Characteristics of Lower Urinary Tract Symptoms (LUTS) in the Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis, PROLANIS) Patients: A Pilot Study in Gorontalo Province
Abstract
Introduction: Lower Urinary Tract Symptoms (LUTS) are common in older adults and significantly impact individuals, caregivers, and the broader healthcare system. As the elderly population with various comorbidities increases, the burden of LUTS will increase. The chronic disease management program (Program Pengelolaan Penyakit Kronis, PROLANIS) is a government program generally followed by the elderly. This study aims to describe the characteristics of LUTS in PROLANIS patients in Gorontalo Province.
Methods: The analytical observational study design, using a cross-sectional approach, was conducted on PROLANIS patients living in rural and urban areas in Gorontalo Province is between July - October 2023. An incidental sampling technique was conducted on eligible patients and areas. LUTS symptoms were measured using the International Prostate Symptom Score (IPSS) questionnaire and categorized into mild, moderate, and severe. LUTS symptoms were considered significant if the IPSS score was ≥8.
Results: Of the 52 participants, 38.50% experienced significant LUTS symptoms. The majority of symptoms felt were nocturia (score two, as many as 23.10%) and mild symptoms (53.80%). Geographical differences, gender, education level, and age were not associated with LUTS symptoms (p > 0.10).
Conclusion: The prevalence of LUTS in patients undergoing PROLANIS is relatively high. The majority of LUTS patients have mild symptoms, with nocturia being the most common complaint compared to other symptoms. Further studies with a larger sample size and involving multiple sites are needed to obtain a more valid description of the characteristics of LUTS epidemiology in the PROLANIS population.
Keywords: Aged; Disease Management; Lower Urinary Tract Symptoms; Nocturia
Full Text:
PDFReferences
Nishii H. A Review of Aging and the Lower Urinary Tract: The Future of Urology. Int Neurourol J. 2021;25(4):273-284.
Tran LN, Puckett Y. Urinary Incontinence. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559095/
Drake MJ. Fundamentals of Terminology in Lower Urinary Tract Function. Neurol Urodynam J 2018; 37(S6):S13-S19.
Coyne KS, Sexton CC, Thompson CL, Milsom I, Irwin D, Kopp ZS, Chapple CR, Kaplan S, Tubaro A, Aiyer LP, Wein AJ. The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study. BJU Int. 2009;104(3):352-60.
Huang CY, Chung SD, Kao LT, Lin HC, Wang LH. Statin Use Is Associated with Bladder Pain Syndrome/Interstitial Cystitis: A Population-Based Case-Control Study. Urol. Int. 2015; 95:227–232.
Wuerstle MC, Van Den Eeden SK, Poon KT, Quinn VP, Hollingsworth JM, Loo RK, Jacobsen SJ. Urologic Diseases in America Project. Contribution of common medications to lower urinary tract symptoms in men. Arch Intern Med. 2011;171(18):1680-2.
BPJS Kesehatan. Panduan Praktis PROLANIS (Program Pengelolaan Penyakit Kronis). Jakarta: BPJS Kesehatan; 2015.
Isa NMM, Aziz AFA. Lower Urinary Tract Symptoms: Prevalence and Factors Associated with Help-Seeking in Male Primary Care Attendees. Korean J Fam Med. 2020;41(4):256-262.
Monoarfa RA, Mochtar CA. Validation of Indonesan Vesion of IPSS. Indonesian J Urol 2014; 21(1):15-19.
Nnabugwu II, Ugwumba FO, Udeh EI, Anyimba SK, Okolie LT. The relationship between prevalence and severity of lower urinary tract symptoms (LUTS), and body mass index and mid-abdominal circumference in men in a resource-poor community in Southeast Nigeria: a cross-sectional survey. BMC Urol. 2019;19(1):15.
Mitsui T, Sekido N, Masumori N, Haga N, Omae K, Saito M, Kubota Y, Sakakibara R, Yoshida M, Takahashi S. Prevalence and impact on daily life of lower urinary tract symptoms in Japan: Results of the 2023 Japan Community Health Survey (JaCS 2023). Int J Urol. 2024;31(7):747-754.
Przydacz M, Golabek T, Dudek P, Lipinski M, Chlosta P. Prevalence and bother of lower urinary tract symptoms and overactive bladder in Poland, an Eastern European Study. Sci Rep. 2020;10(1):19819.
Mohamad Anuar MF, Solihin Rezali M, Mohamed Daud MA, Ismail SB. A community-based study on lower urinary tract symptoms in Malaysian males aged 40 years and above. Sci Rep 2022; 12:2345.
Al Dandan HB, Galvin R, McClurg D, Coote S. Management strategies for lower urinary tract symptoms (LUTS) among people with multiple sclerosis (MS): a qualitative study of the perspectives of people with MS and healthcare professionals. HRB Open Res. 2019;2:31.
Jeong JB, Lee JH, Choo MS, Ahn DW, Kim SH, Lee DS, Cho MC, Son H, Jeong H, Yoo S. Association between life-style, metabolic syndrome and lower urinary tract symptoms and its impact on quality of life in men ≥ 40 years. Sci Rep. 2022;12(1):6859.
DOI: https://doi.org/10.37905/jmhsj.v3i2.27206
Refbacks
- There are currently no refbacks.
Jambura Medical and Health Science Journal (JMHSJ) has been indexed by:
 |  |  |  |
| Editorial Office |
Medical Faculty Building, 1st Floor Jl. Jend. Sudirman No.6, Kota Gorontalo, Gorontalo, 96128, Indonesia.Whatsapp: +6285233215280 Email: jmhsj@ung.ac.id |
 |