Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-Based Medicine & Outcomes (II)1 Apr 201372 LONGITUDINAL TRENDS IN VOIDING PARAMETERS IN THE ELDERLY MALE Rachel C Esler, Lewis W. Chan, Melisa J. Litchfield, Vincent W. Tse, Vasi Naganathan, and Robert G. Cumming Rachel C EslerRachel C Esler Manchester, United Kingdom More articles by this author , Lewis W. ChanLewis W. Chan Sydney, Australia More articles by this author , Melisa J. LitchfieldMelisa J. Litchfield Sydney, Australia More articles by this author , Vincent W. TseVincent W. Tse Sydney, Australia More articles by this author , Vasi NaganathanVasi Naganathan Sydney, Australia More articles by this author , and Robert G. CummingRobert G. Cumming Sydney, Australia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1450AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Lower urinary tract symptoms (LUTS) are common in elderly men. We sought to assess both symptom scores and voiding parameters in a group of community-dwelling elderly men and to determine whether there was any change in either at two years. METHODS 1705 men aged 70 years and over were enrolled to participate in the Concord Health and Ageing in Men Project (CHAMP), a population based study of men living in a defined geographical area in metropolitan Sydney, Australia. Men were required to complete a survey including International Prostate Symptom Score (IPSS) and medical, medication and urological history, then attend a clinical assessment where uroflowmetry and post void residual volume were measured with a bladder scanner. Subjects were re-assessed after two years and five years with repeat survey and clinical assessment. We report results at baseline and two year follow-up. RESULTS 1705 men aged between 70 and 97 years participated in initial evaluation. 1366 men presented for follow-up assessment two years later. At baseline median IPSS was 5 (mild 63%, moderate 30%, severe 7%), this was unchanged at two year analysis. Median peak flow rate at baseline was 13ml/sec, which declined to 10.5ml/sec at two year analysis. Peak flow rate was lower in the older men (>85 years) within the cohort compared to younger men (70-74 years) both at baseline and two year review (p=<0.001). Median post void residual volume was 38ml at baseline and 52ml at two years, with a statistically significant difference only in the >85 years group. The majority of men (75%) had a post void residual volume of <100ml, with 19% retaining 101-200ml and 6% >301ml. Increased total IPSS correlated with reduced peak flow and increased post void residual, but not age. 63 (4.6%) men had surgery for lower urinary tract symptoms between baseline and two year review. Only ten men were using a catheter at each assessment. CONCLUSIONS Both urinary symptom scores and voiding parameters of uroflowmetry and post void residual volume remain remarkably stable over a two year period in elderly, community-dwelling men. The number of men requiring surgical intervention for lower urinary tract symptoms was low. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e30 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rachel C Esler Manchester, United Kingdom More articles by this author Lewis W. Chan Sydney, Australia More articles by this author Melisa J. Litchfield Sydney, Australia More articles by this author Vincent W. Tse Sydney, Australia More articles by this author Vasi Naganathan Sydney, Australia More articles by this author Robert G. Cumming Sydney, Australia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

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