article · Science World Journal
Lower urinary tract symptoms represent a notable health issue among ageing men in sub-Saharan Africa. An assessment conducted in Ilesa-West, Nigeria, evaluated these symptoms alongside co-existing chronic conditions in a group of 81 men with an average age of approximately 55 years. Chronic illnesses were present in over 45 percent of the participants, with hypertension being the most common, followed by peptic ulcer disease. One third of the surveyed men experienced urinary symptoms, most frequently reporting back pain and difficulty with urination. Statistical analysis confirmed that age, employment status, income, prostate-specific antigen levels, and blood pressure were significantly linked with these symptoms. Furthermore, men without hypertension were less likely to experience lower urinary tract symptoms compared to those with high blood pressure, highlighting an important overlap between cardiovascular conditions and urinary health.
Urinary symptoms cause substantial discomfort and diminish quality of life for ageing men. Establishing the connection between high blood pressure, socio-economic factors, and urinary issues in a Nigerian community helps primary healthcare providers recognise high-risk individuals earlier. Integrating urinary symptom checks into routine management of chronic conditions such as hypertension could ease the wider clinical burden.
This early-stage epidemiological research could inform the design of targeted screening tools, diagnostic protocols, or integrated care pathways for healthcare providers and clinics managing chronic diseases. However, the abstract describes an observational study and does not indicate a direct product development or technology commercialisation pathway.
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Lower urinary tract symptoms (LUTS) are common among ageing men and represent a significant clinical burden in sub-Saharan Africa. This study examined the prevalence and risk factors of LUTS and co-existing chronic conditions among men in Nigeria. After obtaining informed consent, a cross-sectional study was conducted among 81 men in Ilesa-West, Nigeria, using structured questionnaires and clinical evaluations. Chi-square and logistic regression analyses were used for the study. The mean age of participants was 55.3 ± 11.0 years. Chronic conditions were reported by 37 (45.7%) participants, predominantly hypertension (64.9%) and peptic ulcer disease (35.1%). LUTS were prevalent among 27 participants (33.3%) with majorly back pain (70.4%) and difficulty in urinating (37%). Significant associations with LUTS were observed for age (p < 0.05), employment status (p < 0.05), income (p < 0.05), blood pressure (p = 0.033) and prostate-specific antigen (PSA) level (p = 0.012). After adjustment, non-hypertensive men were less likely to report LUTS compared to hypertensives (AOR = 0.357; p = 0.050). Early identification and treatment of LUTS particularly among hypertensive men can improve quality of life and reduce healthcare burdens in Nigeria.
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DOI: 10.4314/swj.v20i4.5
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