A SURVEY ON LOWER URINARY TRACT SYMPTOMS (LUTS) AMONG PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA (BPH) IN HOSPITAL UNIVERSITI SAINS MALAYSIA (HUSM)

Patients with Benign Prostatic Hyperplasia (BPH) commonly presents with lowerurinary tract symptoms (LUTS), which can be of obstructive symptoms such ashesitancy, incomplete voiding, post void dribbling or of irritative symptoms suchas urgency, frequency and nocturia. Various recent studies indicate that nocturiais a very important and bothersome lower urinary tract symptom especially amongpatients with Benign Prostatic Hyperplasia (BPH). The aims of the study was todetermine the frequency of common urinary symptoms among patients with BPHin HUSM as well as to evaluate the extent of bothersomeness of each and everysymptom to these patients. This study too was aimed at evaluating the success ofTURP in resolving pre operative LUTS. This was a questionnaire-based surveyusing a validated ICSBPH model whereby patients with BPH were selected andquizzed personally by an investigator. A subset of patients who had undergoneTURP were further questioned regarding their satisfaction with the procedure.When nocturia is defined as waking up at night once or more to pass urine, theprevalence of nocturia was about 90%, but only 1 in 6 patients considered this is avery serious symptom. Even if the definition was changed to waking up twice ormore, the prevalence is still quite high at over 80%. Urgency were noted in half ofthe patients, but only a quarter of them consider it a serious problem. 1 in 5 patientsexperienced significant leak and almost all consider it serious. About one third ofthe studied population had to be catheterized due to urinary obstruction andinterestingly only about half of them considered it as a very serious event. Overall,a great majority of these patients considered suffering from these urinary symptomsfor the rest of their life as very devastating. This study conclude that although theprevalence of nocturia was high among BPH patients, but it was not consideredserious by majority of them. In fact, LUTS in our BPH patients did not differmuch from BPH patients elsewhere. On the whole, TURP resolved most of theLUTS effectively.