"According to this study, however, the most common cause of bother among men is post-micturition dribble, which has been usually ignored," Tikkinen points out.
Urgency as a symptom has received a great deal of attention in recent years as evidenced by the recently coined term "overactive bladder syndrome". Tikkinen finds the term problematic:
"It implies that the cause of the symptoms lies in the bladder, even though this is often not the case. On the other hand, the term has efficiently raised awareness of urinary symptoms, which is in principle a good thing."
According to Tikkinen, the prevalence of the symptoms in the study was determined by the level of bother the participants experienced, so the results bear clinical significance.
"Most earlier prevalence studies, in both urology and other disciplines, have reported inflated estimates. It is typical that even very mild symptoms are being categorized as pathological. It would be better to define symptoms as pathological based on the discomfort the patient experienced. Then the results would reliably reflect which complaints are genuinely undertreated and in need of more attention."
|Contact: Dr. Kari Tikkinen|
University of Helsinki