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Enlarged prostate: A landmark national survey of its prevalence and impact on US men and their partners


This questionnaire-based survey evaluated the frequency and severity of lower urinary tract symptoms (LUTS) and the prevalence of enlarged prostate (EP) diagnosis and its impact on quality of life and spousal relationships among >1000 American men aged >50 years. A quarter of men suffered moderate to severe LUTS and 55% of those consulting a doctor had EP. EP negatively affected patient quality of life and caused relationship strain with spouses. These findings confirm that LUTS and EP are prevalent in the US population, affecting both patient and spouse, and may help in developing management strategies for EP.

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  1. Emberton M, Andriole GL, de la Rosette J, Djavan B, Hoefner K, Vela Navarrete R et al. Benign prostatic hyperplasia: a progressive disease of aging men. Urology 2003; 61: 267–273.

    Article  Google Scholar 

  2. Jacobsen SJ, Girman CJ, Guess HA, Rhodes T, Oesterling JE, Lieber MM . Natural history of prostatism: longitudinal changes in voiding symptoms in community dwelling men. J Urol 1996; 155: 595–600.

    Article  CAS  Google Scholar 

  3. Jacobsen SJ, Jacobson DJ, Girman CJ, Roberts RO, Rhodes T, Guess HA et al. Natural history of prostatism: risk factors for acute urinary retention. J Urol 1997; 158: 481–487.

    Article  CAS  Google Scholar 

  4. McConnell JD, Roehrborn CG, Bautista OM, Andriole Jr GL, Dixon CM, Kusek JW et al. The long-term effect of doxazosin, finasteride, and combination therapy on the clinical progression of benign prostatic hyperplasia. N Engl J Med 2003; 349: 2387–2398.

    Article  CAS  Google Scholar 

  5. DuBeau CE, Yalla SV, Resnick NM . Implications of the most bothersome prostatism symptom for clinical care and outcomes research. J Am Geriatr Soc 1995; 43: 985–992.

    Article  CAS  Google Scholar 

  6. Rhodes T, Girman CJ, Jacobsen SJ, Guess HA, Hanson KA, Oesterling JE et al. Does the mode of questionnaire administration affect the reporting of urinary symptoms? Urology 1995; 46: 341–345.

    Article  CAS  Google Scholar 

  7. Jacobsen SJ, Girman CJ, Lieber M . Natural history of benign prostatic hyperplasia. Urology 2001; 58: 5–16.

    Article  CAS  Google Scholar 

  8. Chute CG, Panser LA, Girman CJ, Oesterling JE, Guess HA, Jacobsen SJ et al. The prevalence of prostatism: a population-based survey of urinary symptoms. J Urol 1993; 150: 85–89.

    Article  CAS  Google Scholar 

  9. Garraway WM, Collins GN, Lee RJ . High prevalence of benign prostatic hypertrophy in the community. Lancet 1991; 338: 469–471.

    Article  CAS  Google Scholar 

  10. Bosch JL, Hop WC, Kirkels WJ, Schroder FH . The International Prostate Symptom Score in a community-based sample of men between 55 and 74 years of age: prevalence and correlation of symptoms with age, prostate volume, flow rate and residual urine volume. Br J Urol 1995; 75: 622–630.

    Article  CAS  Google Scholar 

  11. Choong S, Emberton M . Acute urinary retention. Br J Urol Int 2000; 85: 186–201.

    Article  CAS  Google Scholar 

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Correspondence to C G Roehrborn.

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Roehrborn, C., Marks, L. & Harkaway, R. Enlarged prostate: A landmark national survey of its prevalence and impact on US men and their partners. Prostate Cancer Prostatic Dis 9, 30–34 (2006).

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