Linked Comment: Rosenberg. Int J Clin Pract ; —4. Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. Methods used to conduct the study: A selected cohort BPH Salute general practitioners GPs in Europe were asked to report information on BPH patients with lower urinary tract symptoms LUTSincluding patient characteristics, diagnostic procedures, severity of illness, symptoms duration and underlying conditions.
The GPs provided data relating to patients. Transrectal sonography was popular in BPH Salute and France Conclusions drawn from the study and clinical implications: This survey has shown that the most common LUTS is nocturia. An association between LUTS and heart disease, diabetes and hypertension suggests that the pharmacological treatment should be devoid of effects on the cardiovascular system.
With alpha blockers as first line treatment of LUTS, respondents were more concerned with hypotensive episodes resulting in falls, rather than about other typical side effects e. BPH is an important issue in general practice. Ejaculatory disorders are not considered a concern because, even though they are common, they are not bothersome. Ageing men reporting lower urinary tract symptoms LUTS suggestive of benign prostatic hyperplasia BPH are becoming an increasingly important issue in general practice, in view of both the frequency and consequences of this complaint.
Consequently, the absolute number of men consulting GPs because of LUTS will inevitably increase considerably as the European population ages rapidly 5.
The survey was then followed by a quantitative survey amongst a total BPH Salute GPs. All data from the quantitative survey was analysed through descriptive statistics such as distribution, frequency count, mean and median. The GPs who were invited to be interviewed, were randomly selected in each country from local database of physicians based on specific geographical location. The total GP sample in each country was structured to be representative of the national universe of GPs.
A sample size of at least 90 GPs per country was chosen to ensure statistically significant results. The replies were used to finalise the structured questionnaire for the definitive quantitative survey, as well as for the calculation of the sample size. General practitioners were asked to provide data relating to anonymised, uncoded patient records. Thus, BPH Salute is not possible to exclude that the findings were due to the selection of a particular subgroup of LUTS sufferers.
This represents a limitation in the study design. Most patients had concomitant diseases The most common concomitant disease was arterial hypertension The time that had elapsed since diagnosis varied considerably in all countries. On average, it was particularly short in the UK mean time In Italy, unlike other countries, symptoms were described only in Transrectal sonography was popular BPH Salute Italy and in France The differences in the prescription rate of urinalysis is reflected by the differences in the prescription of urine cultures, which varied considerably from almost none 6.
BPH Salute IPSS was almost never used 3. The information collected on prostate volume is not reported, because the proportion of cases without this information was high 1st diagnosis: The top BPH Salute in terms of treatment was the resolution of nocturia, which on average had a score that reflected an important need 3.
Feeling of incomplete emptying was also considered important, with scores just below those related to urgency 2. In BPH Salute, they feared that patients getting up at night because of nocturia might fall due to orthostatic hypotension. Patients in the UK seemed to experience frequency, less often than patients in other countries. Indeed, frequency was most frequent in France, the BPH Salute with the lowest proportion of patients with a recent diagnosis 6.
At the moment, it remains unclear BPH Salute these associations are because of the fact that all these BPH Salute become more common with age or whether there are other factors linking them. In any case, these findings suggest that the pharmacological treatment of LUTS should be devoid of effects BPH Salute the cardiovascular system First line treatment BPH Salute LUTS are alpha blockers medication.
However, when respondents were asked about their main concerns in managing patients with LUTS, they were much more concerned by hypotensive episodes resulting in falls than about other typical side effects of alpha blockers such as ejaculation disorders and lowered libido. Thus, according to our BPH Salute, it appears that ejaculation disorders BPH Salute common, but not bothersome.
The survey highlights educational needs in diagnostics. Contrary to these recommendations, very few physicians used the IPSS questionnaire 3. Unfortunately, GP BPH Salute ensured the inclusion of a representative sample from a geographical point of view, BPH Salute not in terms of age BPH Salute experience. Thus, it is not possible to exclude that the findings were due to the recruitment of a particular subgroup of GPs, such as young, inexperienced GPs or at the other extreme, older physicians who may give less weight to guidelines.
This is a limitation of the survey. However, the fact that GPs at the two extremes i. Another reason for the failure to use the IPSS questionnaire is that some physicians do not find it useful for clinical practice: the IPSS investigates seven symptoms, giving the same weight to BPH Salute of them, in contrast with the recent trend to give more weight to bothersome symptoms. Patients reported nocturia and frequency as the symptoms on the top of the list mean importance scores: 3.
These findings are consistent with the outcome of surveys conducted in other countries. Thus, in view of the frequency, bothersomeness and resistance to current treatment of nocturia, frequency and feeling of incomplete emptying, their resolution is a medical need BPH Salute will hopefully be met by increased education in diagnostics.
Volume 67Issue 2. The full text of this article hosted at iucr. If you do not receive an email within 10 minutes, your email address may not be BPH Salute, and you may need to create a new Wiley Online Library account. If the address matches an existing account you will receive an email with instructions to retrieve your username.
International Journal of Clinical Practice. Tools Request permission Export citation Add to favorites Track citation. Share Give access Share full text access. Share full text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. Introduction Ageing men reporting lower urinary tract BPH Salute LUTS suggestive of benign prostatic hyperplasia BPH are becoming an increasingly important issue in general practice, in view of both the frequency and consequences of this complaint.
Figure 1 Open in figure viewer PowerPoint. BPH Salute 2 Open in figure viewer PowerPoint. Benign prostatic hyperplasia: a review of its histogenesis and natural history. Prostate Suppl ; 6 : 67 — Citing Literature. Volume 67Issue 2 February Pages Figures References BPH Salute Information. Close Figure Viewer. Browse All Figures Return to Figure. Previous Figure Next Figure. Email or Customer ID.
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