title: Prevalence of storage lower urinary tract symptoms in male patients attending Spanish urology office. Urinary urgency as predictor of quality of life.
abstract: BACKGROUND
  The study sought to determine the symptomatic profile of men with lower urinary tract symptoms (LUTS) who visited a urology clinic in Spain and its impact on their health-related quality of life (HRQL).
  
  
  METHODS
  A national, epidemiological cross-sectional study was conducted and included 291 urology clinics. The prevalence of storage LUTS was investigated in 25,482 men. The study collected sociodemographic and clinical data from a subgroup of 1015 patients with storage LUTS who filled out the International Prostate Symptom Score (IPSS), Overactive Bladder Questionnaire Short Form (OABq-SF) and Patient Perception of Bladder Condition (PPBC) questionnaires. The impact of urinary urgency on HRQL was analysed.
  
  
  RESULTS
  The prevalence of storage LUTS was 41%, increasing with age: 14.1%, 41.5% and 60.8% for patients aged 18-49, 50-64 and ≥65 years, respectively. Of the 1015 selected patients, only 2.6% had storage symptoms exclusively. Symptom severity (IPSS) increased with age. Nocturia, frequency and urgency were the most common symptoms and had the most impact on HRQL (IPSS and OABq-SF). The number of urgency episodes was inversely correlated with the HRQL (r=-.773; P<.0001). In the multivariate analysis, only the IPSS and OABq-SF bother scores were significant predictors of HRQL (P<.001).
  
  
  CONCLUSIONS
  Storage LUTS are highly prevalent among patients attending urology clinics in Spain. The severity of the urgency (number of urgency episodes) predicted a poorer quality of life for the patient.
authors.affiliation: Servicio de Urología, Hospital Universitario Infanta Leonor, Madrid España. Electronic address: javicambro@yahoo.es.
authors.forename: J
authors.initials: J
authors.lastname: Cambronero Santos
authors.affiliation: Unidad de Urología funcional y Femenina, Fundación Puigvert, Barcelona España.
authors.forename: C
authors.initials: C
authors.lastname: Errando Smet
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000150:complications* / Q000453:epidemiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009819:Office Visits; D015995:Prevalence; D011379:Prognosis; D011788:Quality of Life; D057566:Self Report; D013030:Spain; D014555:Urination Disorders / Q000209:etiology*; D055815:Young Adult
keywords: Calidad de vida; Filling-type LUTS; Lower urinary tract symptoms; Quality of life; Síntomas del tracto urinario inferior de llenado; Urgencia urinaria; Urinary urgency