Lower urinary tract symptoms in men: challenges to early hospital presentation in a resource-poor health system

The point at which men seek medical care for lower urinary tract symptoms (LUTS) varies between individuals. Presentation to hospital with complications beyond LUTS appears prevalent in our setting. The aim of this survey is to assess from the community perspective in southeast Nigeria, the challeng...

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Bibliographic Details
Published in:BMC urology 2020-07, Vol.20 (1), p.87-87, Article 87
Main Authors: Nnabugwu, Ikenna I, Okoronkwo, Ijeoma L, Nnabugwu, Chinwe A
Format: Article
Language:English
Subjects:
Adult
Age
Aging
Analysis
Attitudes
Bladder
Challenges
Cross-Sectional Studies
Delay
Disease
Health care industry
Health insurance
Health Resources
Hospitals
Humans
Low income groups
Lower Urinary Tract Symptoms - diagnosis
LUTS
Male
Medical-care
Men
Middle Aged
Nigeria
Nocturia
Patient Acceptance of Health Care
Poverty
Principal components analysis
Prostate
Questionnaires
Regression analysis
Self Report
Surveys
Urinary tract
Urogenital system
Urology
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Summary:The point at which men seek medical care for lower urinary tract symptoms (LUTS) varies between individuals. Presentation to hospital with complications beyond LUTS appears prevalent in our setting. The aim of this survey is to assess from the community perspective in southeast Nigeria, the challenges to early presentation for medical evaluation for LUTS by men. A questionnaire-based cross-sectional survey of randomly-selected men ≥40 years. The questionnaire captured respondent's age; presence, duration and severity of LUTS; access to health information; wealth-index; and when (and why) medical care for LUTS was sought. Analysis was with SPSS® version 20. In all, responses from 1319 men (mean age 54.2 ± 10.2 years) are analysed. Of these, 267 report LUTS: 58.4% (156) report moderate to severe LUTS and 51.7% (138) are yet to seek medical care. As regards seeking medical care, all the men reporting LUTS of 3 months, 35.7% of 126 men reporting moderate LUTS, and 20.0% of 30 men reporting severe LUTS are yet to seek medical care. LUTS being non-bothersome (not financial constraint) is the most prevalent reason for not seeking medical care early. Delay is encouraged by limited access to health information (OR 3.10; p 
ISSN:1471-2490
1471-2490
DOI:10.1186/s12894-020-00651-0