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Original – Urología funcional
Prevalencia de síntomas del tracto urinario inferior en pacientes con síndrome de vejiga hiperactiva. Manejo del paciente en la práctica clínica habitual
Prevalence of lower urinary tract symptoms in patients with overactive bladder. Patient management in clinical practice
Salvador Arlandis Guzmána,
Autor para correspondencia
arlandis@pulso.com

Autor para correspondencia.
, María Justa García Matresb, Diego González Segurac, Pablo Rebollod
a Servicio de Urología, Hospital La Fe, Valencia, España
b Servicio de Urología, Hospital La Paz, Madrid, España
c Departamento Médico, Laboratorios Almirall S.A., Barcelona, España
d BAP Health Outcomes, Oviedo, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El control de los s&#237;ntomas de vejiga hiperactiva &#40;VH&#41;&#44; sin agravar los s&#237;ntomas de vaciado&#44; se ha convertido en un importante objetivo terap&#233;utico al tratar los s&#237;ntomas de tracto urinario inferior &#40;STUI&#41; asociados a la hiperplasia benigna de pr&#243;stata&#46; El objetivo del presente estudio fue conocer&#44; en pacientes con s&#237;ntomas de VH&#44; la prevalencia de otros STUI asociados&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio epidemiol&#243;gico observacional&#44; transversal&#44; multic&#233;ntrico&#44; llevado a cabo en consultas&#47;servicios de urolog&#237;a espa&#241;oles&#46; Se incluy&#243; a varones mayores de 40 a&#241;os que acudieron a consulta de urolog&#237;a con s&#237;ntomas de llenado compatibles con VH&#46; Se recogieron datos de los pacientes a partir de la historia cl&#237;nica &#40;demogr&#225;ficos&#44; patolog&#237;as prost&#225;ticas&#44; otras patolog&#237;as urol&#243;gicas y concomitantes&#44; datos de VH y otros STUI&#44; datos de m&#233;todos diagn&#243;sticos y tratamientos&#41; y de la entrevista con el paciente &#40;cuestionario I-PSS&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluy&#243; a un total de 1&#46;754 sujetos en el estudio&#46; La media<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>DE de edad de los pacientes fue 65&#44;4<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>9&#44;7 a&#241;os&#46; El 74&#44;2&#37; de los pacientes presentaba alguna patolog&#237;a prost&#225;tica&#44; sobre todo hiperplasia benigna de pr&#243;stata &#40;90&#44;6&#37;&#41;&#59; el 8&#44;4&#37;&#44; otras patolog&#237;as urol&#243;gicas y el 67&#44;4&#37;&#44; al menos una patolog&#237;a concomitante relevante para la VH&#46; Al 99&#37; de los pacientes se les hab&#237;a realizado al menos una prueba diagn&#243;stica urol&#243;gica&#59; el 78&#44;4&#37; hab&#237;a recibido alg&#250;n tratamiento farmacol&#243;gico para los s&#237;ntomas y el 61&#44;3&#37; hab&#237;a realizado alguna medida higi&#233;nico-diet&#233;tica&#46; Fueron m&#225;s frecuentes los s&#237;ntomas de llenado &#40;99&#44;3&#37;&#41; que los de vaciado &#40;83&#44;9&#37;&#41;&#46; La puntuaci&#243;n media en el I-PSS fue 16&#44;3 &#40;5&#44;6&#41; puntos&#59; la sintomatolog&#237;a se clasific&#243; como moderada en 1&#46;153 &#40;67&#44;9&#37;&#41; sujetos y grave en 463 &#40;27&#44;3&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La mayor&#237;a de los pacientes varones mayores de 40 a&#241;os con s&#237;ntomas de VH presentan otros STUI que repercuten en su calidad de vida&#46; Dada su elevada prevalencia&#44; parece necesario orientar el diagn&#243;stico y el tratamiento teniendo en cuenta sus s&#237;ntomas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">The control of overactive bladder &#40;OAB&#41; symptoms&#44; without worsening voiding symptoms&#44; has become an important therapeutic goal in the management of lower urinary tract symptoms &#40;LUTS&#41; associated with benign prostatic hyperplasia&#46; The objective of the present study was to assess the prevalence of other associated LUTS in patients with OAB&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Epidemiological&#44; observational&#44; cross-sectional and multi-centre study&#44; carried out at urology clinics&#47;divisions throughout Spain&#46; The sample included male patients older than 40 who came in for a urology consultation with filling symptoms compatible with OAB&#46; Patient data were collected from the clinical history &#40;demographic data&#44; prostatic disease&#44; other urological and concomitant diseases&#44; OAB and other LUTS symptom data&#44; diagnostic method and treatment data&#41; and from the interview with the patient &#40;I-PSS questionnaire&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">1&#44;754 patients were included in the study&#46; Mean age &#40;SD&#41; of patients was 65&#46;4 &#40;9&#46;7&#41; years&#46; 74&#46;2&#37; of patients presented a prostatic disease&#44; mainly benign prostatic hyperplasia &#40;90&#46;6&#37;&#41;&#59; 8&#46;4&#37; had other urologic diseases and 67&#46;4&#37; had at least one concomitant disease relevant to OAB&#46; 99&#37; of all patients had had at least one urological diagnostic test&#44; 78&#46;4&#37; had received some kind of drug to treat symptoms and 61&#46;3&#37; had taken hygiene or dietetic measures&#46; Filling symptoms were more frequent &#40;93&#46;3&#37;&#41; than voiding symptoms &#40;83&#46;9&#37;&#41;&#46; Mean score in the I-PSS was 16&#46;3 &#40;5&#46;6&#41; points&#44; symptoms scored as moderate in 1&#44;153 patients &#40;67&#46;9&#37;&#41; and as severe in 463 patients &#40;27&#46;3&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Most male patients aged over 40 years with OAB symptoms showed other LUTS which worsened their quality of life&#46; Taking this high prevalence into account&#44; it seems necessary to manage these patients&#8217; diagnosis and treatment according to their symptoms&#46;</p>"
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es en pt

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Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos