Survey on benign prostatic hyperplasia distribution and treatment patterns for men with lower urinary tract symptoms visiting urologists at general hospitals in Korea

A prospective, noncontrolled, observational cohort study

Seung Hwan Lee, Byungha Chung, Chung Soo Kim, Hyun Moo Lee, Chun Il Kim, Tag Keun Yoo, Kyung Seop Lee, Kwang Sung Park, Seok Soo Byun, Byung Il Yoon, Sae Woong Kim, Ji Youl Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To survey cases of benign prostatic hyperplasia (BPH) among patients visiting urologists with lower urinary tract symptoms (LUTS) at general hospitals in Korea and to investigate treatment outcomes in current clinical practice. Methods: This was a multicenter, prospective study conducted in 18 urology centers in Korea. The symptoms of BPH were observed via the International Prostate Symptoms Score (IPSS), transrectal ultrasonography, uroflometry, prostate, specific, antigen, PSA) and postvoid residual volume at the baseline, 1 week, 4 weeks, 12 weeks, 24 weeks, and 52 weeks after initial evaluation. The patients were divided into three groups according to age (group I: 50-59; group II: 60-69; group III: 70 years or older). Results: Of the 1054 screened men, 966 were enrolled and 917 were diagnosed with BPH. Total IPSS and storage subscores were significantly higher in group III than in group II or I. By month 12, significant improvements on total IPSS and voiding subscores were demonstrated in group I over groups II and III (P =.02. 03, respectively). The incidence of dual combination therapy was significantly higher in the patients whose prostate volume was <30 mL and whose PSA was <1.5. Conclusion: At the initial visit, patients with LUTS/BPH, especially those who were relatively young, visited urologic centers because of to voidingsymptoms rather than storage symptoms. In contrast, elderly men who visited the urologic centers complained not only of voiding symptoms but also storage symptoms. However, at 12 months' follow up, all of the age groups showed improvement in both storage and voiding symptoms.

Original languageEnglish
Pages (from-to)1379-1384
Number of pages6
JournalUrology
Volume79
Issue number6
DOIs
Publication statusPublished - 2012 Jan 1

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Lower Urinary Tract Symptoms
Prostatic Hyperplasia
Korea
General Hospitals
Observational Studies
Prostate
Cohort Studies
Age Groups
Residual Volume
Urology
Therapeutics
Prostate-Specific Antigen
Multicenter Studies
Ultrasonography
Prospective Studies
Surveys and Questionnaires
Urologists
Incidence

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Lee, Seung Hwan ; Chung, Byungha ; Kim, Chung Soo ; Lee, Hyun Moo ; Kim, Chun Il ; Yoo, Tag Keun ; Lee, Kyung Seop ; Park, Kwang Sung ; Byun, Seok Soo ; Yoon, Byung Il ; Kim, Sae Woong ; Lee, Ji Youl. / Survey on benign prostatic hyperplasia distribution and treatment patterns for men with lower urinary tract symptoms visiting urologists at general hospitals in Korea : A prospective, noncontrolled, observational cohort study. In: Urology. 2012 ; Vol. 79, No. 6. pp. 1379-1384.
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abstract = "Objective: To survey cases of benign prostatic hyperplasia (BPH) among patients visiting urologists with lower urinary tract symptoms (LUTS) at general hospitals in Korea and to investigate treatment outcomes in current clinical practice. Methods: This was a multicenter, prospective study conducted in 18 urology centers in Korea. The symptoms of BPH were observed via the International Prostate Symptoms Score (IPSS), transrectal ultrasonography, uroflometry, prostate, specific, antigen, PSA) and postvoid residual volume at the baseline, 1 week, 4 weeks, 12 weeks, 24 weeks, and 52 weeks after initial evaluation. The patients were divided into three groups according to age (group I: 50-59; group II: 60-69; group III: 70 years or older). Results: Of the 1054 screened men, 966 were enrolled and 917 were diagnosed with BPH. Total IPSS and storage subscores were significantly higher in group III than in group II or I. By month 12, significant improvements on total IPSS and voiding subscores were demonstrated in group I over groups II and III (P =.02. 03, respectively). The incidence of dual combination therapy was significantly higher in the patients whose prostate volume was <30 mL and whose PSA was <1.5. Conclusion: At the initial visit, patients with LUTS/BPH, especially those who were relatively young, visited urologic centers because of to voidingsymptoms rather than storage symptoms. In contrast, elderly men who visited the urologic centers complained not only of voiding symptoms but also storage symptoms. However, at 12 months' follow up, all of the age groups showed improvement in both storage and voiding symptoms.",
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Survey on benign prostatic hyperplasia distribution and treatment patterns for men with lower urinary tract symptoms visiting urologists at general hospitals in Korea : A prospective, noncontrolled, observational cohort study. / Lee, Seung Hwan; Chung, Byungha; Kim, Chung Soo; Lee, Hyun Moo; Kim, Chun Il; Yoo, Tag Keun; Lee, Kyung Seop; Park, Kwang Sung; Byun, Seok Soo; Yoon, Byung Il; Kim, Sae Woong; Lee, Ji Youl.

