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The overlap of storage, voiding and postmicturition symptoms and implications for treatment seeking in the USA, UK and Sweden: EpiLUTS.
BJU Int. 2009 Apr; 103 Suppl 3:12-23.BI

Abstract

OBJECTIVE

To assess the (i) the overlap between voiding, storage, and postmicturition symptoms; and (ii) the relative effect of bother and implications for treatment seeking within these symptom groups, using data from the EpiLUTS study.

SUBJECTS AND METHODS

This cross-sectional population-representative survey was conducted via the Internet in the USA, the UK and Sweden. Participants were asked to rate the frequency and symptom-specific bother of individual LUTS. Descriptive statistics were used to examine differences in International Continence Society LUTS subgroups. Logistc regressions were used with treatment seeking as the dependent variable and the bother of individual symptoms as predictors.

RESULTS

The survey response rate was 59%. The sample included 30,000 participants (14,139 men and 15,861 women); 71% of men and 75% of women reported at least one LUTS, and about half reported LUTS from more than one symptom group. Rates of bother were greatest for those who reported multiple storage, voiding and postmicturition LUTS (men 83%, women 89%). Less than a third of participants with LUTS from all three groups reported seeking treatment. Consistent correlates of treatment seeking across genders included bother due to weak stream, incomplete emptying, perceived daytime frequency, nocturia and urgency. There were also significant associations for several types of incontinence, most commonly stress incontinence in women and leaking during sexual activity in men. Despite high rates of symptom overlap and symptom-specific bother, few participants sought treatment for LUTS.

CONCLUSION

Common conditions such as BPH and OAB are treatable, and clinicians should proactively ask patients about urinary symptoms. Given the many types of LUTS that patients experience, it is imperative that clinicians assess all LUTS to ensure that appropriate treatments are prescribed.

Authors+Show Affiliations

United BioSource Corporation, Bethesda, MD 20814, USA. chris.sexton@unitedbiosource.comNo affiliation info availableNo 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
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19302498

Citation

Sexton, Chris C., et al. "The Overlap of Storage, Voiding and Postmicturition Symptoms and Implications for Treatment Seeking in the USA, UK and Sweden: EpiLUTS." BJU International, vol. 103 Suppl 3, 2009, pp. 12-23.
Sexton CC, Coyne KS, Kopp ZS, et al. The overlap of storage, voiding and postmicturition symptoms and implications for treatment seeking in the USA, UK and Sweden: EpiLUTS. BJU Int. 2009;103 Suppl 3:12-23.
Sexton, C. C., Coyne, K. S., Kopp, Z. S., Irwin, D. E., Milsom, I., Aiyer, L. P., Tubaro, A., Chapple, C. R., & Wein, A. J. (2009). The overlap of storage, voiding and postmicturition symptoms and implications for treatment seeking in the USA, UK and Sweden: EpiLUTS. BJU International, 103 Suppl 3, 12-23. https://doi.org/10.1111/j.1464-410X.2009.08369.x
Sexton CC, et al. The Overlap of Storage, Voiding and Postmicturition Symptoms and Implications for Treatment Seeking in the USA, UK and Sweden: EpiLUTS. BJU Int. 2009;103 Suppl 3:12-23. PubMed PMID: 19302498.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The overlap of storage, voiding and postmicturition symptoms and implications for treatment seeking in the USA, UK and Sweden: EpiLUTS. AU - Sexton,Chris C, AU - Coyne,Karin S, AU - Kopp,Zoe S, AU - Irwin,Debra E, AU - Milsom,Ian, AU - Aiyer,Lalitha P, AU - Tubaro,Andrea, AU - Chapple,Christopher R, AU - Wein,Alan J, AU - ,, PY - 2009/3/24/entrez PY - 2009/4/2/pubmed PY - 2009/4/25/medline SP - 12 EP - 23 JF - BJU international JO - BJU Int VL - 103 Suppl 3 N2 - OBJECTIVE: To assess the (i) the overlap between voiding, storage, and postmicturition symptoms; and (ii) the relative effect of bother and implications for treatment seeking within these symptom groups, using data from the EpiLUTS study. SUBJECTS AND METHODS: This cross-sectional population-representative survey was conducted via the Internet in the USA, the UK and Sweden. Participants were asked to rate the frequency and symptom-specific bother of individual LUTS. Descriptive statistics were used to examine differences in International Continence Society LUTS subgroups. Logistc regressions were used with treatment seeking as the dependent variable and the bother of individual symptoms as predictors. RESULTS: The survey response rate was 59%. The sample included 30,000 participants (14,139 men and 15,861 women); 71% of men and 75% of women reported at least one LUTS, and about half reported LUTS from more than one symptom group. Rates of bother were greatest for those who reported multiple storage, voiding and postmicturition LUTS (men 83%, women 89%). Less than a third of participants with LUTS from all three groups reported seeking treatment. Consistent correlates of treatment seeking across genders included bother due to weak stream, incomplete emptying, perceived daytime frequency, nocturia and urgency. There were also significant associations for several types of incontinence, most commonly stress incontinence in women and leaking during sexual activity in men. Despite high rates of symptom overlap and symptom-specific bother, few participants sought treatment for LUTS. CONCLUSION: Common conditions such as BPH and OAB are treatable, and clinicians should proactively ask patients about urinary symptoms. Given the many types of LUTS that patients experience, it is imperative that clinicians assess all LUTS to ensure that appropriate treatments are prescribed. SN - 1464-410X UR - https://www.unboundmedicine.com/medline/citation/19302498/The_overlap_of_storage_voiding_and_postmicturition_symptoms_and_implications_for_treatment_seeking_in_the_USA_UK_and_Sweden:_EpiLUTS_ L2 - https://doi.org/10.1111/j.1464-410X.2009.08369.x DB - PRIME DP - Unbound Medicine ER -