A community study of lower urinary tract symptoms in older men in Sydney, Australia.
BACKGROUND
The aim of the present paper was to determine the prevalence, bother attributable to and self-reported management of uncomplicated lower urinary tract symptoms (LUTS) in men aged 40-80 years in Sydney, Australia.


METHODS
A total of 340 randomly selected men aged 40-80 years (65% response rate) participated in a community-based study (computer-assisted telephone survey).


RESULTS
Lower urinary tract symptoms are common: 54% of men needed to wake up at least once at night to urinate; 47% indicated they had terminal dribbling 'sometimes' or 'frequently'; 30% experienced urgency although few (4%) had urge incontinence; 21% experienced hesitancy; and 19% could retain urine in their bladder during the day for no more than 2 hours. Urinary symptoms correlated poorly with self-rated bother and there was no increase in age-specific prevalence of bothersome symptoms with increasing age. Only 37 (26%) men inconvenienced by urinary symptoms had seen a general practitioner (GP) about these symptoms in the last 5 years: of these, two-thirds had been referred to a urologist and half of these received surgical treatment. Independent predictors of attending a GP were increasing age (adjusted odds ratio (AOR) = 12.3; P = 0.0015); place of birth outside Australia (AOR = 3.8; P = 0.0036) and anxiety about prostate cancer (AOR = 2.6; P = 0.0318), but not the degree of worry due to urinary symptoms.


CONCLUSIONS
Lower urinary tract symptoms are common in men, but their experiences of bother correlate weakly with symptoms and do not appear to influence referral and treatment. Public and professional campaigns might increase wider understanding of the benefits of surgery for bothersome symptoms, not symptoms per se.
Sladden
M J
MJ
Discipline of General Practice, University of Tasmania, Hobart, Australia.
Hughes
A M
AM
Hirst
G H
GH
Ward
J E
JE
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health; D016009:Chi-Square Distribution; D005194:Family Practice; D005544:Forecasting; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D052801:Male Urogenital Diseases / Q000453:epidemiology* / Q000601:surgery; D008875:Middle Aged; D009517:New South Wales / Q000453:epidemiology; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015995:Prevalence; D011471:Prostatic Neoplasms / Q000523:psychology; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012111:Residence Characteristics / Q000706:statistics & numerical data; D014549:Urinary Incontinence / Q000453:epidemiology; D014555:Urination Disorders / Q000453:epidemiology; D014572:Urology