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Benign Prostatic Hyperplasia In An Unselected Community-based Population: A Survey Of Urinary Symptoms, Bothersomeness And Prostatic Enlargement.

R. Simpson, W. Fisher, A. J. Lee, E. B. Russell, M. Garraway
Published 1996 · Medicine

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OBJECTIVES To determine the prevalence of (anatomical) benign prostatic hyperplasia/enlargement (BPH/BPE) in an unselected population and to assess the relationships between BPE, urinary flow rates (UFRs) and symptoms in men with BPH. SUBJECTS AND METHODS All men aged 40-79 years and living in three ex-mining villages in Scotland were invited to undergo a measurement of UFR, transrectal ultrasonography (TRUS) and to complete a symptom score and a previously validated lifestyle questionnaire. RESULTS Of 597 eligible men, 367 (61%) completed the urinary symptom questionnaire and 310 (52%) underwent TRUS and measurement of UFR. The response rate in the age group 50-69 was > 60%. Age-specific prevalence rates for BPE (prostate size > 20 g) per 1000 men were: 40-49 years, 615; 50-59 years, 776; 60-69 years, 892; and 70-79 years, 889, giving an overall rate for all ages of 765. There was no significant relationship between prostate size and symptoms, nor between size and peak UFR, nor any clear association between size and interference with activities of daily living. However, men with a UFR of > 20 mL/s were very unlikely to have prostates > 40 g. Relationships were found between some urinary symptoms and UFR. Age, weight and the level of prostate-specific antigen (PSA) were the only independent variables associated with prostate size. CONCLUSION Compared to published studies, BPE was substantially more prevalent than assumed previously. This study further reinforces the need for the subtle and detailed evaluation of patients who have a syndrome of BPH in assigning them to intervention, be it medical or surgical, or non-intervention/watchful waiting.
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This paper is referenced by
The immediate postoperative outcome of patients undergoing prostatectomy for benign prostatic hyperplasia at Kenyatta National Hospital
D. Kiptoon (2004)
10.1016/J.EURURO.2005.09.016
Medical consumption and costs during a one-year follow-up of patients with LUTS suggestive of BPH in six european countries: report of the TRIUMPH study.
N. V. van Exel (2006)
10.1007/s002400050148
Doxazosin modifies serotonin-mediated rabbit urinary bladder contraction
M. Khan (2000)
10.1159/000052348
Who Should Be Treated and How? Evidence-Based Medicine in Symptomatic BPH
M. Speakman (1999)
10.1046/j.1464-410x.1999.00248.x
Up‐regulation of endothelin‐B (ETB) receptors and ETB receptor‐mediated rabbit detrusor contraction in partial bladder outlet obstruction
Khan (1999)
10.1177/039156031007700304
Analysis of the Results Obtained with a new Phytotherapeutic Association for Benign Prostatic Hyperplasia versus Controls
E. Bercovich (2010)
10.1001/ARCHINTE.158.21.2349
Physical activity and benign prostatic hyperplasia.
E. Platz (1998)
Longitudinal Study on Occurrence and Prognosis of Male Lower Urinary Tract Symptoms
A. Pöyhönen (2014)
10.1136/bmj.318.7180.343
Benign prostatic hyperplasia
R. Kirby (1999)
10.1111/ijcp.12657
Patient characteristics and treatment patterns for patients with benign prostatic hyperplasia, erectile dysfunction or co‐occurring benign prostatic hyperplasia and erectile dysfunction in general practices in the UK: a retrospective observational study
D. Ilo (2015)
10.1159/000052399
α1-Blocker Therapy for Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction: What Are the Relevant Differences in Randomised Controlled Trials?
C. Mey (2000)
10.2165/00115677-199702040-00002
Screening and Diagnostic Considerations in Benign Prostatic Hyperplasia
N. Bryan (1997)
10.1097/00008469-200502000-00011
Fluid intake and urinary bladder cancer.
M. Allam (2005)
10.1016/S0090-4295(00)00603-8
Cross-sectional study of nocturia in both sexes: analysis of a voluntary health screening project.
G. Schatzl (2000)
10.1111/j.1464-410X.2005.05339.x
Incidence, prevalence and management of lower urinary tract symptoms in men in the UK
J. Logie (2005)
10.1159/000052401
How Do Symptoms Indicative of BPH Progress in Real Life Practice? The UK Experience
G. Clifford (2000)
Evaluation clinique des dispositifs médicaux
L. Huot (2012)
10.1016/S0031-9406(05)66250-5
Physiotherapy for Male Continence Problems
G. Dorey (1998)
10.1007/BF02853174
The lipidosterolic extract ofSerenoa repens in the treatment of benign prostatic hyperplasia: A comparison of two dosage regimens
X. Giannakopoulos (2002)
10.1093/PUBMED/23.2.141
Estimating a population's needs for the treatment of lower urinary tract symptoms in men: what is the extent of unmet need?
J. Treagust (2001)
10.1038/s41598-017-06628-8
The global burden of lower urinary tract symptoms suggestive of benign prostatic hyperplasia: A systematic review and meta-analysis
S. Lee (2017)
10.1093/OXFORDJOURNALS.AJE.A009775
Alcohol consumption, cigarette smoking, and risk of benign prostatic hyperplasia.
E. Platz (1999)
10.1055/S-0031-1296714
Efficacy and safety of a combination of sabal and urtica extract in lower urinary tract symptoms. A randomized, double-blind study versus tamsulosin.
U. Engelmann (2006)
10.1016/S0022-5347(05)67909-8
Race, ethnicity and benign prostatic hyperplasia in the health professionals follow-up study.
E. Platz (2000)
10.1002/(SICI)1097-0045(19980915)37:1<5::AID-PROS2>3.0.CO;2-H
Pathophysiological relationships between lower urinary tract symptoms and the prostate do not strengthen over time
A. Lee (1998)
10.1159/000052282
Relief of BPO or Improvement in Quality of Life?
P. Teillac (1998)
10.12816/0044539
Prevalence of Benign Prostatic Hyperplasia (BPH) in Saudi Patients above 40 Years Old
Markhan Hammad Almarkhan (2018)
10.1016/S0022-5347(01)61624-0
Health related quality of life in older men without prostate cancer.
M. Litwin (1999)
10.1159/000052567
Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction – Triumph: The Role of General Practice Databases
J. Logie (2001)
10.2974/KMJ.47.305
Evaluation of Lower Urinary Tract Symptoms of Outpatients with Prostatic Disease: The Relationship among UFM, TRUS, and IPSS and QOL Score.:THE RELATIONSHIP AMONG UFM, TRUS, AND IPSS AND QOL SCORE
K. Suzuki (1997)
10.1016/S0022-5347(01)64702-5
The American Urological Association symptom index for benign prostatic hyperplasia as a function of age, volume and ultrasonic appearance of the prostate.
M. Kojima (1997)
10.12968/BJON.2007.16.19.27357
A clinical overview of the treatment of post-prostatectomy incontinence.
G. Dorey (2007)
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