Kay L, Stigsby B, Brasso K, Mortensen S O, Munkgaard S
Department of Urology, Herlev Hospital, Denmark.
Scand J Urol Nephrol. 1999 Apr;33(2):94-9. doi: 10.1080/003655999750016050.
To describe voiding problems and the trouble they cause in a Danish population. Furthermore, to find symptoms specific for the ageing man, and thereby symptoms that might relate to an enlarged prostate.
The DAN-PSS questionnaire was mailed to a gender- and age-stratified random sample of 500 inhabitants in Herlev municipality. Prevalence of the symptoms and the trouble they cause were calculated and related to age and gender by the x2 test for trend and the chi2 test, respectively.
The response rate was 73.6%. In total, 84.5% of the subjects had experienced at least one symptom within the previous fortnight. The various symptom prevalences ranged from 3.8-67.1%. Although many subjects experienced symptoms, they were not always bothered by them, and women were generally more bothered than men. Weak stream, hesitancy and dribbling occurred more often among men, whereas incontinence (stress, mixed) occurred more often among women. Nocturia and mixed incontinence increased in prevalence with increasing age among both men and women. Weak stream, incomplete emptying, stress and urge incontinence showed an age-related increase in prevalence among men, but not among women. These might therefore be symptoms of an enlarged prostate.
Lower urinary tract symptoms occur with high prevalence in the background population, but they do not always cause trouble. Weak stream, incomplete emptying, stress and urge incontinence seem to be symptoms of an enlarged prostate.
描述丹麦人群中的排尿问题及其引发的困扰。此外，找出老年男性特有的症状，进而找出可能与前列腺增生相关的症状。
向赫勒乌普市500名居民按性别和年龄分层的随机样本邮寄丹麦前列腺症状评分（DAN-PSS）问卷。通过趋势x2检验和卡方检验分别计算症状的患病率及其引发的困扰，并将其与年龄和性别相关联。
应答率为73.6%。总体而言，84.5%的受试者在过去两周内至少经历过一种症状。各种症状的患病率在3.8%-67.1%之间。尽管许多受试者有症状，但他们并非总是为此烦恼，而且女性通常比男性更烦恼。尿流无力、排尿犹豫和尿滴沥在男性中更常见，而尿失禁（压力性、混合性）在女性中更常见。夜尿症和混合性尿失禁在男性和女性中患病率均随年龄增长而增加。尿流无力、排尿不尽、压力性尿失禁和急迫性尿失禁在男性中的患病率随年龄增长而增加，在女性中则不然。因此，这些可能是前列腺增生的症状。
下尿路症状在普通人群中患病率很高，但并不总是会造成困扰。尿流无力、排尿不尽、压力性尿失禁和急迫性尿失禁似乎是前列腺增生的症状。
