MP09-11 MEASURING AND PREDICTING THE PATIENT-REPORTED GOAL ACHIEVEMENT AFTER TREATING MALE BENIGN PROSTATIC HYPERPLASIA WITH TAMSULOSIN MONOTHERAPY

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Medical & Non-surgical Therapy1 Apr 2017MP09-11 MEASURING AND PREDICTING THE PATIENT-REPORTED GOAL ACHIEVEMENT AFTER TREATING MALE BENIGN PROSTATIC HYPERPLASIA WITH TAMSULOSIN MONOTHERAPY Bum Soo Kim, Jae Wook Chung, Phil Hyun Song, Jun Nyung Lee, Yun-Sok Ha, Tae Gyun Kwon, Seock Hwan Choi, Hyun Tae Kim, Tae-Hwan Kim, Sung Kwang Chung, Ki Ho Kim, Byung Hoon Kim, Ji Yong Ha, Deok Hyun Cho, Gun Nam Kim, Yoon Hyung Lee, Jae Soo Kim, Hyun-Jin Jung, Hong Seok Shin, Jong Hyun Yoon, Jae Ho Kim, and Eun Sang Yoo Bum Soo KimBum Soo Kim More articles by this author , Jae Wook ChungJae Wook Chung More articles by this author , Phil Hyun SongPhil Hyun Song More articles by this author , Jun Nyung LeeJun Nyung Lee More articles by this author , Yun-Sok HaYun-Sok Ha More articles by this author , Tae Gyun KwonTae Gyun Kwon More articles by this author , Seock Hwan ChoiSeock Hwan Choi More articles by this author , Hyun Tae KimHyun Tae Kim More articles by this author , Tae-Hwan KimTae-Hwan Kim More articles by this author , Sung Kwang ChungSung Kwang Chung More articles by this author , Ki Ho KimKi Ho Kim More articles by this author , Byung Hoon KimByung Hoon Kim More articles by this author , Ji Yong HaJi Yong Ha More articles by this author , Deok Hyun ChoDeok Hyun Cho More articles by this author , Gun Nam KimGun Nam Kim More articles by this author , Yoon Hyung LeeYoon Hyung Lee More articles by this author , Jae Soo KimJae Soo Kim More articles by this author , Hyun-Jin JungHyun-Jin Jung More articles by this author , Hong Seok ShinHong Seok Shin More articles by this author , Jong Hyun YoonJong Hyun Yoon More articles by this author , Jae Ho KimJae Ho Kim More articles by this author , and Eun Sang YooEun Sang Yoo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.319AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Since benign prostatic hyperplasia (BPH) is a chronic and refractory disease and medical therapy became a standard treatment for most BPH patients with mild to moderate lower urinary tract symptoms, adherence to and persistence with therapy are considered important factors for the success of the treatment. Monotherapy using alpha-adrenergic antagonist constitutes the largest portion of medical therapy for BPH. Therefore, we aimed to assess and predict patient-reported goal achievement after treatment of BPH patients with tamsulosin. METHODS From November 2013 to October 2015, 272 patients initially diagnosed with BPH were prospectively enrolled in nine different centers. Before the treatment, subjective final goals were recorded by all patients. Every four weeks, the treatment outcomes were evaluated using international prostate symptom score (IPSS) and uroflowmetry. Patient-reported goal achievements were assessed after 12 weeks of treatment and risk factors for lower scores of goal achievement were assessed using logistic regression analysis. RESULTS Of the enrolled patients, 179 patients completed the study and 42 patients set multiple goals (32 patients with 2 goals, 9 patients with 3 goals and 1 patient with 4 goals). The pretreatment patients' goals included the nocturia improvement (n=63), weak urine stream improvement (n=52), frequency improvement (n=34), residual urine sense improvement (n=27), hesitancy improvement (n=22), well voiding (n=21), urgency improvement (n=11), and voiding-related discomfort improvement (n=2). Of the 179 patients, 129 patients (72.1%) reported that they achieved their primary goals after three months of medical therapy. Logistic regression analysis revealed that pretreatment quality of life (OR=8.621, 95% CI: 2.154-9.834), and improvement of quality of life (OR=6.740, 95% CI: 1.908-11.490) were independent predictors of patient-reported goal achievement after tamsulosin monotherapy. CONCLUSIONS Overall patient-reported goal achievement after medical therapy for BPH was high, and the scores of pretreatment quality of life and improvement of quality of life can be important factors to predict the achievement of treatment goals. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e103-e104 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Bum Soo Kim More articles by this author Jae Wook Chung More articles by this author Phil Hyun Song More articles by this author Jun Nyung Lee More articles by this author Yun-Sok Ha More articles by this author Tae Gyun Kwon More articles by this author Seock Hwan Choi More articles by this author Hyun Tae Kim More articles by this author Tae-Hwan Kim More articles by this author Sung Kwang Chung More articles by this author Ki Ho Kim More articles by this author Byung Hoon Kim More articles by this author Ji Yong Ha More articles by this author Deok Hyun Cho More articles by this author Gun Nam Kim More articles by this author Yoon Hyung Lee More articles by this author Jae Soo Kim More articles by this author Hyun-Jin Jung More articles by this author Hong Seok Shin More articles by this author Jong Hyun Yoon More articles by this author Jae Ho Kim More articles by this author Eun Sang Yoo More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...