and untreated. The AUA symptom score has the potential to identify these men and its validity in black Americans has now been established.

Authors+Show Affiliations

Department of Surgery-Urology, University of Michigan, Ann Arbor, Michigan, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11342910

Citation

Wei, J T., et al. "The Natural History of Lower Urinary Tract Symptoms in Black American Men: Relationships With Aging, Prostate Size, Flow Rate and Bothersomeness." The Journal of Urology, vol. 165, no. 5, 2001, pp. 1521-5.
Wei JT, Schottenfeld D, Cooper K, et al. The natural history of lower urinary tract symptoms in black American men: relationships with aging, prostate size, flow rate and bothersomeness. J Urol. 2001;165(5):1521-5.
Wei, J. T., Schottenfeld, D., Cooper, K., Taylor, J. M., Faerber, G. J., Velarde, M. A., ... Cooney, K. A. (2001). The natural history of lower urinary tract symptoms in black American men: relationships with aging, prostate size, flow rate and bothersomeness. The Journal of Urology, 165(5), pp. 1521-5.
Wei JT, et al. The Natural History of Lower Urinary Tract Symptoms in Black American Men: Relationships With Aging, Prostate Size, Flow Rate and Bothersomeness. J Urol. 2001;165(5):1521-5. PubMed PMID: 11342910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The natural history of lower urinary tract symptoms in black American men: relationships with aging, prostate size, flow rate and bothersomeness. AU - Wei,J T, AU - Schottenfeld,D, AU - Cooper,K, AU - Taylor,J M, AU - Faerber,G J, AU - Velarde,M A, AU - Bree,R, AU - Montie,J E, AU - Cooney,K A, PY - 2001/5/9/pubmed PY - 2001/5/26/medline PY - 2001/5/9/entrez SP - 1521 EP - 5 JF - The Journal of urology JO - J. Urol. VL - 165 IS - 5 N2 - PURPOSE: Studies of lower urinary tract symptoms in men have been restricted to predominately white populations and these observations may not be generalized to black American men. A goal of the Flint Men's Health Study was to evaluate the prevalence of lower urinary tract symptoms in a community based sample of black American men. MATERIALS AND METHODS: We identified 721 eligible subjects after a 2-stage stratified sampling protocol of black American men residing in Flint, Michigan and an in-home interview. Of these men 364 (50%) completed the study protocol, including serum prostate specific antigen measurement, digital rectal examination, uroflowmetry and transrectal ultrasound. These men comprised our study group. Patients completed the American Urological Association (AUA) symptom and bothersomeness scores. Moderate to severe symptoms and impairment were defined as an AUA symptom score of greater than 7 and bothersomeness score of greater than 3, respectively. Data were stratified by 10-year age groups. RESULTS: Prostate volume increased, while the peak urinary flow rate decreased with increasing age (p <0.001). Total AUA symptom and bothersomeness scores were marginally associated with age (p = 0.08 and 0.01, respectively). Although only 8.2% of the men reported an enlarged prostate and 3% reported being on medical therapy for benign prostatic hyperplasia, moderate to severe lower urinary tract symptoms were reported by 39.6% and moderate to severe impairment was present in 35%. CONCLUSIONS: To our knowledge this is the first study to describe the prevalence of lower urinary tract symptoms and its associations with age, prostate size and peak flow rate in a black American population. A large proportion of the men in this study had from moderate to severe lower urinary tract symptoms, of whom many were undiagnosed and untreated. The AUA symptom score has the potential to identify these men and its validity in black Americans has now been established. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/11342910/The_natural_history_of_lower_urinary_tract_symptoms_in_black_American_men:_relationships_with_aging_prostate_size_flow_rate_and_bothersomeness_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(05)66341-0 DB - PRIME DP - Unbound Medicine ER -