Influence of patient related factors on health seeking behaviours among men with lower urinary tract symptoms attending surgical outpatient clinic at Meru Level Five Hospital, Kenya

Background: Currently there are increased cases of men presenting with lower urinary tract symptoms (LUTS) especially in low resource countries. The purpose of this study was to establish the influence of patient related factors on health seeking behaviors for LUTS among men attending surgical outpatient clinic at Meru hospital, Kenya.Methods: Descriptive cross-sectional study design was used. Population involved 120 men suffering from LUTS, 2 physicians and 2 nurses. Questionnaires and interview guides were used for data collection. Study period was from August 2018 to March 2020.Results: Patients (67.0%) were aged between 61-70 years. Primary education level (68.8%). Farmers (72.0%) with income level of below Kenyan Shilling (Ksh.) 20,000. Logistic regression was used whereby p values (p≤0.05). The inferential statistics pointed out that patient related factors test items had a statistical significant influence since the p values were found to be less than 0.05 at 95% confidence interval.Conclusions: There was a significant negative influence of patient related factors such as lack of knowledge, low income levels and distance to health care facilities on health seeking practices. Patients sought medical attention when quality of their lives had been threatened. The study recommends adopting measures of rising awareness on need for seeking early medical attention and initiate outreach health services in underserved areas or through telehealth.

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Influence of Patient Related Factors on Health Seeking Behaviours among Men with Lower Urinary Tract Symptoms attending Surgical Out Patient Clinic at Meru Level Five Hospital, Kenya

Journal Of Nursing Practice ◽

10.30994/jnp.v4i1.105 ◽

2020 ◽

Vol 4 (1) ◽

pp. 34-50

Author(s):

Consolata Kirigia ◽

Festus Mwendia Muriuki ◽

Sherry Oluchina ◽

Bernard Wambua Mbithi

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Health Care Facilities ◽

Medical Attention ◽

Health Seeking ◽

Related Factors ◽

P Values ◽

Urinary Tract Symptoms ◽

Lower Urinary

Background: Currently there are increased cases of men presenting with Lower Urinary Tract Symptoms (LUTS) especially in low resource countries. These symptoms may or may not be related to prostate cancer and health seeking behaviours are not clear. Purpose: To establish the influence of patient related factors on health seeking behaviours for Lower Urinary Tract Symptoms (LUTS) among men attending surgical outpatient clinic at Meru hospital, Kenya.Methods: Descriptive cross-sectional study design was used. The study population involved 120 men suffering from LUTS, 2 physicians and 2 nurses. Questionnaires and interview guides were used for data collection. Study period was from August 2018 to March 2020.Results: Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, the majority (68.8%) of the respondents had primary level of education. The findings also pointed out majority (72.0%) of the patients were farmers with income level of below Ksh. 20,000. Logistic regression was used whereby P-values determine the statistical significance of results with cut off set at (p ?0.05). The inferential statistics pointed out that patient related factors test items had a statistical significant influence since the p-values were found to be less than 0.05 at 95% confidence interval. Conclusion: There was a significant negative influence of patient related factors such as lack of knowledge, low income levels and distance to health care facilities on health seeking practices. Therefore patients seek medical attention when quality of their lives has been threatened. The study recommends adopting measures of rising awareness on need for seeking early medical attention and initiate outreach health services in underserved areas or through telehealth

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Social cultural factors influencing health seeking practices among men suffering from lower urinary tract symptoms attending surgical outpatient clinic at a county referral hospital in Kenya

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v9i1.30914 ◽

2020 ◽

Vol 9 (1) ◽

pp. 42

Author(s):

