THE PREVALENCE OF PROSTATISM - A POPULATION-BASED SURVEY OF URINARY SYMPTOMS
THE PREVALENCE OF PROSTATISM - A POPULATION-BASED SURVEY OF URINARY SYMPTOMS
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DOI：
10.1016/s0022-5347(17)35405-8
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发表时间：
1993-07-01
影响因子：
6.6
通讯作者：
LIEBER, MM
中科院分区：
文献类型：
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作者：
CHUTE, CG;PANSER, LA;LIEBER, MM
为了在社区男性队列中建立泌尿系统症状的年龄特异性患病率，随机选择男性样本进行筛选，并邀请他们参加泌尿系统症状的纵向调查。罗切斯特流行病学项目列举的明尼苏达州奥姆斯特德县的人口构成了本研究的抽样基础。年龄在40 - 79岁之间的男性，没有前列腺或其他泌尿外科手术史，也没有与神经源性膀胱相关的疾病，被邀请参加。受试者完成了先前验证的问卷。还获得了尿流测量结果、当前药物治疗和泌尿系统疾病家族史。阻塞性症状复合物的无反应校正评分显示，40 - 49岁男性中有13%为中度至重度阻塞性疾病，70岁以上男性中有28%为中度至重度阻塞性疾病。尿失禁、尿流微弱、尿流重新开始、尿急和排空不完全的感觉等特定泌尿症状与年龄密切相关，因此可能预示着前列腺疾病的进展。
To establish the age-specific prevalence of urinary symptoms among a community-based cohort of men, a randomly selected sample of men were screened and invited to participate in a longitudinal survey of urinary symptoms. The population of Olmsted County, Minnesota, as enumerated by the Rochester Epidemiology Project, formed the sampling base for this study. Men between 40 and 79 years old with no history of prostate or other urological surgery, and who also were free of conditions associated with neurogenic bladder were invited to participate. A previously validated questionnaire was completed by the subject. Urine flow measures, current medications and family histories of urinary disease were also obtained. Nonresponse corrected scores for a composite of obstructive symptoms showed moderate to severe symptomatology among 13% of the men 40 to 49 years old and 28% of those older than 70 years.Prostatism is a highly prevalent symptom complex among unselected men in the community. The specific urinary symptoms of nocturia, weak stream, restarting, urgency and sensation of incomplete emptying are strongly age-related and, therefore, may be predictive of a prostatic disease process.