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Symptom prevalence, bother, and treatment satisfaction in men with lower urinary tract symptoms in Southeast Asia: a multinational, cross-sectional survey

Ho, LY., Chu, P.SK., Consigliere, D.T. et al.

World Journal of Urology Urol (2017). https://doi.org/10.1007/s00345-017-2097-2

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Commentary by Antonella Giannantoni

In this study, the Authors presented the results of a large-scale, multinational survey— designed to investigate patients’ perspectives on LUTS and their treatment in Southeast Asia. The survey involved major urology centres in Southeast Asia. The primary aim of the study was to investigate the prevalence of the four symptoms: urgency, nocturia, slow stream, and post-micturition dribble in LUTS patients presenting to a urologist. Among secondary objectives there were the assessment of the bother of the four symptoms, the age distribution of the four symptoms, and the identification of the most bothersome LUTS among the symptoms. A patient self-administered questionnaire which was developed by the Southeast Asia Urology Think Tank, including a group of urology specialists, was given to the selected patients for the survey. Eligible patients were 1535; the majority of respondents were aged 56–75 years, not employed, and had not undergone prostate operation before. Overall, the self-reported prevalence of nocturia was 88%, slow stream 61%, post micturition dribble 55%, and urgency 52%. More frequently all symptoms coexisted and were combined with nocturia, while only 18% of partecipants complained of only one urinary disturbance, which was more commonly represented by nocturia. Variations between the individual countries and overall population have been observed, with Hong Kong presenting with a prevalence significantly higher than the overall results, with regard to nocturia, slow stream, and post-micturition dribble. On the contrary, Malaysia reported significantly lower prevalence than the overall population for all four symptoms studied.

The main relevant observation coming from the results of this large-scale southeast Asian survey is that in the secondary care setting, LUTS often co-existed and were combined with nocturia in the majority of men. Again, nocturia appears to be one of the most prevalent and bothersome LUTS also in southeast asian men.