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Prevalence of hesitancy in 30–80‐year‐old Finnish men: Tampere Ageing Male Urological Study (TAMUS)
Author(s) -
Pöyhönen Antti,
Häkkinen Jukka T.,
Koskimäki Juha,
Hakama Matti,
Tammela Teuvo L.J.,
Auvinen Anssi
Publication year - 2012
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.2011.10443.x
Subject(s) - medicine , danish , demography , logistic regression , population , multivariate analysis , epidemiology , gerontology , environmental health , philosophy , linguistics , sociology
Study Type – Therapy (symptom prevalence) Level of Evidence 2a What's known on the subject? and What does the study add? In several population‐based studies the prevalence of hesitancy has varied from 20% to 52%. Studies concern mostly older men ≥50‐years‐old. Knowledge of troublesomeness that hesitancy causes is very scarce. This is a large population‐based study on hesitancy in men with a wide age range. This study reports the prevalence of hesitancy from 30‐year‐old men to 80‐year‐old men. The bother of hesitancy is reported and this is also presented in different age groups. OBJECTIVE• To estimate the prevalence and bother of hesitancy by age group.MATERIALS AND METHODS• In this population‐based study, the target population was 30‐ to 80‐year‐old men from Pirkanmaa County, Finland. • Information was collected by means of a mailed self‐administered questionnaire in 2004. The overall participation proportion was 58.7% (4384 men out of 7470). • The Danish Prostatic Symptom Score (DAN‐PSS‐1) questionnaire was used to evaluate urinary symptoms, particularly hesitancy. Logistic regression was used for multivariate analysis.RESULTS• Almost half of the men (46.8%, 95% CI 45.3–48.3%) reported hesitancy at least occasionally, but only 0.5% (95% CI 0.3–0.7%) had hesitancy every time they urinated. The prevalence of any hesitancy was 42.3% at 30 years and 50.5% at 80 years of age (trend P < 0.001). Only a few men reported hesitancy often or always, prevalence increasing with age from 2.6% to 11.4% (trend P < 0.001). • Hesitancy caused a small problem for 18.3% of the men and a moderate or major problem for 0.9–5.3%. Only 3% of the men with infrequent hesitancy reported more than a small problem, whereas 59% of the men with hesitancy often or always reported a small problem and 32% reported a moderate or major problem. • Two other voiding symptoms, straining and weak stream, were strongly associated with hesitancy (with odds ratios exceeding 80).CONCLUSIONS• Mild hesitancy is very common in men of all ages. • Severe cases are rare, but the prevalence increases with age. • Hesitancy is a well‐tolerated urinary symptom.