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The Urologist’s View of Male Overactive Bladder: Discrepancy between Reality and Belief in Practical Setting

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Author(s)
Seung Hwan LeeJoon Chul KimKyu-Sung LeeJeong Gu LeeChoal Hee ParkSung Joon HongChoung Soo KimJong Kwan ParkByung Ha Chung
Keimyung Author(s)
Park, Choal Hee
Department
Dept. of Urology (비뇨의학)
Journal Title
Yonsei Medical Journal
Issued Date
2010
Volume
51
Issue
3
Abstract
Purpose: In order to gain insight into the physicians’ awareness of and attitude
towards management of overactive bladder (OAB) in males, we performed a
nationwide survey of the current strategies that urologists use to diagnose and
manage OAB in male patients. Materials and Methods: A probability sample
was taken from the Korean Urological Association Registry of Physicians, and a
random sample of 289 Korean urologists were mailed a structured questionnaire that
explored how they manage benign prostatic hyperplasia (BPH). Results: A total of
185 completed questionnaires were returned. The consent rate in the survey was
64.5%. Eighty-one (44%) urologists believed that of all males with lower urinary
tract symptoms (LUTS), 20% or more had OAB and 72 (39%) believed that 10-
20% had OAB. Half of the urologists surveyed believed that the most bothersome
symptom in male OAB patients was nocturia. Seventy-three percent of respondents
reported that they prescribed alpha blockers with anticholinergics for first line
management, while 19% of urologists prescribed alpha blocker monotherapy but
not anticholinergics for OAB patients. Though acute urinary retention (AUR) was
considered the anticholinergic adverse event of most concern, the most frequently
observed adverse event was dry mouth (95%). Conclusion: The present study
provides insights into urologist views of male OAB. There is a discrepancy
between the awareness of urologists and actual patterns of diagnosis and treatment
of male OAB. This finding indicates the need to develop further practical
guidelines based on solid clinical data.
Key Words: Overactive bladder, physician’s practice patterns, bladder outlet
obstruction, benign prostatic hyperplasia, anticholinergics
Keimyung Author(s)(Kor)
박철희
Publisher
School of Medicine
Citation
Seung Hwan Lee et al. (2010). The Urologist’s View of Male Overactive Bladder: Discrepancy between Reality and Belief in Practical Setting. Yonsei Medical Journal, 51(3), 432–437. doi: 10.3349/ymj.2010.51.3.432
Type
Article
ISSN
0513-5796
DOI
10.3349/ymj.2010.51.3.432
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37258
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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