Mp75-12 Voiding-Phase Lower Urinary Tract Symptoms: Prevalence and Bother in the United States

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction (Excluding OAB) (MP75)1 May 2024MP75-12 VOIDING-PHASE LOWER URINARY TRACT SYMPTOMS: PREVALENCE AND BOTHER IN THE UNITED STATES John N. Cabri, Cindy Gua, Crystal Cisneros, Emma Dixon, and A. Lenore Ackerman John N. CabriJohn N. Cabri , Cindy GuaCindy Gua , Crystal CisnerosCrystal Cisneros , Emma DixonEmma Dixon , and A. Lenore AckermanA. Lenore Ackerman View All Author Informationhttps://doi.org/10.1097/01.JU.0001008676.21744.5f.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Voiding-phase lower urinary tract symptoms (LUTS) are associated with high levels of bother and dissatisfaction with urination. Evaluation of voiding LUTS on a national scale has not been performed in over a decade. We aimed to characterize the prevalence of voiding LUTS and associated bother in a community-dwelling U.S. sample. METHODS: A cross-sectional survey of nationally representative U.S. adults was performed using the online research platform, Prolific. Participants completed the AUA Symptom Score (AUASS) and the sex-specific ICIQ-FLUTS or MLUTS (ICIQ) questionnaire. Responses were analyzed for prevalence of voiding LUTS reported at least "less than 1 time in 5" (AUASS) or "occasionally" (ICIQ) and associated bother (ICIQ). When symptom frequency was assessed on both the AUASS and ICIQ, linear regression was performed to test correlation. RESULTS: 1,489 participants (763 female and 726 male) completed the survey. The most reported voiding LUTS were hesitancy, intermittency, and incomplete emptying for both sexes (all >40%). Over 40% of men also reported weak stream and nearly 40% reported post-void dribbling. Straining to void was the least reported symptom (24.1% of women, 35.3% of men). Symptom frequency reported on the AUASS and the ICIQ correlated well (all p<0.001). Over 30% of men indicated on the ICIQ a bother score of at least 2 for incomplete emptying, post-void dribbling, and hesitancy, and 25% of men or more reported bother from straining, intermittency, and weak stream. Women were most often bothered by hesitancy (18.7%) and intermittency (16.3%), though less than men. Nearly 45% of participants had moderate or severe LUTS, and 42% expressed low satisfaction with their LUTS on the AUASS. CONCLUSIONS: Voiding-phase LUTS were highly prevalent in our sample, consistent with prior global symptom surveys. Men in our sample tended to have more frequent and bothersome voiding LUTS, possibly related to the increased frequency of outlet obstruction among males due to conditions such as benign prostatic hypertrophy. We confirm voiding-phase LUTS are a common and bothersome public health issue for which attention is warranted to improve identification of affected patients and increase patient access to treatment when indicated. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1236 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information John N. Cabri More articles by this author Cindy Gua More articles by this author Crystal Cisneros More articles by this author Emma Dixon More articles by this author A. Lenore Ackerman More articles by this author Expand All Advertisement PDF downloadLoading ...