PURPOSE: Lower urinary tract symptoms are numerous, but the specific impact of each of these symptoms on the quality of life (QoL) has not been evaluated in community-dwelling men. An assessment of these symptoms and their effects on QoL was the focus of this study. METHODS: We performed a cross-sectional study with 373 men aged >50 years from a community setting. Patients completed the International Prostate Symptom Score questionnaire, which includes questions on each of the specific urinary symptoms and a question addressing health-related QoL that are graded from 0 to 5. We used the Pearson correlation test to assess the impact of each symptom on QoL. RESULTS: Nocturia (58.9%) was the most prevalent urinary symptom. The mean score was 0.9+/-1.4 for incomplete emptying, 1.0+/-1.5 for frequency, 0.9+/-1.3 for intermittency, 0.8+/-1.3 for urgency, 1.0+/-1.5 for weak stream, 0.5+/-1.0 for straining, and 2.0+/-1.6 for nocturia. Nocturia and frequency were the only symptoms associated with poorer QoL, with nocturia showing a stronger association. CONCLUSIONS: Nocturia affects 50% of community dwelling men aged >50 years, and is the lower urinary tract symptom with the greatest negative impact on QoL.
Cross-Sectional Studies ; Epidemiology ; Humans ; Lower Urinary Tract Symptoms ; Male ; Nocturia* ; Prostate ; Prostatic Hyperplasia ; Quality of Life* ; Rivers ; Urinary Tract*