Close Menu

Prospective Survey of Lower Urinary Tract Symptom and the Commonest Risk Factor among Urological Patients in Nigeria

Journal Authors: 


Objective: To determine the age-specific prevalence, severity of LUTS and the commonest risk factor among Nigerian patients.

Methods: A prospective, non-randomized study of 360 men was carried out at the Ekiti State University Teaching Hospital, Ado-Ekiti, south- western Nigeria between 1st of January, 2012 and 31st of December, 2014. The International Prostate Symptoms Score (IPSS) questionnaire was used for the assessment of LUTS and quality of life [QoL].

Results: The mean age of the study population was 64±12.8 years and men in the age group 60-69 years had the highest prevalence of 27.8%. Eighty-two and half percent [82.5%] of the men had moderate to severe symptoms (IPSS score > 7). The prevalence of storage symptoms was significantly higher than that of voiding symptoms in all age groups. LUTS was not associated with smoking or body mass index, p>.05. Men with diabetes had odd ratio of 1.640[95%CI=0.895-3.005] and hypertension 1.071 [95%CI=0.773-1.484] higher than those without two diseases and also poorer QoL. Known alcoholic patients were less likely to develop LUTS and poor QoL than non alcoholics, odd ratio [OR] was 0.774[95%CI=0.573-1.047]. The age of patient was also significantly associated with good QoL with patients aged >65 years having good QoL compared to those aged<65years (p<0.05). The OR for developing poor QoL for patients aged˂65years was 1.331[95%CI=1.063-3.543] while for aged>65 years, it was 0.686[95%CI=0.470-1.001].

Conclusion: LUTS was commonest in the 7th decade of life and alcohol consumption was the commonest but protective risk factor in south -western Nigeria. Majority of the patients presented with moderate to severe symptoms.

25 Nov, 2015
PDF Attachment: 
e-Published: 15 Mar, 2016


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page