1961 OBESITY SIGNIFICANTLY CONTRIBUTES TO LOWER URINARY TRACT SYMPTOMS (LUTS) IN FEMALE PATIENTS WITH LIFE-STYLE DISEASES VISITING TO PRIMARY CARE DOCTORS

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-Neurogenic Voiding Dysfunction1 Apr 20121961 OBESITY SIGNIFICANTLY CONTRIBUTES TO LOWER URINARY TRACT SYMPTOMS (LUTS) IN FEMALE PATIENTS WITH LIFE-STYLE DISEASES VISITING TO PRIMARY CARE DOCTORS Masaki Yoshida, Junzo Kudoh, and Osamu Yamaguchi Masaki YoshidaMasaki Yoshida Kumamoto, Japan More articles by this author , Junzo KudohJunzo Kudoh Kumamoto, Japan More articles by this author , and Osamu YamaguchiOsamu Yamaguchi Fukushima, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2120AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recently, several reports suggested that metabolic syndrome and lifestyle diseases were significantly related to lower urinary tract symptoms (LUTS). However, there are a few reports regarding LUTS of female patients with life-style diseases. Therefore, we have conducted the survey of LUTS in the female patients attending primary care clinics for treatment of life style-diseases. METHODS Survey populations were female patients aged 40 years or older visiting the primary care doctors, except for urologists, for the treatment of life-style diseases. Questionnaires were sent to the about 1000 primary clinics in various areas of Japan. Patients received the questionnaires from their doctors and completed them, and the questionnaires were collected by mail individually. The questionnaires included information of patients' background, international prostate symptom score (IPSS), QOL index, overactive bladder symptom score (OABSS) and OABq. In the present report, using the data of this survey, we have analyzed the prevalence of LUTS, and the contribution of background diseases to LUTS. RESULTS 7207 patients responded the questionnaire. The analysis were performed using the data of 6426 patients (average 66.0 years old), who had completed the questionnaires. The average total IPSS was 5.3±5.1 (voiding symptoms %1.5±2.4; storage symptom: 3.2±2.7; post-micturition symptom: 0.6±1.0), and QOL sore was 3.3±1.5. The average OABSS was 2.6±2.4. Patients with OAB based on the score of OABSS were observed in 16%. Total IPSS, voiding and storage scores, and QOL score were significantly higher in patients with OAB as compared with patients without OAB. There were not significant differences in total IPSS, voiding and storage symptom scores and OABSS between patients having more than 3 vascular risk factors among hypertension, diabetes, history of smoking and dyslipidemia, and patients without any risk factor. Stepwise multiple logistic regression analysis showed that obesity (OR 3.121; CI 1.527, 6.378) and age (75 years and more) (OR 3.377; CI 2.079, 5.486) showed the significantly higher odds ratios for the higher IPSS. CONCLUSIONS The present study showed that the female patients attending primary care clinics for treatment of life-style diseases had both voiding and storage symptoms. Although vascular risk factors were not significantly related to LUTS, obesity is a cardinal risk factor for LUTS in the female patients with life-style diseases. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e791 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Masaki Yoshida Kumamoto, Japan More articles by this author Junzo Kudoh Kumamoto, Japan More articles by this author Osamu Yamaguchi Fukushima, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...