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The impact on quality of life of different symptoms from the lower urinary tract in men measured by the SF-36 questionnaire
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Clinical Research, County of Västmanland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Clinical Research, County of Västmanland.
2006 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 40, no 6, 485-494 p.Article in journal (Refereed) Published
Abstract [en]

Objective. To describe how different lower urinary tract symptoms (LUTS) affect the quality of life (QOL) in men. Material and methods. The study included 1008 men aged 40-80 years living in the community of Surahammar, Sweden who had answered a questionnaire concerning stress incontinence, urgency and post-micturition dribbling 12 months earlier. The occurrence and severity/frequency of 12 specific LUTS were assessed using the Danish Prostatic Symptom Score questionnaire. QOL was evaluated using the Short Form 36 (SF-36) questionnaire. Results. Post-micturition dribbling was the most frequently reported symptom (71%) and stress incontinence the least common (11%). Men who experienced urge, stress or "other incontinence'' had lower mean scores for all of the eight dimensions measured by the SF-36 than men without such symptoms. Furthermore, men who experienced a moderate/severe degree of weak stream or nocturia reported a poorer QOL for all dimensions compared to men with a mild level of the same symptoms. QOL was found to decrease with increasing age. Men aged 66-80 years with "other incontinence'' reported lower mean SF-36 scores for physical functioning, role physical, role emotional, social functioning and body pain than 40-65-year-old men. Conclusions. LUTS in men affect QOL dimensions differently. Storage symptoms appear to reduce QOL more than voiding and post-micturition symptoms. Urinary incontinence affected all eight of the dimensions evaluated. Elderly men with LUTS reported a lower QOL than younger men.

Place, publisher, year, edition, pages
2006. Vol. 40, no 6, 485-494 p.
Keyword [en]
Short Form 36, Danish Prostatic Symptom Score, lower urinary tract symptoms, quality of life, men
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-94615DOI: 10.1080/00365590600830862ISI: 000242333000007PubMedID: 17130101OAI: oai:DiVA.org:uu-94615DiVA: diva2:168519
Available from: 2006-05-23 Created: 2006-05-23 Last updated: 2011-05-06Bibliographically approved
In thesis
1. Lower Urinary Tract Symptoms in Swedish Male Population: Prevalence, Distress and Quality of Life
Open this publication in new window or tab >>Lower Urinary Tract Symptoms in Swedish Male Population: Prevalence, Distress and Quality of Life
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim the thesis was to investigate, the prevalence of Lower Urinary Tract Symptoms (LUTS). Moreover, we examine symptom severity and different levels of distress and describe how different symptoms from the lower urinary tract affect the self-assessed health, sadness, happiness and the quality of life in men.

The studies are based on two data collections. In the first data collection, all men aged 40 – 80 years (n=2571) living in the Swedish community received a postal questionnaire. Twelve months later, 504 men who had earlier reported LUTS and 504 who had not reported symptoms were asked to complete the DAN-PSS and the SF-36 questionnaires.

The overall prevalence of LUTS was 24%. Post-micturition dribbling (21%) was the most frequent symptom, and stress incontinence (2%) was the least frequent symptom. Urge incontinence, stress incontinence and “other” incontinence cause a high level of distress, even if the symptoms do not occur very often. Men experiencing mild, moderate or severe urge, stress or “other incontinence” had lower mean scores for all of the eight dimensions measured by the SF-36 than men without the same symptoms. Men experiencing a moderate/severe degree of weak stream or nocturia reported a poorer quality of life in all dimensions compared to men with a mild level of the same symptoms. The total burden of moderate/severe LUTS is related to self-assessed health, sadness and happiness. For each of the 12 specific LUTS, men with mild, moderate or severe symptoms had lower scores for self-assessed health and happiness, and higher scores for self-assessed sadness, than men without the same symptoms.

In conclusions, one of every four men reports LUTS. Urinary incontinence causes high level of distress even to men who experience this symptom rarely. LUTS have a negative impact on quality of life, health, sadness and happiness.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 101 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 156
Keyword
Public health, men, population-based study, prevalence, urinary symptom, health care consultation, DAN-PSS, distress, LUTS, postal questionnaire, health, sadness, happiness, SF-36, Quality of Life, Folkhälsomedicin
Identifiers
urn:nbn:se:uu:diva-6931 (URN)91-554-6590-0 (ISBN)
Public defence
2006-09-08, Aulan, Ingång 21, Centrallasarettet Västerås, 13:15
Opponent
Supervisors
Available from: 2006-05-23 Created: 2006-05-23Bibliographically approved

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Walker-Engström, Marie-LouiseLeppert, Jerzy

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