Survey on Benign Prostatic Hyperplasia Distribution and Treatment Patterns for Men With Lower Urinary Tract Symptoms Visiting Urologists at General Hospitals in Korea: A Prospective, Noncontrolled, Observational Cohort Study

Objective To survey cases of benign prostatic hyperplasia (BPH) among patients visiting urologists with lower urinary tract symptoms (LUTS) at general hospitals in Korea and to investigate treatment outcomes in current clinical practice. Methods This was a multicenter, prospective study conducted in...

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2012-06, Vol.79 (6), p.1379-1384
Main Authors: Lee, Seung Hwan, Chung, Byung Ha, Kim, Chung Soo, Lee, Hyun Moo, Kim, Chun Il, Yoo, Tag Keun, Lee, Kyung Seop, Park, Kwang Sung, Byun, Seok Soo, Yoon, Byung Il, Kim, Sae Woong, Lee, Ji Youl
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Gynecology. Andrology. Obstetrics
Hospitals, General
Humans
Intention to Treat Analysis
Korea - epidemiology
Lower Urinary Tract Symptoms - epidemiology
Lower Urinary Tract Symptoms - therapy
Male
Male genital diseases
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Prospective Studies
Prostatic Hyperplasia - diagnosis
Prostatic Hyperplasia - epidemiology
Prostatic Hyperplasia - therapy
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective To survey cases of benign prostatic hyperplasia (BPH) among patients visiting urologists with lower urinary tract symptoms (LUTS) at general hospitals in Korea and to investigate treatment outcomes in current clinical practice. Methods This was a multicenter, prospective study conducted in 18 urology centers in Korea. The symptoms of BPH were observed via the International Prostate Symptoms Score (IPSS), transrectal ultrasonography, uroflometry, prostate, specific, antigen, PSA) and postvoid residual volume at the baseline, 1 week, 4 weeks, 12 weeks, 24 weeks, and 52 weeks after initial evaluation. The patients were divided into three groups according to age (group I: 50-59; group II: 60-69; group III: 70 years or older). Results Of the 1054 screened men, 966 were enrolled and 917 were diagnosed with BPH. Total IPSS and storage subscores were significantly higher in group III than in group II or I. By month 12, significant improvements on total IPSS and voiding subscores were demonstrated in group I over groups II and III ( P = .02. 03, respectively). The incidence of dual combination therapy was significantly higher in the patients whose prostate volume was ≥30 mL and whose PSA was ≥1.5. Conclusion At the initial visit, patients with LUTS/BPH, especially those who were relatively young, visited urologic centers because of to voidingsymptoms rather than storage symptoms. In contrast, elderly men who visited the urologic centers complained not only of voiding symptoms but also storage symptoms. However, at 12 months' follow up, all of the age groups showed improvement in both storage and voiding symptoms.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2012.02.010