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The theater company, Theatrical, opened the meeting by means of a sketch that depicts the journey of the patient suffering from LUTS (Symptoms of Low Urinary Tract). The event focused on two conditions badociated with TUBA: benign prostatic hyperplasia and overactive bladder. "In a fun way, the actors showed common situations that affect the quality of life of those who suffer from LUTS." The social impact of those who live with these conditions is very great, "explained the Head of the Department of Benign Prostatic Hyperplasia of the Brazilian Society of Urology, Dr. Ricardo Vita.
In addition to the technical courses on the subject, the event also presented the results of Brazil LUTS, the first epidemiological study on the prevalence of urinary symptoms performed in Brazil. Dr. Vita was responsible for presenting the research at the event. The study, led by Astellas Farma Brasil, with the support of three external researchers, counted on the participation of over 5,000 people, men and women aged 40 and over, representative of all regions of the country. Among other data, the survey found that about 65% of the Brazilian population in this age group has urinary symptoms. Another relevant point is that the rate of treatment seeking among individuals with urinary symptoms was considered low in Brazil: only 40% of women and less than 30% of men seek treatment, although they recognize the symptoms. In addition, about 70% of men and 80% of women reported at least one urinary symptom. "This type of scientific event is an excellent opportunity to promote an exchange of experience and high-level medical training." Overactive Bladder, a disease characterized by the badociation of urinary urgency , with or without badociated incontinence, affects about 25% of men and women, "said Dr. Machado Moura, medical director of Astellas.
The urologist responsible for the hospital service São Camilo Santana, the Dr. Caio Cesar Cintra, also participated in the LUTS forum and stressed the importance of badessing the patient in a broader way. "It is necessary to evaluate the patient from a global perspective – always taking account of his mental state and his clinical condition, "says the doctor.
Sebastião Jose Westphal, president of the Brazilian Society of Urology (SBU), queries Forum, in addition to the following: to be a high-level scientific event, has t the difficulties that patients encounter in their daily lives in an interactive way. This allowed us to establish concepts and evaluate the importance of the symptoms for our patients in the daily life of their lives. "
Dr. Carlos Henrique Bellucci, coordinator of projects and guidelines of the School of Urology of the Brazilian Society of Urology, discussed the importance of the relationship between the doctor and the patient regarding therapeutic decision-making and individualization in the choice of treatment. "Patients with overactive bladder, which is one of the most common urinary diseases, have specificities. The specialist must identify the impact that the disease has on the quality of life of each individual before deciding on a treatment. It is very important to remember that every therapeutic intervention requires a shared decision between the doctor and the patient, which is fundamental, "said Bellucci.
The event also had two interactive clinical case discussions, which were mediated by the Doctor of Urology of the School of Medicine Paulista, Dr. Rogério Simonetti and urologist doctor, master and doctor of surgery of the University of Campinas State (Unicamp), Dr. Rogério de Fraga
More about LUTS
Many adults have one or more symptoms of low urinary tract symptoms (LUTS) at some point in their lives and the prevalence of these symptoms increase with age 1 .The Brazilian epidemiological study LUTS showed that 40% of men and 60% of women aged 40 years or older reported clinically significant urinary symptoms Among these individuals, 48% reported an impairment of quality of life due to urinary symptoms. However, the demand for treatment is low (34% of people with urinary symptoms) and the treatment rate is even lower (25% of people with urinary symptoms). In an international study, women (59.2%) reported storage symptoms more often than men (51, 50, 50, 50) 3%), while the reverse was true for emptying ( men, 25.7%, women 19.5%) and post-urination symptoms (men, 16.9%, women, 14.2%) 2 . Overactive bladder is a syndrome and includes urinary urgency with or without urinary incontinence, usually with an increase in diurnal frequency and nocturia, in the absence of any other underlying pathology -4 . In Europe, about 17% of the adult population has symptoms of overactive bladder. In Brazil, the Brazil LUTS epidemiological study found that 25% of men and women aged 40 years or older had symptoms badociated with overactive bladder . 85%) tends to be the most frequently reported symptom, followed by urgency (54%) and urgency incontinence (36%) 5 . Although most patients seek a doctor because of symptoms, only about one-third receive treatment . Men and women with unpleasant symptoms of overactive bladder report low levels of quality of life related to health and work and high levels of anxiety and depression compared to those with no symptoms or symptoms minimal. 6 ] Therefore, the main goal of treatment is to improve the quality of life and a combination of behavioral and pharmacological therapy will often lead to acceptable outcomes for patients [19659002] Benign Prostatic Hyperplasia (BPH)
HPB is a disease that affects approximately 50% of men after age 50. Symptoms include: difficulty urinating, weak urine flow, sensation that the bladder has not been completely emptied, increased number of toilet visits at night and uncontrollable urge to urinate. In some cases, HPB can lead to blood in the urine, repetitive urinary infections, bladder stones, urinary retention and kidney failure. 8
References:
1. Soler R, Gomes CM, MA Averbeck, Koyama M. The prevalence of symptoms of low urinary tract (LUTS) in Brazil: Results of the epidemiological study of LUTS (Brazil LUTS). Neurourol Urodyn. 2018 April; 37 (4): 1356-1364
2. Irwin DE, Milsom I, Hunskaar S, et al. Population survey on urinary incontinence, overactive bladder and other lower urinary tract symptoms in five countries: EPIC study results. Eur Urol 2006; 50 (6): 1306-14.
3 P. Abrams Describing the storage function of the bladder: overactive bladder and hyperactivity of the detrusor. Urology 2003; 62 (5 Suppl 2): 28-37; discussion 40-2.
4. Abrams P, Artibani W, Cardozo L, et al. Review of the ICS 2002 terminology report: the current debate. Neurourol Urodyn 2009; 28 (4): 287
5. Milsom I, Abrams P, Cardozo L, et al. How are the symptoms of an overactive bladder and how are they managed? A prevalence study based on the population. BJU Int 2001; 87 (9): 760-6
6. Coyne KS, Sexton CC, Kopp ZS, Ebel-Bitoun C, Milsom I, Chapple C. The impact of overactive bladder on mental health, work performance and health-related quality of life in the United Kingdom. United Kingdom and Sweden: results of EpiLUTS. BJU Int 2011; 108 (9): 1459-71.
7. Wein AJ, Rackley RR. Overactive bladder: better understanding of pathophysiology, diagnosis and management. J Urol 2006; 175 (3 Pt 2): S5-10
8. Bushman W. Etiology, epidemiology and natural history of benign prostatic hyperplasia. The urological clinics of North America. 2009; 36 (4): 403-15
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