scholarly journals Evaluation of Quality of Life among Patients with Multiple Sclerosis and Lower Urinary Tract Symptoms: A Cross-Sectional Study

2019 ◽  
Author(s):  
Fatemeh Nazari ◽  
Vahid Shaygannejad ◽  
Mehrdad Mohammadi Sichani ◽  
Marjan Mansourian Gharaagozlou ◽  
Valiollah Hajhashemi

Abstract Evaluation of Quality of Life among Patients with Multiple Sclerosis and Lower Urinary Tract Symptoms: A Cross-Sectional Study Background: Urinary complications are prevalent among patients with multiple sclerosis (MS), and evaluating the usefulness of treatment requires a direct measurement of the health-related quality of life (QOL). Therefore, this study was carried out aiming to determine the QOL of patients with MS and lower urinary tract symptoms (LUTS). Methods: This cross-sectional study was carried out using multi-stage random cluster sampling method on 603 patients with MS who referred to the neurology clinic of Kashani and Alzahra treatment centers affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. The diagnosis of MS was approved among these patients based on the 2010 Revised McDonald Diagnostic Criteria by a neuroscientist. Data were collected through interviews using the questionnaire standard International Prostate Symptom Score (IPSS), and the Multiple Sclerosis Quality of Life-54 (MSQOL-54). Data were analyzed using descriptive and inferential statistical tests. The significance level was considered to be less than 0.050. Results: The prevalence of LUTS among patients with MS was 84.2%, the prevalence rate of mixed, irritative, and obstructive urinary symptoms was 52.2%, 25.5%, and 6.5%, respectively. There was a statistically significant difference in the combined dimensions of physical and mental health of QOL between the two groups with and without LUTS (P < 0.05). Moreover, logistic regression analysis revealed that there was a higher probability of a urinary tract problem among patients with MS and high EDSS score [0.67 (0.485-0.930), P = 0.02]. Conclusions: Due to the high prevalence rate of mixed LUTS among patients with MS and decrease in QOL, screening and attention to these symptoms are necessary in order to prevent secondary outcomes and improve QOL. Keywords: Multiple sclerosis, urinary symptoms, quality of life

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Aleksandar Blubaum ◽  
Stephen Blakely ◽  
Nicholas Westfall ◽  
Augusto Miravalle ◽  
Brian Flynn

Author(s):  
Bruna Maciel Catarino ◽  
Alessandro Finkelsztejn ◽  
Magda da Silva Aranchipe ◽  
José Geraldo Lopes Ramos ◽  
Luciano Palmeiro Rodrigues ◽  
...  

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Cristie S. Mandang ◽  
Richard A. Monoarfa ◽  
Billy Salem