Festus Mwendia Muriuki ◽

Bernard Wambua Mbithi ◽

Sherry Oluchina

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Outpatient Clinic ◽

Lower Urinary Tract ◽

Income Level ◽

Cultural Factors ◽

Health Seeking ◽

Factors Influencing ◽

Urinary Tract Symptoms ◽

Lower Urinary

Health seeking practices is critical towards early screening, detection and control of Lower Urinary Tract Symptoms (LUTS) whereby human prostate gland is the major cause of benign prostate hyperplasia (BPH) and prostate cancer (PCA), which mostly accounts for LUTS. Social cultural factors such as cultural beliefs, educational level, income level and religion among many others have a direct influence on health seeking practices both positively and negatively in as far as LUTS are concerned. The researcher explored social cultural factors influencing health seeking practices among men with LUTS attending surgical outpatient clinic at Meru level five hospital (Kenya). De-scriptive cross-sectional study design was used to collect data from 120 men with LUTS, and 4 health workers. Census method was used to select the study participants with questionnaires, interview guide and focused group discussion used as instruments of data collection. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) software version 22, whereas the qualitative data was analyzed using qualitative techniques. Descriptive statistics were computed to generate percentages and frequencies, which were then presented in tables and charts. Logistic regression was used whereby P-values were employed to determine the statistical significance of results with cut off set at (p ≤0.05). Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, majority (68.8%) of the respondents had primary level of education, with majority (72.0%) of them being farmers with an income level of below Ksh. 20,000. The study results showed that social cultural factors had statistical significant influence on health seeking practices among men with LUTS.

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Lower urinary tract symptoms and related factors in female university students

LUTS Lower Urinary Tract Symptoms ◽

10.1111/luts.12306 ◽

2020 ◽

Vol 12 (3) ◽

pp. 211-217

Author(s):

Sebahat Gücük ◽

Ülkü M. Ural ◽

Mehmet Kayhan ◽

Adnan Gücük

Keyword(s):

Urinary Tract ◽

University Students ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Related Factors ◽

Urinary Tract Symptoms ◽

Lower Urinary

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Re: Impact of Metabolic Syndrome-Related Factors on the Development of Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms in Asian Population

The Journal of Urology ◽

10.1097/ju.0000000000000985.03 ◽

2020 ◽

Vol 203 (6) ◽

pp. 1038-1039

Author(s):

Steven A. Kaplan

Keyword(s):

Metabolic Syndrome ◽

Urinary Tract ◽

Benign Prostatic Hyperplasia ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Asian Population ◽

Prostatic Hyperplasia ◽

Related Factors ◽

Urinary Tract Symptoms ◽

Lower Urinary

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Health Seeking Behavior for Lower Urinary Tract Symptoms in Black Men

The Journal of Urology ◽

10.1016/j.juro.2008.03.032 ◽

2008 ◽

Vol 180 (1) ◽

pp. 227-232 ◽

Cited By ~ 12

Author(s):

Aruna V. Sarma ◽

Lauren Wallner ◽

Steven J. Jacobsen ◽

Rodney L. Dunn ◽

John T. Wei

Keyword(s):

Urinary Tract ◽

Black Men ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Health Seeking ◽

Health Seeking Behavior ◽

Urinary Tract Symptoms ◽

Seeking Behavior ◽

Lower Urinary

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Association of decreased grip strength with lower urinary tract symptoms in women: a cross‐sectional study from Korea

BMC Women s Health ◽

10.1186/s12905-021-01241-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Su-Jin Yang ◽

Jung Ha Park ◽

Yunhwan Oh ◽

Hyeonju Kim ◽

Mihee Kong ◽

...

Keyword(s):

Urinary Tract ◽

Overactive Bladder ◽

Grip Strength ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Smoking Status ◽

