Choi Ho Chul, Kwon Jong Kyu, Lee Joo Yong, Han Jang Hee, Jung Hae Do, Cho Kang Su
Department of Urology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. ; Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Department of Urology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. ; Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
World J Mens Health. 2015 Aug;33(2):81-7. doi: 10.5534/wjmh.2015.33.2.81. Epub 2015 Aug 19.
To examine seasonal variations in urinary symptoms in Korean men with lower urinary tract symptoms and benign prostatic hyperplasia (LUTS/BPH).
Records were obtained from a consecutive database of LUTS/BPH patients from March 2010 to February 2014. A total of 1,185 patients were suitable for analysis. The International Prostate Symptom Score (IPSS), uroflowmetric parameters, prostate volume-related parameters, and serum prostate-specific antigen levels were evaluated.
Based on the month during which they were examined, patients were categorized into cold, hot, or intermediate season groups. The IPSS score was significantly different between the cold and the hot season groups (17.3±6.9 vs. 16.1±7.4, respectively; p=0.020). Storage symptom scores were significantly aggravated in the cold (6.8±3.3; p=0.030) and intermediate groups (6.9±3.5; p=0.032) compared with the hot season group (6.3±3.4), with this observation primarily driven by the individual scores for frequency and urgency. Quality of life (QOL) scores were worse in the cold compared with the hot season group (4.0±1.1 vs. 3.8±1.1, respectively; p=0.012). There were also significant differences between the cold and hot season groups in voided volume (278.7±148.5 vs. 255.9±145.1, respectively; p=0.034) and postvoid residual volume (26.4±37.6 vs. 32.2±41.0, respectively; p=0.039).
Different urinary symptoms and uroflowmetric parameters were associated with changes in seasons. QOL and IPSS parameters might be worse in cold weather seasons compared with hot weather seasons.
研究韩国患有下尿路症状和良性前列腺增生（LUTS/BPH）的男性患者尿路症状的季节性变化。
从2010年3月至2014年2月连续的LUTS/BPH患者数据库中获取记录。共有1185例患者适合进行分析。评估国际前列腺症状评分（IPSS）、尿流率参数、前列腺体积相关参数和血清前列腺特异性抗原水平。
根据检查月份，患者被分为寒冷季节组、炎热季节组或中间季节组。寒冷季节组和炎热季节组的IPSS评分存在显著差异（分别为17.3±6.9和16.1±7.4；p=0.020）。与炎热季节组（6.3±3.4）相比，寒冷季节组（6.8±3.3；p=0.030）和中间季节组（6.9±3.5；p=0.032）的储尿期症状评分显著加重，这一观察结果主要由尿频和尿急的个体评分驱动。与炎热季节组相比，寒冷季节组的生活质量（QOL）评分更差（分别为4.0±1.1和3.8±1.1；p=0.012）。寒冷季节组和炎热季节组在排尿量（分别为278.7±148.5和255.9±145.1；p=0.034）和残余尿量（分别为26.4±37.6和32.2±41.0；p=0.039）方面也存在显著差异。
不同的尿路症状和尿流率参数与季节变化相关。与炎热天气季节相比，寒冷天气季节的QOL和IPSS参数可能更差。
