Prevalence and detection of micturition problems among 2,734 elderly men.

In previous studies symptom prevalence of micturition problems in the population appeared to be high. Our study supports these data and adds retrospective data on doctor visits, with 25% reporting a doctor visit during the last 5 years for a micturition problem. However, all symptoms (hematuria, dysuria, incontinence and symptoms possibly related to benign prostatic hyperplasia) showed substantial numbers of patients who were not sufficiently motivated or did not have the opportunity to visit a doctor for diagnosis and advice. Multiple logistic regression analysis showed a number of symptoms that independently predict doctor visits for benign prostatic hyperplasia and related diseases (frequent urination at night, frequent urination during the day, incomplete emptying, dysuria and incontinence). We conclude that the iceberg phenomenon applies to the number of patient visits and the predictive value of symptoms for prognosis of several prostate diseases.

[1]  S. Fihn,et al.  Symptom Severity and Patients' Values in the Decision to Perform a Transurethral Resection of the Prostate , 1988, Medical decision making : an international journal of the Society for Medical Decision Making.

[2]  J. Knottnerus.  The Effects of Disease Verification and Referral on the Relationship Between Symptoms and Diseases , 1987, Medical decision making : an international journal of the Society for Medical Decision Making.

[3]  W. Haenszel,et al.  Statistical aspects of the analysis of data from retrospective studies of disease. , 1959, Journal of the National Cancer Institute.

[4]  G. Hermann,et al.  Voiding patterns in men evaluated by a questionnaire survey. , 1990, British journal of urology.

[5]  M. Porta,et al.  Epidemiology of prostatic disorders in the city of Barcelona. , 1992, International journal of epidemiology.

[6]  M. Barry,et al.  Watchful waiting vs immediate transurethral resection for symptomatic prostatism. The importance of patients' preferences. , 1988, JAMA.

[7]  D. Hanley,et al.  Symptom status and quality of life following prostatectomy. , 1988, JAMA.

[8]  J. Jørgensen,et al.  Some clinical aspects of uroflowmetry in elderly males. A population survey. , 1986, Scandinavian journal of urology and nephrology.

[9]  D. Kleinbaum,et al.  Applied Regression Analysis and Other Multivariate Methods , 1978 .

[10]  W. Garraway,et al.  Impact of previously unrecognized benign prostatic hyperplasia on the daily activities of middle-aged and elderly men. , 1993, The British journal of general practice : the journal of the Royal College of General Practitioners.

[11]  W. Garraway,et al.  High prevalence of benign prostatic hypertrophy in the community , 1991, The Lancet.

[12]  C. van Weel,et al.  Women with urinary incontinence: self-perceived worries and general practitioners' knowledge of problem. , 1990, The British journal of general practice : the journal of the Royal College of General Practitioners.

[13]  A. Dowell,et al.  Prevalence of urinary symptoms in men aged over 60. , 1990, British journal of urology.

[14]  G. Collins,et al.  A study of benign prostatic hyperplasia--a challenge to British urology. , 1993, British journal of urology.

[15]  J. Oesterling,et al.  The prevalence of prostatism: a population-based survey of urinary symptoms. , 1993, The Journal of urology.

[16]  G Jones,et al.  A new look at bladder neck obstruction by the food and drug administration regulators: guide lines for investigation of benign prostatic hypertrophy. , 1976, Transactions of the American Association of Genito-Urinary Surgeons.