title: Profile of lower urinary tract symptoms in the male and their impact on quality of life.
abstract: OBJECTIVE
  Following current European Guidelines, Lower Urinary Tract Symptoms (LUTS) are produced by several causes and, thus, thorough clinical assessment should be undertaken for a correct therapeutic management. This study was conducted in order to assess the symptoms profile and their impact on Health-Related Quality of Life (HRQL) of male patients attending urology outpatient clinics.
  
  
  METHODS
  Epidemiological, cross-sectional study including adult male patients (n=826) presenting with at least one de novo previously untreated LUTS. Socio-demographic and clinical variables were collected. Patients completed IPSS, Bladder Control Self-Assessment Questionnaire (B-SAQ) and SF-12 questionnaires.
  
  
  RESULTS
  Mean age (SD) was 65 (10) years. A combination of storage, voiding and post-micturition symptoms were present in 69% of subjects and 30% showed >2 urgency episodes and >6 micturitions daily (storage symptoms -SS- sub-population). Storage symptoms were the reason for consultation in 86%. Mean peak urinary flow (Q(max)) was 11.4 mL/s, in 44% of patients,prostate volume was 20-40 mL and 91% showed moderate or severe symptoms on IPSS with an overall mean (SD) score of 17 (7). SS sub-population had higher B-SAQ scores (6,9 vs 4,8 for symptoms; 7,8 vs 5,1 for bother), and worse HRQL (IPSS item 8).
  
  
  CONCLUSIONS
  These findings support the importance of addressing treatment adequately according to patient profile, bothersomeness and impact on HRQL.
authors: Servicio de Urología, Hospital Infanta Leonor, Madrid, España. Electronic address: javicambro@yahoo.es.
authors: J
authors: J
authors: Cambronero
authors: S
authors: S
authors: Arlandis
authors: C
authors: C
authors: Errando
authors: A M
authors: AM
authors: Mora
mesh_terms: D000368:Aged; D000886:Anthropometry; D003430:Cross-Sectional Studies; D006801:Humans; D008019:Life Style; D059411:Lower Urinary Tract Symptoms / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology; D015995:Prevalence; D011470:Prostatic Hyperplasia / Q000150:complications / Q000453:epidemiology; D011788:Quality of Life; D057566:Self Report; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Calidad de vida; Lower urinary tract symptoms; Male; Quality of life; Síntomas del tracto urinario inferior; Urology; Urología; Varón