Skip to main content
NCBI home page
The British Journal of General Practice logoLink to The British Journal of General Practice
. 1993 Aug;43(373):318–321.

Impact of previously unrecognized benign prostatic hyperplasia on the daily activities of middle-aged and elderly men.

W M Garraway 1, E B Russell 1, R J Lee 1, G N Collins 1, G B McKelvie 1, M Hehir 1, A C Rogers 1, R J Simpson 1
PMCID: PMC1372554  PMID: 7504499

Abstract

To assess the importance of benign prostatic hyperplasia on activities of daily living, a cross-sectional survey of 1627 men aged 40-79 years (representing a 65% response rate) registered with two health centres in central Scotland was carried out, using a urinary symptom questionnaire and uroflowmetry to identify men more likely to have benign prostatic hyperplasia. The condition was defined as a prostate gland of more than 20 g in the presence of symptoms of urinary dysfunction and/or a peak flow rate of less than 15 ml s-1, without evidence of malignancy. Transrectal ultrasonography was used to measure the volume (and by inference weight) of prostate glands. A total of 410 men satisfied the criteria for benign prostatic hyperplasia. Overall, 51% of men with benign prostatic hyperplasia reported interference with at least one of a number of selected activities of daily living as a result of urinary dysfunction, compared with 28% of men who did not have this condition. In 17% of men of working age (40-64 years) with benign prostatic hyperplasia, this interference occurred most or all of the time for at least one activity of daily living compared with only 3% of men in the same age group who did not have this condition. If the criteria of unmet need for treatment of benign prostatic hyperplasia constitutes interference by urinary dysfunction most or all of the time in at least one activity of daily living, then the findings of this survey suggest that a substantial number of middle aged and elderly men living in the United Kingdom may be in need of assessment and treatment for this condition.

Full text

PDF
318

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berry S. J., Coffey D. S., Walsh P. C., Ewing L. L. The development of human benign prostatic hyperplasia with age. J Urol. 1984 Sep;132(3):474–479. doi: 10.1016/s0022-5347(17)49698-4. [DOI] [PubMed] [Google Scholar]
  2. Chilton C. P., Morgan R. J., England H. R., Paris A. M., Blandy J. P. A critical evaluation of the results of transurethral resection of the prostate. Br J Urol. 1978 Dec;50(7):542–546. doi: 10.1111/j.1464-410x.1978.tb06208.x. [DOI] [PubMed] [Google Scholar]
  3. Epstein R. S., Deverka P. A., Chute C. G., Panser L., Oesterling J. E., Lieber M. M., Schwartz S., Patrick D. Validation of a new quality of life questionnaire for benign prostatic hyperplasia. J Clin Epidemiol. 1992 Dec;45(12):1431–1445. doi: 10.1016/0895-4356(92)90205-2. [DOI] [PubMed] [Google Scholar]
  4. Fowler F. J., Jr, Wennberg J. E., Timothy R. P., Barry M. J., Mulley A. G., Jr, Hanley D. Symptom status and quality of life following prostatectomy. JAMA. 1988 May 27;259(20):3018–3022. [PubMed] [Google Scholar]
  5. Garraway W. M., Collins G. N., Lee R. J. High prevalence of benign prostatic hypertrophy in the community. Lancet. 1991 Aug 24;338(8765):469–471. doi: 10.1016/0140-6736(91)90543-x. [DOI] [PubMed] [Google Scholar]
  6. Glynn R. J., Campion E. W., Bouchard G. R., Silbert J. E. The development of benign prostatic hyperplasia among volunteers in the Normative Aging Study. Am J Epidemiol. 1985 Jan;121(1):78–90. [PubMed] [Google Scholar]
  7. Jensen K. M., Jørgensen J. B., Mogensen P., Bille-Brahe N. E. Some clinical aspects of uroflowmetry in elderly males. A population survey. Scand J Urol Nephrol. 1986;20(2):93–99. doi: 10.3109/00365598609040555. [DOI] [PubMed] [Google Scholar]
  8. Jensen K. M., Jørgensen J. B., Mogensen P. Urodynamics in prostatism. I. Prognostic value of uroflowmetry. Scand J Urol Nephrol. 1988;22(2):109–117. doi: 10.1080/00365599.1988.11690395. [DOI] [PubMed] [Google Scholar]
  9. Nielsen K. T., Christensen M. M., Madsen P. O., Bruskewitz R. C. Symptom analysis and uroflowmetry 7 years after transurethral resection of the prostate. J Urol. 1989 Nov;142(5):1251–1253. doi: 10.1016/s0022-5347(17)39048-1. [DOI] [PubMed] [Google Scholar]
  10. Rutkow I. M. Urological operations in the United States: 1979 to 1984. J Urol. 1986 Jun;135(6):1206–1208. doi: 10.1016/s0022-5347(17)46037-x. [DOI] [PubMed] [Google Scholar]
  11. Sommer P., Nielsen K. K., Bauer T., Kristensen E. S., Hermann G. G., Steven K., Nordling J. Voiding patterns in men evaluated by a questionnaire survey. Br J Urol. 1990 Feb;65(2):155–160. doi: 10.1111/j.1464-410x.1990.tb14688.x. [DOI] [PubMed] [Google Scholar]
  12. Stewart A. L., Greenfield S., Hays R. D., Wells K., Rogers W. H., Berry S. D., McGlynn E. A., Ware J. E., Jr Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study. JAMA. 1989 Aug 18;262(7):907–913. [PubMed] [Google Scholar]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

RESOURCES