In: Urology, Vol. 79, No. 6, 01.01.2012, p. 1379-1384.

Research output: Contribution to journalArticle

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T1 - Survey on benign prostatic hyperplasia distribution and treatment patterns for men with lower urinary tract symptoms visiting urologists at general hospitals in Korea

T2 - A prospective, noncontrolled, observational cohort study

AU - Lee, Seung Hwan

AU - Chung, Byungha

AU - Kim, Chung Soo

AU - Lee, Hyun Moo

AU - Kim, Chun Il

AU - Yoo, Tag Keun

AU - Lee, Kyung Seop

AU - Park, Kwang Sung

AU - Byun, Seok Soo

AU - Yoon, Byung Il

AU - Kim, Sae Woong

AU - Lee, Ji Youl

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Objective: To survey cases of benign prostatic hyperplasia (BPH) among patients visiting urologists with lower urinary tract symptoms (LUTS) at general hospitals in Korea and to investigate treatment outcomes in current clinical practice. Methods: This was a multicenter, prospective study conducted in 18 urology centers in Korea. The symptoms of BPH were observed via the International Prostate Symptoms Score (IPSS), transrectal ultrasonography, uroflometry, prostate, specific, antigen, PSA) and postvoid residual volume at the baseline, 1 week, 4 weeks, 12 weeks, 24 weeks, and 52 weeks after initial evaluation. The patients were divided into three groups according to age (group I: 50-59; group II: 60-69; group III: 70 years or older). Results: Of the 1054 screened men, 966 were enrolled and 917 were diagnosed with BPH. Total IPSS and storage subscores were significantly higher in group III than in group II or I. By month 12, significant improvements on total IPSS and voiding subscores were demonstrated in group I over groups II and III (P =.02. 03, respectively). The incidence of dual combination therapy was significantly higher in the patients whose prostate volume was <30 mL and whose PSA was <1.5. Conclusion: At the initial visit, patients with LUTS/BPH, especially those who were relatively young, visited urologic centers because of to voidingsymptoms rather than storage symptoms. In contrast, elderly men who visited the urologic centers complained not only of voiding symptoms but also storage symptoms. However, at 12 months' follow up, all of the age groups showed improvement in both storage and voiding symptoms.

AB - Objective: To survey cases of benign prostatic hyperplasia (BPH) among patients visiting urologists with lower urinary tract symptoms (LUTS) at general hospitals in Korea and to investigate treatment outcomes in current clinical practice. Methods: This was a multicenter, prospective study conducted in 18 urology centers in Korea. The symptoms of BPH were observed via the International Prostate Symptoms Score (IPSS), transrectal ultrasonography, uroflometry, prostate, specific, antigen, PSA) and postvoid residual volume at the baseline, 1 week, 4 weeks, 12 weeks, 24 weeks, and 52 weeks after initial evaluation. The patients were divided into three groups according to age (group I: 50-59; group II: 60-69; group III: 70 years or older). Results: Of the 1054 screened men, 966 were enrolled and 917 were diagnosed with BPH. Total IPSS and storage subscores were significantly higher in group III than in group II or I. By month 12, significant improvements on total IPSS and voiding subscores were demonstrated in group I over groups II and III (P =.02. 03, respectively). The incidence of dual combination therapy was significantly higher in the patients whose prostate volume was <30 mL and whose PSA was <1.5. Conclusion: At the initial visit, patients with LUTS/BPH, especially those who were relatively young, visited urologic centers because of to voidingsymptoms rather than storage symptoms. In contrast, elderly men who visited the urologic centers complained not only of voiding symptoms but also storage symptoms. However, at 12 months' follow up, all of the age groups showed improvement in both storage and voiding symptoms.

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DO - 10.1016/j.urology.2012.02.010

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