Clinical epidemiology of young men with lower urinary tract symptoms: The SciCOM 3 project.

IF 1.3 Q3 UROLOGY & NEPHROLOGY
Sanjay Sinha, Sameer Trivedi, Ankur Mittal, Girdhar Bora, Rishi Nayyar, Pawan Vasudeva, Anita Patel, Harbans Bansal, Vijay Kumar Sarma Madduri, Niraj Kumar, Swarnendu Mandal, Vikas Kumar, Sujith Jose, Girish G Nelivigi, Anil Elhence, Harprit Singh
{"title":"Clinical epidemiology of young men with lower urinary tract symptoms: The SciCOM 3 project.","authors":"Sanjay Sinha, Sameer Trivedi, Ankur Mittal, Girdhar Bora, Rishi Nayyar, Pawan Vasudeva, Anita Patel, Harbans Bansal, Vijay Kumar Sarma Madduri, Niraj Kumar, Swarnendu Mandal, Vikas Kumar, Sujith Jose, Girish G Nelivigi, Anil Elhence, Harprit Singh","doi":"10.4103/iju.iju_429_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>A study was performed to determine the most common and most bothersome symptoms and clinical associations in young men (18-40 years) presenting with lower urinary tract symptoms (LUTS).</p><p><strong>Methods: </strong>Cross-sectional study was conducted across 16 centers. Urinary symptoms, impact of bladder problems, bowel symptoms, erectile dysfunction, premature ejaculation, bladder pain, non-bladder myofascial pain, and general well-being were assessed by validated questionnaires.</p><p><strong>Results: </strong>A total of 448 men (median age 30 years) were included. Nocturia ≥1 (89.1%) and feeling of incomplete bladder evacuation (76.6%) were the most common symptoms while the most bothersome symptoms were daytime frequency and nocturia (median score 5; interquartile range 2-8, for both) on the International Consultation on Incontinence Questionnaire for Male LUTS questionnaire. Bladder symptoms were associated with severe or many severe problems (response 5 or 6, on the Patient Perception of Bladder Conditions Questionnaire) in 17.8% of the patients. Men between 18 and 20 years reported greater bother with their bladder condition. Normal erections and \"very good\" control over ejaculation were reported by 49.8% and 15.6%, respectively. Constipation and loose stools were reported by 22.8% and 12.9%, while bladder pain and non-bladder myofascial pain were reported by 72.5%, and 48.2%, respectively. 17.0% of the patients reported low scores on the WHO-5 Well-Being Scale. Two distinct patient clusters were identified. A larger cluster (63.9%) that presented with voiding symptoms and urgency but fewer sexual or pain symptoms, and a smaller cluster that showed pronounced sexual symptoms, pain, daytime frequency, and nocturia.</p><p><strong>Conclusions: </strong>The most common urinary symptoms in young men are nocturia and a sense of incomplete evacuation. Daytime frequency and nocturia are the most bothersome symptoms. It is important to assess associated symptoms in young men presenting with LUTS.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 2","pages":"137-144"},"PeriodicalIF":1.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021365/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/iju.iju_429_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: A study was performed to determine the most common and most bothersome symptoms and clinical associations in young men (18-40 years) presenting with lower urinary tract symptoms (LUTS).

Methods: Cross-sectional study was conducted across 16 centers. Urinary symptoms, impact of bladder problems, bowel symptoms, erectile dysfunction, premature ejaculation, bladder pain, non-bladder myofascial pain, and general well-being were assessed by validated questionnaires.

Results: A total of 448 men (median age 30 years) were included. Nocturia ≥1 (89.1%) and feeling of incomplete bladder evacuation (76.6%) were the most common symptoms while the most bothersome symptoms were daytime frequency and nocturia (median score 5; interquartile range 2-8, for both) on the International Consultation on Incontinence Questionnaire for Male LUTS questionnaire. Bladder symptoms were associated with severe or many severe problems (response 5 or 6, on the Patient Perception of Bladder Conditions Questionnaire) in 17.8% of the patients. Men between 18 and 20 years reported greater bother with their bladder condition. Normal erections and "very good" control over ejaculation were reported by 49.8% and 15.6%, respectively. Constipation and loose stools were reported by 22.8% and 12.9%, while bladder pain and non-bladder myofascial pain were reported by 72.5%, and 48.2%, respectively. 17.0% of the patients reported low scores on the WHO-5 Well-Being Scale. Two distinct patient clusters were identified. A larger cluster (63.9%) that presented with voiding symptoms and urgency but fewer sexual or pain symptoms, and a smaller cluster that showed pronounced sexual symptoms, pain, daytime frequency, and nocturia.

Conclusions: The most common urinary symptoms in young men are nocturia and a sense of incomplete evacuation. Daytime frequency and nocturia are the most bothersome symptoms. It is important to assess associated symptoms in young men presenting with LUTS.

年轻男性下尿路症状的临床流行病学:scicom3项目
前言:一项研究旨在确定出现下尿路症状(LUTS)的年轻男性(18-40岁)最常见和最令人烦恼的症状及其临床关联。方法:在16个中心进行横断面研究。泌尿系统症状、膀胱问题的影响、肠道症状、勃起功能障碍、早泄、膀胱疼痛、非膀胱肌筋膜疼痛和一般健康状况通过有效的问卷进行评估。结果:共纳入448名男性,中位年龄30岁。夜尿症≥1(89.1%)和膀胱排空不完全感(76.6%)是最常见的症状,而最令人烦恼的症状是白天尿频和夜尿症(中位评分5分;男性尿失禁国际咨询问卷调查的四分位数范围为2-8。17.8%的患者膀胱症状伴有严重或多重严重问题(患者膀胱状况感知问卷回答5或6)。18岁到20岁的男性更容易受到膀胱疾病的困扰。勃起正常和射精控制“非常好”的比例分别为49.8%和15.6%。便秘和稀便分别占22.8%和12.9%,膀胱疼痛和非膀胱肌筋膜疼痛分别占72.5%和48.2%。17.0%的患者报告在WHO-5幸福量表上得分较低。确定了两个不同的患者群。较大的组群(63.9%)表现为排尿症状和尿急,但较少出现性症状或疼痛症状,较小的组群表现为明显的性症状、疼痛、白天频率和夜尿。结论:年轻男性最常见的泌尿系统症状是夜尿和排尿不全感。白天尿频和夜尿是最烦人的症状。评估年轻男性LUTS患者的相关症状非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Indian Journal of Urology
Indian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
62
审稿时长
33 weeks
期刊介绍: Indian Journal of Urology-IJU (ISSN 0970-1591) is official publication of the Urological Society of India. The journal is published Quarterly. Bibliographic listings: The journal is indexed with Abstracts on Hygiene and Communicable Diseases, CAB Abstracts, Caspur, DOAJ, EBSCO Publishing’s Electronic Databases, Excerpta Medica / EMBASE, Expanded Academic ASAP, Genamics JournalSeek, Global Health, Google Scholar, Health & Wellness Research Center, Health Reference Center Academic, Hinari, Index Copernicus, IndMed, OpenJGate, PubMed, Pubmed Central, Scimago Journal Ranking, SCOLOAR, SCOPUS, SIIC databases, SNEMB, Tropical Diseases Bulletin, Ulrich’s International Periodical Directory
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信