Community Based Survey of lower Urinary Tract Symptoms among Men with Cataract in North-Eastern Nigeria: A Window for Screening
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Although Cataract and Lower Urinary tract Symptoms (LUTS) have been observed to be common among Health Problems in senility, recognition and belief by the populace that this condition particularly the LUTS is treatable by seeking medical attention is the main area of challenge. Misconception is very common among population of elderly men who regard LUTS as normal aging process and or untreatable condition. Objectives: To determine the presence of LUTS in patients planned for cataract extraction and to assess their health seeking behaviour. Methodology: It is a prospective cross-sectional study. All male patients planned for community based mass cataract surgery in north eastern Nigeria were included. Patients excluded include female patients and male patents that did not consent to participate in the study. A structured questionnaire comprising of the demographic parameters and a standardized International Prostate Symptoms Score (IPSS) was administered to all patients. Data was analysed using SPSS version 20. Results: There were 250 patients planned for cataract extraction during the study period. Seventy were females hence excluded. Only 124 of the 180 male patients consented to participate in the study. The mean age of the respondents was 65.3yr(± 11.0).Separate mean age for those with and without LUTS were 65.9yr (±10.6) and 63.7yr (±11.2) respectively with no statistically significant difference (F=0.094, df=114, P=0.309). Only 35(28.2%) of the respondents have no symptoms. Among the patients who have LUTS, 54 (43.4%) were mild symptoms, 23(18.5%) were moderate and 12(9.7%) were severe. Out of these patients with LUTS, 76(85.5%) have never seek for medical attention, while 13 (14.5%,) were once treated for LUTS. Majority of those who had treatment for LUTS are those with severe symptoms. Conclusion: In this study, LUTS were very common among patients with cataract and majority of them did not seek for medical attention. Doctors at ophthalmology clinic should be vigilant to find out whether their patients have LUTS other than the Primary disease of the eyes. This will serve as a window to get contact with these older patients and screen them to determine the underlined cause of LUTS.
Authors and Affiliations
Usman Mohammed Tela
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