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Is Type-2 Diabetes Mellitus Associated With Overactive Bladder Symptoms in Men With Lower Urinary Tract Symptoms?

Authors
 Woo Jin Bang  ;  Joo Yong Lee  ;  Kyo Chul Koo  ;  Yoon Soo Hah  ;  Dae Hun Lee  ;  Kang Su Choc 
Citation
 UROLOGY, Vol.84(3) : 670-674, 2014 
Journal Title
 UROLOGY 
ISSN
 0090-4295 
Issue Date
2014
MeSH
Aged ; Comorbidity ; Diabetes Mellitus, Type 2/complications* ; Diabetes Mellitus, Type 2/diagnosis ; Humans ; Lower Urinary Tract Symptoms/complications* ; Male ; Middle Aged ; Nocturia/complications ; Prospective Studies ; Prostate/pathology ; Prostatic Hyperplasia/diagnosis* ; Quality of Life ; Retrospective Studies ; Surveys and Questionnaires ; Urinary Bladder, Overactive/complications* ; Urinary Bladder, Overactive/diagnosis
Abstract
OBJECTIVE: To elucidate the relationship between type-2 diabetes mellitus (DM) and overactive bladder symptoms in men with lower urinary tract symptoms (LUTS), after adjusting for the impact of age and prostate volume. MATERIALS AND METHODS: Data were obtained from a prospectively maintained database of 905 first-visit patients with LUTS and benign prostatic hyperplasia. After excluding those with comorbidities that may affect urinary symptom, we selected 139 patients with type-2 DM and 139 nondiabetic controls matched by propensity scoring for age and prostate volume. RESULTS: There were no differences in voided volume and maximal flow rate between the 2 groups, whereas residual urine volume was significantly higher in DM patients than controls (29.34 ± 26.99 mL vs 22.45 ± 23.25 mL; P = .028). The total International Prostatic Symptom Score was significantly higher in DM patients than controls (17.80 ± 7.60 vs 15.88 ± 7.05; P = .031). Storage (7.45 ± 3.21 vs 6.58 ± 3.11; P = .024) and postmicturition (2.57 ± 1.49 vs 2.19 ± 1.59; P = .045) symptom scores were higher in DM patients than controls, whereas the groups had similar voiding symptom scores (P = .104). Among storage symptoms, DM patients had higher frequency (P = .010) and nocturia (P = .003) scores but similar urgency scores. The Overactive Bladder Symptom Score was also significantly higher in DM patients; this difference was due to a higher nocturia (but not urgency) score. CONCLUSION: DM patients with LUTS and benign prostatic hyperplasia had greater storage and postmicturition symptoms than age and prostate volume-matched controls. The disparity in storage symptoms was mainly because of frequency and nocturia rather than urgency.
Full Text
http://www.sciencedirect.com/science/article/pii/S0090429514004993
DOI
10.1016/j.urology.2014.05.017
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Koo, Kyo Chul(구교철) ORCID logo https://orcid.org/0000-0001-7303-6256
Bang, Woo Jin(방우진)
Lee, Joo Yong(이주용) ORCID logo https://orcid.org/0000-0002-3470-1767
Cho, Kang Su(조강수) ORCID logo https://orcid.org/0000-0002-3500-8833
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99994
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