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Prevalence of post‐micturition symptoms in association with lower urinary tract symptoms and health‐related quality of life in men and women
Author(s) -
Maserejian Nancy N.,
Kupelian Varant,
McVary Kevin T.,
Doshi Meena,
Link Carol L.,
McKinlay John B.
Publication year - 2011
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2010.10014.x
Subject(s) - urination , lower urinary tract symptoms , medicine , quality of life (healthcare) , feeling , urination disorder , international prostate symptom score , population , demography , urinary system , prostate , psychology , environmental health , social psychology , nursing , cancer , sociology
Study Type – Symptom prevalence (prospective cohort) Level of Evidence 1b What’s known on the subject? and What does the study add? Post‐micturition symptoms are infrequently reported in isolation of other LUTS. Whether post‐micturition symptoms should be grouped with voiding symptoms in men, as was recently done for women in the IUA/ICS classification for standardized reporting, remains unclear. Data is needed regarding the prevalence and quality‐of‐life impacts of post‐micturition symptoms, considering gender and overlap with other LUTS. For both men and women, post‐micturition symptoms were more consistently present alongside voiding rather than storage symptoms, thereby providing some support for the new classifications. In men, post‐void dribbling accounted for much of post‐micturition symptoms, whereas in women, incomplete emptying was more common. Across all LUTS subtypes, men and women who reported a feeling of incomplete emptying were among those most bothered by their health problems. OBJECTIVE • To estimate the prevalence of post‐micturition symptoms (a feeling of incomplete emptying following urination and post‐micturition dribble) in a population‐based sample of men and women, and to examine overlap with storage and voiding LUTS and associations with health‐related quality of life (HRQL). PATIENTS AND METHODS • Data were obtained by in‐person interview in the Boston Area Community Health survey, a population‐based random sample of 2301 men and 3202 women aged 30–79 years in the USA. • Lower urinary tract symptoms (LUTS) were defined using the International Prostate Symptom Score and standardized terminology. • Multivariate linear regression was used to evaluate associations between urological symptoms and validated HRQL measures (SF‐12 and activities interference) cross‐sectionally. RESULTS • The overall prevalence of post‐micturition symptoms was 11.8% in men and 8.5% in women. • The prevalence increased with age in men but not women. • In men, post‐void dribbling contributed to much of the post‐micturition symptoms, whereas, in women, incomplete emptying was more common. • For both genders, over 50% with voiding symptoms also had post‐micturition symptoms, compared to less than 50% of respondents who reported storage symptoms. • The presence of post‐micturition symptoms, particularly incomplete emptying, was indicative of mildly impaired physical HRQL and activities interference in men and women, and mental HRQL in men ( P < 0.01). CONCLUSIONS • Post‐micturition symptoms were more prevalent than any individual voiding symptom and commonly overlapped with other LUTS. • Over half of men and women with a voiding symptom also had a post‐micturition symptom. • The presence of post‐micturition symptoms was indicative of impaired HRQL.