Przydacz Mikołaj, Chłosta Marcin, Belch Łukasz, Czech Anna K, Wiatr Tomasz, Gronostaj Katarzyna, Lipinski Marek, Chłosta Piotr
Department of Urology, Jagiellonian University Medical College, Cracow, Poland.
2 Department of Urology, Medical University of Łódź, Łódź, Poland.
Cent European J Urol. 2021;74(3):382-387. doi: 10.5173/ceju.2021.0087. Epub 2021 Jun 17.
The aim of this study was to establish at the population level the treatment patterns for lower urinary tract symptoms (LUTS) and overactive bladder (OAB) in Poland.
We used data from LUTS POLAND, a survey representative of the entire Polish population classified by age, sex, and place of residence. The treatment patterns we considered were lifestyle changes, physiotherapy, non-prescription drugs, prescription drugs, and surgical treatment.
We obtained 6,005 completed interviews. About one-third of respondents who reported LUTS or OAB were seeking treatment, and many of these persons received treatment. Men were more proactive in seeking treatment than women, and men more often received treatment. Management with prescription drugs was the most common treatment modality of LUTS and OAB respondents. There were some disparities in distribution of other treatment options between LUTS and OAB persons, but, disappointingly, non-invasive and low-cost management strategies were rarely reported as being used. Specialists (mainly urologists) provided most of the treatments. We did not identify differences between urban and rural areas in treatment seeking, treatment receiving, and the treatment methods that were used.
In Poland, the scale was low for seeking treatment for LUTS and OAB. As well, there was little reliance on non-invasive and low-cost management strategies for LUTS and OAB. Our findings underline the need for education of patients and physicians about LUTS and OAB, and for greater healthcare and financial resources for LUTS and OAB patients.
本研究的目的是在波兰人群层面确定下尿路症状（LUTS）和膀胱过度活动症（OAB）的治疗模式。
我们使用了来自波兰LUTS研究的数据，该调查代表了按年龄、性别和居住地点分类的全体波兰人口。我们考虑的治疗模式包括生活方式改变、物理治疗、非处方药、处方药和手术治疗。
我们获得了6005份完整的访谈。报告有LUTS或OAB的受访者中约有三分之一在寻求治疗，其中许多人接受了治疗。男性比女性更积极地寻求治疗，且男性接受治疗的频率更高。使用处方药治疗是LUTS和OAB受访者最常见的治疗方式。LUTS和OAB患者在其他治疗选择的分布上存在一些差异，但令人失望的是，很少有人报告使用非侵入性和低成本的管理策略。大多数治疗由专科医生（主要是泌尿科医生）提供。我们未发现城乡地区在寻求治疗、接受治疗以及所使用的治疗方法上存在差异。
在波兰，LUTS和OAB的治疗寻求比例较低。此外，LUTS和OAB对非侵入性和低成本管理策略的依赖程度较低。我们的研究结果强调需要对患者和医生进行关于LUTS和OAB的教育，并为LUTS和OAB患者提供更多的医疗保健和财政资源。
