PMID: 7544816Sep 1, 1995Paper

Implications of the most bothersome prostatism symptom for clinical care and outcomes research

Journal of the American Geriatrics Society
C E DuBeauN M Resnick

Abstract

Because treatment of benign prostatic hyperplasia (BPH) is based largely on patients' symptoms, understanding and measuring the impact of these symptoms from the patient's perspective is critically important for clinical care. Such knowledge also is crucial for comparing patient-weighted outcomes because the increasing array of medical and surgical BPH treatments differ in their impact on specific symptoms. Our purpose was to determine the most bothersome symptom in older men seeking evaluation for symptomatic BPH and to examine whether age, comorbidity, or urodynamic evidence of prostatic obstruction were important covariates. Prospective evaluation of a consecutive series. Veterans Affairs urology clinic. 115 men (age 69 +/- 6 years) presenting for initial evaluation of prostatism. Scores on standard symptom index and patients' reports of the most bothersome symptom. Bladder outlet obstruction was assessed by multichannel videourodynamic evaluation. An "irritative" symptom (frequency, urgency, or nocturia) was cited as most bothersome significantly more often than an "obstructive" symptom (weak stream, hesitancy, etc.) (53 vs. 35%, P < .05); older men were significantly more likely to name an irritative symptom as most bother...Continue Reading

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Citations

Oct 23, 2012·The Journal of Urology·Brian T HelfandUNKNOWN CAMUS Study Group
Apr 19, 2011·The Journal of Urology·Brian T HelfandUNKNOWN CAMUS Study Group
Sep 18, 2007·The Journal of Urology·Theodore M JohnsonUNKNOWN Medical Therapy of Prostatic Symptoms Research Group
Jan 22, 2011·International Neurourology Journal·Sun-Ouck KimSoo Bang Ryu
Jul 22, 2005·International Journal of Clinical Practice·A WaggI Milsom
Jun 7, 2005·Journal of the American Geriatrics Society·Theodore M JohnsonJoseph G Ouslander
Nov 18, 2003·BJU International·A RembrattK-E Andersson
Feb 24, 2012·International Journal of Clinical Practice·C P VaughanT M Johnson
Oct 1, 2013·International Journal of Clinical Practice·C R Chapple, N I Osman
Apr 22, 2010·Journal of the American Geriatrics Society·Kathryn L BurgioRichard M Allman
Jul 11, 2003·The Journal of Urology·Theodore M JohnsonJoseph G Ouslander
Aug 12, 1999·Journal of the American Geriatrics Society·C E DuBeauN M Resnick
Aug 12, 1999·Journal of the American Geriatrics Society·K Burgio, J G Ouslander
Sep 1, 1995·Journal of the American Geriatrics Society·F J Fowler
Sep 15, 1998·Journal of the American Geriatrics Society·C E DuBeauN M Resnick
Jun 18, 1998·Australian and New Zealand Journal of Public Health·C PinnockV R Marshall
Aug 7, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Maria NuotioMarja Jylhä
Feb 1, 1996·The Urologic Clinics of North America·N M Resnick
Dec 18, 2001·The Journal of Urology·Theodore M JohnsonJoseph G Ouslander
Feb 20, 2004·The New England Journal of Medicine·Joseph G Ouslander
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Oct 19, 2005·Prostate Cancer and Prostatic Diseases·C G RoehrbornR Harkaway
Jan 4, 2008·Aging Clinical and Experimental Research·Maria NuotioMarja Jylhä
Nov 13, 2018·International Journal of Urology : Official Journal of the Japanese Urological Association·Tomoyuki KoguchiYoshiyuki Kojima
Apr 10, 2020·Ci Ji Yi Xue Za Zhi = Tzu-chi Medical Journal·Yuan-Hong JiangHann-Chorng Kuo
Oct 23, 1997·The American Journal of the Medical Sciences·H S Clarke

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