Lower urinary tract symptoms; an undetected cause for morbidity in adults.

INTRODUCTION

Lower urinary tract symptoms (LUTS) have been recognised as a cause of distress among adult men and women. In view of the increasing elderly population in Sri Lanka, the number of individuals with LUTS is likely to increase.

OBJECTIVES

To determine the prevalence and severity of LUTS in a community sample of older men and women residing in an urban area.

DESIGN

Cross-sectional descriptive study.

SETTING

Field practice area of National Institute of Health Sciences, Kalutara.

METHODS

Households were selected using probability proportionate to the size (PPS) method. 985 adult men and women (above 40 years of age) were interviewed by Public Health Midwives regarding LUTS using an interviewer-administered questionnaire. The questions were adapted from ICSmale questionnaire and the Bristol Female Lower Urinary Tract questionnaire.

RESULTS

209 (47%) men and 338 (62.6%) women reported at least one urinary symptom. In men, urgency, nocturia, dysuria and frequency were the most prevalent symptoms with stress incontinence being the least prevalent. Majority of the symptoms showed an increase in prevalence with age. In women, dysuria, stress incontinence, urgency and frequency were the most prevalent symptoms. Hesitancy, intermittency, and stress and urge incontinence were the most bothersome symptoms among men, and urge and stress incontinence among women.

CONCLUSIONS

Prevalence of LUTS was high in our study population.