Abstract: Benign prostatic hyperplasia (BPH) is a disease that is rarely life-threatening, but resulting in annoying complaints and decreasing the quality of life of the patients. BPH is found in older men. BPH patients who come for treatment are usually accompanied with lower urinary tract symptoms (LUTS). BPH patients with LUTS symptoms usually come to the clinic when they feel that the symptoms are bothering their daily-lives, therefore, decreasing the quality of life (QoL). BPH is caused by many factors, as follows: knowledge, economic, social, or cultural factors. To determine the severity of BPH with LUTS, we used the International Prostate Symptom Scoring Score (IPSS) and 1 question about the quality of life. Based on the results of cross-sectional study in December 2014 we obtained 37 patients as samples. Most patients belonged to the age group of 70-79 years (62.2%). The majority of respondents had severe degree of IPSS score (20 patients, 54.1%). The value of QoL scores showed that 10 patients (27%) were not happy with their quality of life. The Spearman correlation test was used to find whether there was a correlation between the IPSS score and Quality of Life (QoL) of BPH patients with LUTS symptoms. There was a significant correlation (p < 0.005) between IPSS-QoL (r = 0.481). The reason that patients with symptoms of BPH LUTS came the surgical clinic of Prof. Dr R. D. Kandou Hospital Manado with severe symptoms and decreases QoL was their lack of knowledge about BPH.Keywords: BPH, LUTS, IPSS, QoL, ManadoAbstrak: Hiperplasia prostat jinak atau Benign Prostatic Hyperplasia (BPH) merupakan penyakit yangjarang mengancamjiwa tetapi cukup memberikan keluhan yang menjengkelkan dan menurunkan kualitas hidup penderitanya dan sering ditemukan pada pria usia lanjut. Pasien BPH yang datang berobat biasanya disertai dengan LUTS (lower urinary tract symptoms). Pasien BPH dengan gejala LUTS yang mencari pengobatan medis biasanya datang pada saat dirinya merasa bahwa gejala yang dirasakan sudah cukup menggangu aktivitas sehari-hari atau dengan kata lain, mengganggu kualitas hidupnya. Keadaan seperti ini disebabkan oleh banyak faktor, antara lain faktor pengetahuan, ekonomi, atau sosial budaya. Untuk menentukan derajat berat ringannya BPH yang disertai dengan gejala LUTS, digunakan skoring International Prostate Symptom Score (IPSS) dan 1 pertanyaan mengenai kualitas hidup. Berdasarkan hasil penelitian potong lintang yang dilakukan selama bulan Desember 2014 didapatkan 37 sampel. Insiden BPH terbanyak berada pada kisaran umur 70-79 tahun sebanyak 23 pasien (62,2%). Derajat BPH yang paling sering ialah derajat berat sebanyak 20 pasien (54,1%). Nilai skor kualitas hidup yang sering dirasakan pasien menunjukkan bahwa 10 pasien (27%) merasa tidak senang dengan kualitas hidupnya. Hasil uji korelasi antara IPSS-QOL didapatkan bermakna (p<0,005), dengan nilai r = 0,481. Faktor yang menjadi alasan mengapa pasien-pasien BPH dengan gejala LUTS yang berobat di Poli Bedah RSUP Prof. Dr. 490Mandang, Monoarfa, Salem: Hubungan antara skor...R. D. Kandou Manado datang dengan gejala yang berat dan kualitas hidup tidak senang ialah kurangnya pengetahuan mengenai BPH itu sendiri.Kata kunci: BPH, LUTS, IPSS, QOL, Manado


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Apriska Bassay ◽  
Alwin Monoarfa ◽  
Victor Pontoh

Purpose: To know the correlation between IPSS score with quality of life of LUTS patients.Background: Lower Urinary Tract Symptoms (LUTS) are a common problem in men that quite annoying and decreasing the quality of life with various micturition complaints.Methods: This research methods using cross-sectional study which is conducted along November until December 2015 in some Clinics in Manado and founded 32 samples. Collected data technic is based on IPSS questionaire form. The Data Analysis using descriptive analysis for patient ditribution and correlation analysis with Rank Spearman test.Results: The Most insident of LUTS belonged to the age group of 60 – 69 years old for 10 patients (32.3%). The majority of respondents had moderate-severe degree of IPSS score (14 patients, 43,8%). And that 14 patients (43,8%) were not happy with their quality of life. The Rank Spearman correlation test showed there was a significant correlation (p < 0,005) between the IPSS and quality of life, with score r = 0,578.Conclusion: There was a significant correlation between IPSS with quality of life of patients that most of LUTS patients in Manado seek medical threatment came with the severe degree with unhappy quality of life because their was low of economic and knowledge level about LUTS.Keyword: LUTS, IPSS, Quality of LifeTujuan Penelitian: Untuk mengetahui hubungan antara skor IPSS dengan kualitas hidup penderita LUTS.Latar Belakang: Lower Urinary Tract Symptoms (LUTS) merupakan masalah umum pada pria yang cukup mengganggu dan menurunkan kualitas hidup penderitanya oleh karena berbagai keluhan miksi.Metode Penelitian: Penelitian ini menggunakan metode cross-sectional pada bulan November-Desember 2015 dibeberapa Puskesmas Kota Manado dan didapatkan 32 sampel. Pengambilan data berdasarkan lembaran kuesioner IPSS. Data dianalisis menggunakan analisis deskriptif untuk distribusi penderita dan analisis korelasi dengan uji Rank Spearman.Hasil: Insiden penderita LUTS terbanyak pada usia 60-69 tahun yaitu 10 penderita (31,3%). Derajat LUTS yang sering dialami ialah derajat sedang-berat yaitu 14 penderita (43,75%). Dan 14 penderita (43,8%) merasa tidak nyaman dengan kualitas hidup. Pada uji korelasi Rank Spearman menunjukkan adanya hubungan bermakna (p < 0,005) antara IPSS dengan kualitas hidup, dengan nilai r = 0,578.Kesimpulan: Adanya hubungan yang bermakna antara IPSS dengan kualitas hidup bahwa sebagian besar penderita LUTS berobat saat sudah masuk derajat berat dengan kualitas hidup tidak nyaman oleh karena pendidikan yang rendah dan berpenghasilan ekonomi dibawah rata-rata.Kata Kunci: LUTS, IPSS, Kualitas Hidup


