Department of Urology, Tampere University Hospital and University of Tampere, Tampere, Finland.
BJU Int. 2012 May;109(9):1360-4. doi: 10.1111/j.1464-410X.2011.10443.x. Epub 2011 Aug 24.
Study Type--Therapy (symptom prevalence). Level of Evidence 2a. What's known on the subject? and What does the study add? In several population-based studies the prevalence of hesitancy has varied from 20% to 52%. Studies concern mostly older men ≥50-years-old. Knowledge of troublesomeness that hesitancy causes is very scarce. This is a large population-based study on hesitancy in men with a wide age range. This study reports the prevalence of hesitancy from 30-year-old men to 80-year-old men. The bother of hesitancy is reported and this is also presented in different age groups.
• To estimate the prevalence and bother of hesitancy by age group.
• In this population-based study, the target population was 30- to 80-year-old men from Pirkanmaa County, Finland. • Information was collected by means of a mailed self-administered questionnaire in 2004. The overall participation proportion was 58.7% (4384 men out of 7470). • The Danish Prostatic Symptom Score (DAN-PSS-1) questionnaire was used to evaluate urinary symptoms, particularly hesitancy. Logistic regression was used for multivariate analysis.
• Almost half of the men (46.8%, 95% CI 45.3-48.3%) reported hesitancy at least occasionally, but only 0.5% (95% CI 0.3-0.7%) had hesitancy every time they urinated. The prevalence of any hesitancy was 42.3% at 30 years and 50.5% at 80 years of age (trend P < 0.001). Only a few men reported hesitancy often or always, prevalence increasing with age from 2.6% to 11.4% (trend P < 0.001). • Hesitancy caused a small problem for 18.3% of the men and a moderate or major problem for 0.9-5.3%. Only 3% of the men with infrequent hesitancy reported more than a small problem, whereas 59% of the men with hesitancy often or always reported a small problem and 32% reported a moderate or major problem. • Two other voiding symptoms, straining and weak stream, were strongly associated with hesitancy (with odds ratios exceeding 80).
• Mild hesitancy is very common in men of all ages. • Severe cases are rare, but the prevalence increases with age. • Hesitancy is a well-tolerated urinary symptom.
• 按年龄组估计犹豫的患病率和困扰程度。
• 在这项基于人群的研究中，目标人群是芬兰皮尔卡区 30 至 80 岁的男性。• 2004 年通过邮寄自填问卷收集信息。总体参与率为 58.7%（7470 名男性中有 4384 名）。• 使用丹麦前列腺症状评分（DAN-PSS-1）问卷评估尿症状，特别是犹豫。使用逻辑回归进行多变量分析。
• 近一半的男性（46.8%，95%CI 45.3-48.3%）报告至少偶尔有犹豫，但只有 0.5%（95%CI 0.3-0.7%）每次排尿时都有犹豫。30 岁时任何犹豫的患病率为 42.3%，80 岁时为 50.5%（趋势 P <0.001）。只有少数男性经常或总是报告犹豫，患病率从 2.6%增加到 11.4%（趋势 P <0.001）。• 犹豫对 18.3%的男性造成轻微问题，对 0.9-5.3%的男性造成中度或严重问题。只有 3%的偶尔犹豫的男性报告问题较大，而 59%的经常或总是犹豫的男性报告有轻微问题，32%报告有中度或严重问题。• 另外两个排尿症状，用力和弱流，与犹豫密切相关（比值比超过 80）。
• 轻度犹豫在所有年龄段的男性中都非常常见。• 严重病例很少见，但患病率随年龄增长而增加。• 犹豫是一种可以耐受的尿症状。
