World J Mens Health.  2015 Aug;33(2):81-87. 10.5534/wjmh.2015.33.2.81.

Seasonal Variation of Urinary Symptoms in Korean Men with Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia

Affiliations
  • 1Department of Urology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. kscho99@yuhs.ac
  • 2Department of Urology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 3Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
To examine seasonal variations in urinary symptoms in Korean men with lower urinary tract symptoms and benign prostatic hyperplasia (LUTS/BPH).
MATERIALS AND METHODS
Records were obtained from a consecutive database of LUTS/BPH patients from March 2010 to February 2014. A total of 1,185 patients were suitable for analysis. The International Prostate Symptom Score (IPSS), uroflowmetric parameters, prostate volume-related parameters, and serum prostate-specific antigen levels were evaluated.
RESULTS
Based on the month during which they were examined, patients were categorized into cold, hot, or intermediate season groups. The IPSS score was significantly different between the cold and the hot season groups (17.3+/-6.9 vs. 16.1+/-7.4, respectively; p=0.020). Storage symptom scores were significantly aggravated in the cold (6.8+/-3.3; p=0.030) and intermediate groups (6.9+/-3.5; p=0.032) compared with the hot season group (6.3+/-3.4), with this observation primarily driven by the individual scores for frequency and urgency. Quality of life (QOL) scores were worse in the cold compared with the hot season group (4.0+/-1.1 vs. 3.8+/-1.1, respectively; p=0.012). There were also significant differences between the cold and hot season groups in voided volume (278.7+/-148.5 vs. 255.9+/-145.1, respectively; p=0.034) and postvoid residual volume (26.4+/-37.6 vs. 32.2+/-41.0, respectively; p=0.039).
CONCLUSIONS
Different urinary symptoms and uroflowmetric parameters were associated with changes in seasons. QOL and IPSS parameters might be worse in cold weather seasons compared with hot weather seasons.

Keyword

Lower urinary tract symptoms; Prostatic hyperplasia; Seasons

MeSH Terms

Humans
Lower Urinary Tract Symptoms*
Male
Prostate
Prostate-Specific Antigen
Prostatic Hyperplasia*
Quality of Life
Residual Volume
Seasons*
Weather
Prostate-Specific Antigen

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Reference

1. Coyne KS, Wein AJ, Tubaro A, Sexton CC, Thompson CL, Kopp ZS, et al. The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int. 2009; 103(Suppl 3):4–11. PMID: 19302497.
Article
2. Schulman CC, Asplund R, Desgrandchamps F, Jonas U. The impact of nocturia on health status and quality of life in patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH). Eur Urol Suppl. 2005; 4:1–8.
Article
3. Thorpe A, Neal D. Benign prostatic hyperplasia. Lancet. 2003; 361:1359–1367. PMID: 12711484.
Article
4. Roosen A, Chapple CR, Dmochowski RR, Fowler CJ, Gratzke C, Roehrborn CG, et al. A refocus on the bladder as the originator of storage lower urinary tract symptoms: a systematic review of the latest literature. Eur Urol. 2009; 56:810–819. PMID: 19683859.
Article
5. Coyne KS, Sexton CC, Thompson CL, Milsom I, Irwin D, Kopp ZS, et al. 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; 104:352–360. PMID: 19281467.
Article
6. Roehrborn CG, Schwinn DA. Alpha1-adrenergic receptors and their inhibitors in lower urinary tract symptoms and benign prostatic hyperplasia. J Urol. 2004; 171:1029–1035. PMID: 14767264.
7. LeBlanc J. Mechanisms of adaptation to cold. Int J Sports Med. 1992; 13(Suppl 1):S169–S172. PMID: 1483764.
Article
8. Imamura T, Ishizuka O, Nishizawa O. Cold stress induces lower urinary tract symptoms. Int J Urol. 2013; 20:661–669. PMID: 23441811.
Article
9. Geirsson G, Lindström S, Fall M. The bladder cooling reflex and the use of cooling as stimulus to the lower urinary tract. J Urol. 1999; 162:1890–1896. PMID: 10569531.
Article
10. Yoshimura K, Kamoto T, Tsukamoto T, Oshiro K, Kinukawa N, Ogawa O. Seasonal alterations in nocturia and other storage symptoms in three Japanese communities. Urology. 2007; 69:864–870. PMID: 17482923.
Article
11. Watanabe T, Maruyama S, Maruyama Y, Kageyama S, Shinbo H, Otsuka A, et al. Seasonal changes in symptom score and uroflowmetry in patients with lower urinary tract symptoms. Scand J Urol Nephrol. 2007; 41:521–526. PMID: 17853015.
Article
12. Cartwright R, Mariappan P, Turner KJ, Stewart LH, Rajan P. Is there seasonal variation in symptom severity, uroflowmetry and frequency-volume chart parameters in men with lower urinary tract symptoms? Scott Med J. 2014; 59:162–166. PMID: 25005760.
Article
13. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002; 21:167–178. PMID: 11857671.
Article
14. Kohn D, Flatau E. Why does cold weather cause frequency of micturition in some elderly people. Br Med J. 1980; 281:875.
15. Stocks JM, Taylor NA, Tipton MJ, Greenleaf JE. Human physiological responses to cold exposure. Aviat Space Environ Med. 2004; 75:444–457. PMID: 15152898.
16. Hassi J, Rintamäki H, Ruskoaho H, Leppäluoto J, Vuolteenaho O. Plasma levels of endothelin-1 and atrial natriuretic peptide in men during a 2-hour stay in a cold room. Acta Physiol Scand. 1991; 142:481–485. PMID: 1835249.
Article
17. Imamura T, Ishizuka O, Aizawa N, Zhong C, Ogawa T, Nakayama T, et al. Cold environmental stress induces detrusor overactivity via resiniferatoxin-sensitive nerves in conscious rats. Neurourol Urodyn. 2008; 27:348–352. PMID: 17701982.
Article
18. Simşek U, Kutlu S, Yavaşçaouğlu I, Oktay B, Ozyurt M. Seasonal variation of prostatic acid phosphate and prostatespecific antigen in patients without prostatic malignancy. Eur Urol. 1992; 21(Suppl 1):111–114. PMID: 1385129.
Article
19. Down L, Metcalfe C, Martin RM, Neal DE, Hamdy FC, Donovan JL, et al. Seasonal variation in prostate-specific antigen levels: a large cross-sectional study of men in the UK. BJU Int. 2011; 108:1409–1414. PMID: 21453347.
Article
20. Connolly D, van Leeuwen PJ, Bailie J, Black A, Murray LJ, Keane PF, et al. Daily, monthly and seasonal variation in PSA levels and the association with weather parameters. Prostate Cancer Prostatic Dis. 2011; 14:58–62. PMID: 20975738.
Article
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