Peters T J, Donovan J L, Kay H E, Abrams P, de la Rosette J J, Porru D, Thüroff J W
Department of Social Medicine, University of Bristol, United Kingdom.
J Urol. 1997 Mar;157(3):885-9.
We assessed the bothersomeness of lower urinary tract symptoms as reported by men, and investigated relationships among occurrence, degree of problem caused and age.
Questionnaire data from 1,271 men presenting with lower urinary tract symptoms in 12 countries were analyzed. Statistical methods included distributions, cross tabulations, chi-square analysis and Spearman's rank correlation coefficients.
Although prevalence and bothersomeness were moderately positively related, voiding symptoms were the most prevalent whereas the most bothersome were predominantly storage symptoms, including incontinence. While prevalence showed a broadly decreasing trend with age, bothersomeness was relatively unrelated to age.
These findings suggest that symptom occurrence alone does not necessarily reflect the degree to which patients are bothered by lower urinary tract symptoms. Therefore, when deciding on treatment it is important not only to consider the presence and frequency of lower urinary tract symptoms but also the bother that they cause.
我们评估了男性报告的下尿路症状的困扰程度，并研究了其发生率、所造成问题的严重程度与年龄之间的关系。
对来自12个国家的1271名出现下尿路症状的男性的问卷数据进行了分析。统计方法包括分布、交叉表、卡方分析和Spearman等级相关系数。
尽管患病率与困扰程度呈中度正相关，但排尿症状最为普遍，而最令人困扰的主要是储尿症状，包括尿失禁。虽然患病率总体上随年龄呈下降趋势，但困扰程度与年龄的相关性相对较小。
这些发现表明，仅症状的出现并不一定反映患者受下尿路症状困扰的程度。因此，在决定治疗方案时，不仅要考虑下尿路症状的存在和频率，还要考虑它们所造成的困扰，这一点很重要。
