COMMUNITY-BASED ASSESSMENT OF LOWER URINARY TRACT SYMPTOMS AND RISK FACTORS IN A NIGERIAN COHORT

Abstract

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.