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Lower urinary tract symptoms have negative associations with glomerular filtration rate irrespective of prostate volume in Korean men.
Urology. 2012 Jan; 79(1):182-7.U

Abstract

OBJECTIVE

To understand the relationship between lower urinary tract symptoms (LUTS) and renal function by prostate volume (PV) in Korean men. LUTS can be related to early renal dysfunction, irrespective of bladder outlet obstructive lesions, few studies have been conducted.

METHODS

We conducted a cross-sectional survey of 3713 men, aged≥40 years, who received routine comprehensive health evaluations, including transrectal ultrasonography and the International Prostate Symptom Score questionnaire. We used the estimated glomerular filtration rate (GFR) for the assessment of renal function and the IPSS for LUTS severity. We compared LUTS and GFR using multivariate regression analysis after adjusting for age and/or PV.

RESULTS

An increasing severity of LUTS, especially voiding LUTS, was associated with a decreasing GFR in the older age group (≥55 years). In a stratified analysis by PV of 30 cm3, voiding LUTS showed a negative association with GFR, irrespective of the PV (P for trend<.01 and P for trend<.02), but total LUTS did so only in the small PV group.

CONCLUSION

In men without known urinary tract disease, LUTS and renal function had a negative association, especially in older men with a normal PV. Although the underlying mechanism is uncertain, physicians who treat patients with moderate or severe LUTS should monitor renal function, even in patients with a normal PV.

Authors+Show Affiliations

Department of Family Medicine, Sahmyook Medical Center, Seoul, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21962878

Citation

Kwon, Young-Min, et al. "Lower Urinary Tract Symptoms Have Negative Associations With Glomerular Filtration Rate Irrespective of Prostate Volume in Korean Men." Urology, vol. 79, no. 1, 2012, pp. 182-7.
Kwon YM, Cho B, Son KY, et al. Lower urinary tract symptoms have negative associations with glomerular filtration rate irrespective of prostate volume in Korean men. Urology. 2012;79(1):182-7.
Kwon, Y. M., Cho, B., Son, K. Y., Choi, H. C., Park, S. G., & Park, J. H. (2012). Lower urinary tract symptoms have negative associations with glomerular filtration rate irrespective of prostate volume in Korean men. Urology, 79(1), 182-7. https://doi.org/10.1016/j.urology.2011.08.011
Kwon YM, et al. Lower Urinary Tract Symptoms Have Negative Associations With Glomerular Filtration Rate Irrespective of Prostate Volume in Korean Men. Urology. 2012;79(1):182-7. PubMed PMID: 21962878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower urinary tract symptoms have negative associations with glomerular filtration rate irrespective of prostate volume in Korean men. AU - Kwon,Young-Min, AU - Cho,Belong, AU - Son,Ki Young, AU - Choi,Ho-Chun, AU - Park,Seung-Guk, AU - Park,Jin-Ho, Y1 - 2011/10/02/ PY - 2011/05/24/received PY - 2011/08/09/revised PY - 2011/08/09/accepted PY - 2011/10/4/entrez PY - 2011/10/4/pubmed PY - 2012/3/1/medline SP - 182 EP - 7 JF - Urology JO - Urology VL - 79 IS - 1 N2 - OBJECTIVE: To understand the relationship between lower urinary tract symptoms (LUTS) and renal function by prostate volume (PV) in Korean men. LUTS can be related to early renal dysfunction, irrespective of bladder outlet obstructive lesions, few studies have been conducted. METHODS: We conducted a cross-sectional survey of 3713 men, aged≥40 years, who received routine comprehensive health evaluations, including transrectal ultrasonography and the International Prostate Symptom Score questionnaire. We used the estimated glomerular filtration rate (GFR) for the assessment of renal function and the IPSS for LUTS severity. We compared LUTS and GFR using multivariate regression analysis after adjusting for age and/or PV. RESULTS: An increasing severity of LUTS, especially voiding LUTS, was associated with a decreasing GFR in the older age group (≥55 years). In a stratified analysis by PV of 30 cm3, voiding LUTS showed a negative association with GFR, irrespective of the PV (P for trend<.01 and P for trend<.02), but total LUTS did so only in the small PV group. CONCLUSION: In men without known urinary tract disease, LUTS and renal function had a negative association, especially in older men with a normal PV. Although the underlying mechanism is uncertain, physicians who treat patients with moderate or severe LUTS should monitor renal function, even in patients with a normal PV. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/21962878/Lower_urinary_tract_symptoms_have_negative_associations_with_glomerular_filtration_rate_irrespective_of_prostate_volume_in_Korean_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(11)02210-2 DB - PRIME DP - Unbound Medicine ER -