The role of emotional condition in patients with lower urinary tract symptoms performing uroflowmetry

Urology
Emanuele RubilottaMarilena Gubbiotti

Abstract

To evaluate the prevalence of the general and uroflowmetry (UF)-related anxiety in patients performing UF, and to assess whether anxiety may affect patient's micturition at UF. This prospective study recruited candidates to UF. Recorded data were: demographics, LUTS and anxiety questionnaires (IPSS, ICIQ-FLUTS, GAD-7, APAIS-M), UF parameters, linker-type scale for UF satisfaction/reproducibility and discomfort. We enrolled 167 patients (non-naïve 59.3%).125 were men. General anxiety was found in 55.3% of patients (63.2% naïve), and UF-related anxiety in 41.3% (46.5% non-naïve). No significantly different rate of anxiety was found between naïve and non-naïve patients. A significant difference was found between IPSS total score in patients without anxiety (10.9±6.4) and subjects with anxiety (16.9±7.3; p< 0.001). According to the ICIQ-FLUTS questionnaire, only the subscore -F was significantly greater in women with a high level of general and UF- related anxiety (7.8±6.1 vs 12±4.9; p< 0.001). A low UF satisfaction/reproducibility was reported by 27.5% of patients, in 21.7% of subjects with general anxiety, and 36.6% of patients with UF-related anxiety. High discomfort was recorded in 58.1% of patients. Anxiety affected women twic...Continue Reading

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