title: Prevalence of post-micturition symptoms in association with lower urinary tract symptoms and health-related quality of life in men and women.
abstract: OBJECTIVE
  • To estimate the prevalence of post-micturition symptoms (a feeling of incomplete emptying following urination and post-micturition dribble) in a population-based sample of men and women, and to examine overlap with storage and voiding LUTS and associations with health-related quality of life (HRQL).
  
  
  METHODS
  • Data were obtained by in-person interview in the Boston Area Community Health survey, a population-based random sample of 2301 men and 3202 women aged 30-79 years in the USA. • Lower urinary tract symptoms (LUTS) were defined using the International Prostate Symptom Score and standardized terminology. • Multivariate linear regression was used to evaluate associations between urological symptoms and validated HRQL measures (SF-12 and activities interference) cross-sectionally.
  
  
  RESULTS
  • The overall prevalence of post-micturition symptoms was 11.8% in men and 8.5% in women. • The prevalence increased with age in men but not women. • In men, post-void dribbling contributed to much of the post-micturition symptoms, whereas, in women, incomplete emptying was more common. • For both genders, over 50% with voiding symptoms also had post-micturition symptoms, compared to less than 50% of respondents who reported storage symptoms. • The presence of post-micturition symptoms, particularly incomplete emptying, was indicative of mildly impaired physical HRQL and activities interference in men and women, and mental HRQL in men (P < 0.01).
  
  
  CONCLUSIONS
  • Post-micturition symptoms were more prevalent than any individual voiding symptom and commonly overlapped with other LUTS. • Over half of men and women with a voiding symptom also had a post-micturition symptom. • The presence of post-micturition symptoms was indicative of impaired HRQL.
authors.affiliation: Department of Epidemiology, New England Research Institutes, Watertown, MA, USA. nmaserejian@neriscience.com
authors.forename: Nancy N
authors.initials: NN
authors.lastname: Maserejian
authors.forename: Varant
authors.initials: V
authors.lastname: Kupelian
authors.forename: Kevin T
authors.initials: KT
authors.lastname: McVary
authors.forename: Meena
authors.initials: M
authors.lastname: Doshi
authors.forename: Carol L
authors.initials: CL
authors.lastname: Link
authors.forename: John B
authors.initials: JB
authors.lastname: McKinlay
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001900:Boston / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006801:Humans; D016014:Linear Models; D059411:Lower Urinary Tract Symptoms / Q000453:epidemiology* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014555:Urination Disorders / Q000453:epidemiology* / Q000523:psychology