2006 ◽  
Vol 175 (4S) ◽  
pp. 410-411
Author(s):  
Germar M. Pinggera ◽  
Michael Mitterberger ◽  
Leo Pallwein ◽  
Peter Rehder ◽  
Ferdinand Frauscher ◽  
...  

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Isaac Samir Wasfy ◽  
Enayat Mohamed Soltan ◽  
Hassan A. Abdelwahab ◽  
Hend Mikhail Salama

Abstract Background This study aims to assess the severity of lower urinary tract symptoms, and to assess predictors of impaired quality of life among Egyptian adults complain of lower urinary tract symptoms. Methods An observational cross-sectional research was done using an online anonymous poll survey. The survey was implemented through sharing on different social media applications. The survey was posted from June 1, 2020, to June 10, 2020. The overall communities of the Egyptian adults who satisfied the incorporation rules and consented to take an interest in the research were incorporated using convenience and snowball collecting methods (188 adults). A semi-structured questionnaire on socio-demographic characteristics and Arabic Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) short forms were used. Results Approximately 220 Egyptian adults shared in the research but only 188 fulfilled inclusion and exclusion criteria. Approximately 92% of them had at least one symptom of lower urinary tract manifestations. Irritative symptoms presented in 65 (85.5%) of males and 102 (91.1%) of females. Stress symptoms presented in 44 (57.9%) of males and 63 (56.2%) of females with higher statistically significant mean of stress symptoms. Obstruction/discomfort symptoms presented in 51 (67.1%) of males, and 77 (68.8%) of females. Seeking help and duration of the urological problem were statistically significant independent positive predictors of UDI-6-total. The Irritative score, obstruction/discomfort score, and duration of the urological problem were statistically significant independent positive predictors of IIQ-7-total. Conclusions Urological problems are common and have an impact on the quality of life in various domains of physical activity, social relationships, travel, and emotional health.


2016 ◽  
Vol Volume 11 ◽  
pp. 879-885 ◽  
Author(s):  
Yuan-Yun Tam ◽  
Chia-Chen Wu ◽  
Hueih-Shing Hsu ◽  
Shyh-Chyi Chang ◽  
Hsu-Hsiang Wang ◽  
...  

2019 ◽  
Vol 76 (1) ◽  
pp. 30-35
Author(s):  
Uros Babic ◽  
Ivan Soldatovic ◽  
Ivan Vukovic ◽  
Svetomir Dragicevic ◽  
Dejan Djordjevic ◽  
...  

Background/Aim. Benign prostatic hyperplasia (BPH) is a pathological process, which is one of the most common causes of so-called lower urinary tract symptoms (LUTS). LUTS affect many aspects of daily activities and almost all domains of health-related quality of life (HRQoL). The objective of this study was to evaluate the effects of operative treatment of BPH using standard clinical diagnostic procedures and effects on LUTS using the symptom-score validated to Serbian language as well as implications on HRQoL. Methods. Seventy-four patients underwent surgical treatment for BPH. The study protocol included objective and subjective parameters of the following sets of variables measured before and after the surgery: voiding and incontinence symptoms were measured using the International Continence Society male Short Form (ICS male SF) questionnaire, HRQoL was measured using the SF-36 questionnaire along with standard clinical measurement of residual urine and urine flow. Results. After the surgery, all patients had decrease of voiding scores (13.5 ? 3.3 before and 1.5 ? 1.4 after surgery) and incontinence symptoms (5.7 ? 3.9 before and 0.6 ? 0.8 after surgery) in comparison to period before operative treatment. Significant improvements in all dimensions of HRQoL were noticed, particularly in emotional health. Although mental and physical total scores were significantly better than prior to the surgery, the level of improvement of voiding and incontinence scores were significantly correlated only with the level of improvement of mental score. Conclusion. After BPH surgery, patients are likely to have normal voiding symptoms, barely some involuntary control over urination and overll better HRQoL, particularly in emotional domain.


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