Medical Attention ◽

Urinary Tract Symptoms ◽

Detailed Medical History ◽

Lower Urinary

Abstract Background Lower urinary tract symptoms (LUTS) including frequency, nocturia, urgency, and incontinence, are common in women and cause significant discomfort in daily life. However, diagnosis and treatment of LUTS are often delayed because many patients with such symptoms do not complain to the physician of discomfort and do not seek medical attention. LUTS are known to be associated with muscle weakness. We investigated the association between grip strength and LUTS in women of different ages. Methods This study included 4225 women (mean age 48.6 years) who underwent self-referred health screening between April 2015 and December 2019. LUTS were evaluated using a self-reported questionnaire, and the overactive bladder symptom score was used to screen for an overactive bladder. Low muscle strength was defined as a hand grip strength of < 18 kg (decreased grip strength). Results We observed decreased grip strength in 13.7% (n = 580) of the participants. Nocturia, urgency, incontinence, and overactive bladder were more common in women with decreased grip strength than in women with normal grip strength. After adjusting for age, comorbidities (hypertension, diabetes, hyperlipidemia), smoking status, alcohol consumption, regular exercise, and stress, nocturia (odds ratio [OR] 1.19, 95% confidence interval [CI] 1.01–1.52), urinary incontinence (OR 1.32, 95% CI 1.01–1.72), and an overactive bladder (OR 1.75, 95% CI 1.35–2.27) were significantly associated with decreased grip strength. Conclusions The findings suggest that LUTS, especially nocturia, incontinence, and an overactive bladder are associated with decreased grip strength in women. Therefore, physicians should be aware that patients may not seek help, even if they are uncomfortable, and it is important to obtain a detailed medical history and perform additional tests, even in the absence of complaints, in patients with low grip strength, who are at high risk of LUTS.

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1547: Health-Seeking Behavior and Lower Urinary Tract Symptoms among a Cohort of African-American Men: The Flint Men's Healthstudy

The Journal of Urology ◽

10.1016/s0022-5347(18)38755-x ◽

2004 ◽

Vol 171 (4S) ◽

pp. 408-408

Author(s):

Aruna V. Sarma ◽

Julie C. McLaughlin ◽

Steven J. Jacobsen ◽

Rodney L. Dunn ◽

Kathleen A. Cooney ◽

...

Keyword(s):

African American ◽

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

African American Men ◽

Health Seeking ◽

Health Seeking Behavior ◽

Urinary Tract Symptoms ◽

Seeking Behavior ◽

Lower Urinary

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Extensive Prostatic Abscess in an Elderly Patient Requiring Multidisciplinary Drainage

Case Reports in Urology ◽

10.1155/2020/4398561 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

John Michael Nesemann ◽

Kathy Huen ◽

Jonathan Bergman

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Multidisciplinary Approach ◽

Perineal Pain ◽

Medical Attention ◽

Prostatic Abscess ◽

Urinary Tract Symptoms ◽

Systemic Symptoms ◽

Lower Urinary

Background. Prostatic abscess is rare and mainly affects immunocompromised individuals, classically presenting with both systemic and lower urinary tract symptoms. Our case is unique as the patient presented with an exceptionally long duration of symptoms prior to seeing a health-care provider, had no systemic symptoms, and was managed via a multidisciplinary approach. Case Presentation. We present a case of a 70-year-old man with type-two diabetes who endured two months of lower urinary tract symptoms and constipation without systemic symptoms prior to seeking medical attention. He had a positive urinalysis and culture and was initially thought to have a urinary tract infection; however, computed tomography scan revealed a large, complex, and multiloculated prostatic abscess. Multidisciplinary drainage of the abscess was performed by interventional radiology and urology. A postoperative Foley catheter was left in place, and the patient recovered without complications. Discussion. Prostatic abscess is uncommon and presents almost exclusively in patients with immunocompromising conditions such as diabetes. Prior to the advent of antibiotics, the major causes were gonorrheal and Staphylococcus aureus infections, but with the advent of antibiotics, microbial culprits have shifted to gram-negative organisms. Patients typically present with lower urinary tract symptoms, perineal or lower back pain, and systemic symptoms. Management often consists of intravenous antibiotics and surgical drainage either by transrectal ultrasound-guided needle aspiration, or transurethral deroofing of the prostate. Our case highlights the following: (a) the importance of a high index of suspicion for a prostatic abscess in an immunocompromised patient with persistent leukocytosis and perineal pain after treatment with antibiotics and (b) the potential for an early multidisciplinary approach to draining extensive, loculated prostatic abscesses.

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