Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

Kerri L Thurmon; Benjamin N Breyer; Bradley A Erickson

doi:10.1016/j.juro.2012.10.008

Back

Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

Journal article

Open access

Peer reviewed

Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

Kerri L Thurmon, Benjamin N Breyer and Bradley A Erickson

The Journal of urology, Vol.189(4), pp.1409-1414

04/2013

DOI: 10.1016/j.juro.2012.10.008

PMCID: PMC3693946

PMID: 23063806

Files and links (1)

url

https://doi.org/10.1016/j.juro.2012.10.008View

Published (Version of record) Open Access

Abstract

We examine the association between self-reported lower urinary tract symptoms and bowel habits in men in a large, cross-sectional, population based cohort study. The study included 3,077 men participating in the 2005–2006 or 2007–2008 cycles of the NHANES (National Health and Nutrition Examination Survey) who were 40 years old or older and without a history of prostate cancer. Men were considered to have lower urinary tract symptoms if they reported nocturia, urinary hesitancy and/or incomplete bladder emptying. Bowel habits were characterized by frequency of bowel movements per week and stool consistency based on the Bristol Stool Form Scale. Weighted associations between bowel habits and lower urinary tract symptoms were determined using univariate and multivariate techniques, adjusting for age, race, body mass index, diabetes, alcohol intake, activity level and smoking. The prevalence of lower urinary tract symptoms was 37%, with 4% reporting all 3 symptoms. Reporting 3 or fewer bowel movements per week was associated with nocturia (OR 1.67, 95% CI 1.21–2.30), incomplete bladder emptying (OR 2.14, 95% CI 1.06–4.31) and urinary hesitancy (OR 2.06, 95% CI 1.06–4.02). Reporting more than 10 bowel movements per week was associated with nocturia only (OR 1.42, 95% CI 1.01–1.55). Hard (OR 1.76, 95% CI 1.31–2.37) and loose (OR 1.25, 95% CI 1.01–1.55) stool consistency increased the odds of reporting nocturia. Lower urinary tract symptoms in the adult male were independently associated with low stool frequency, hard stool type and loose stool type. These data suggest causality or a common pathophysiology of lower urinary tract symptoms and abnormalities of bowel habits.

constipation

defecation

lower urinary tract symptoms

prostatic hyperplasia

Details

Title: Subtitle: Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey
Creators: Kerri L Thurmon - Department of Urology, University of Iowa, Iowa City, Iowa
Benjamin N Breyer - Department of Urology, University of California-San Francisco, San Francisco, California
Bradley A Erickson - Department of Urology, University of Iowa, Iowa City, Iowa
Resource Type: Journal article
Publication Details: The Journal of urology, Vol.189(4), pp.1409-1414
DOI: 10.1016/j.juro.2012.10.008
PMID: 23063806
PMCID: PMC3693946
NLM abbreviation: J Urol
ISSN: 0022-5347
eISSN: 1527-3792
Publisher: Elsevier Inc
Language: English
Date published: 04/2013
Academic Unit: Urology
Record Identifier: 9984051723002771

Metrics

22 Record Views

18 Times Cited - Web of Science