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Relation between glycemic levels and low tract urinary symptoms in elderly
Fabio Thadeu Ferreira1, Luciane Daltoé, Guilherme Succi
1Department of Surgery, State Campinas University , Campinas, SP , Brazil .
Diabetes mellitus is associated with increased lower urinary tract symptoms (LUTS) in older men, significantly impacting their quality of life. This finding highlights the importance of managing diabetes to alleviate BPH symptoms.
Area of Science:
- Gerontology
- Urology
- Endocrinology
Background:
- Lower urinary tract symptoms (LUTS) significantly impact the quality of life in patients with benign prostatic hyperplasia (BPH).
- Therapeutic choices for BPH often depend on symptom severity and impact on daily living, especially when formal surgical indication is absent.
Purpose of the Study:
- To determine the association between Diabetes Mellitus type II and the presence and severity of BPH symptoms in elderly men.
- To investigate how diabetes influences the quality of life related to urinary symptoms in this demographic.
Main Methods:
- An observational, comparative clinical trial was conducted with 62 male participants aged 60 and above.
- Participants were divided into two groups: those without diabetes and those with diabetes.
- The International Prostate Symptom Score (IPSS) questionnaire was used to evaluate prostatic symptoms.
Main Results:
- No significant age difference was observed between the non-diabetic (mean age 67.6) and diabetic (mean age 68.7) groups.
- Systemic arterial hypertension prevalence was similar in both groups (51.5% vs. 54.2%).
- The diabetic group exhibited significantly higher IPSS scores (p < 0.0005) compared to the non-diabetic group.
Conclusions:
- Diabetes Mellitus is positively associated with an increase in LUTS, particularly nocturia, in elderly men.
- Even after adjusting for age, body mass, and socioeconomic factors, the association between diabetes and higher IPSS scores persisted.
- A statistically significant association exists between diabetes mellitus and LUTS in elder men, as evaluated by the IPSS questionnaire.
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