Lower urinary tract symptoms (LUTS) and overactive bladder (OAB) intimately affect the psychological wellbeing and mental health of men. However, to date, the association of aggression with LUTS and OAB has not been investigated. To address this knowledge gap, we evaluated the association of aggression with LUTS and OAB in a large representative cohort of men at the population level.
We used computer-assisted web interviews that included reliable questionnaires for assessment of LUTS, OAB, and aggression. A population-representative group of men was based on the most recent census. For data analysis, we developed univariate and multivariate regression models.
We analyzed data for a cohort of 3001 men that was representative for age and place of residence. Aggression was more prevalent among respondents with LUTS and OAB in comparison to men without these conditions (p < 0.001). The scores for aggression were directly proportional to the scores for LUTS and OAB (Spearman's rank correlation coefficients of 0.261 for LUTS and 0.284 for OAB). Univariate linear regression models revealed an association between aggression and LUTS or OAB in all age groups. Finally, multivariable linear regression models confirmed that correlations of aggression with LUTS and OAB were independent of age, sociodemographic parameters, comorbidities, and lifestyle habits (regression coefficients of 0.013 for LUTS and 0.024 for OAB).
Our study is the first to show that aggression among men is consistently associated with LUTS and OAB. Our results open a new research area on the effect of LUTS and OAB or their causes on psychological wellbeing and mental health, and may even support screening for hostile behavior in the clinical setting for individuals who report LUTS and OAB.
We performed the first study to investigate whether aggression is linked to lower urinary tract symptoms (LUTS) and overactive bladder (OAB). Results from our survey in a representative group of men in Poland show that aggression is linked to LUTS and OAB. More research is needed to confirm these results.
European urology open science. 2024 Sep 11*** epublish ***
Mikolaj Przydacz, Pawel Rajwa, Sabrina De Cillis, Cyrille Guillot-Tantay, Francois Herve, Antonio Tienza, Manuela Tutolo, Mehmet Gokhan Culha, Paolo Geretto, Nicholas Raison, Glenn T Werneburg, Marcin Miszczyk, Juan Gomez Rivas, Veronique Phe, Piotr Chlosta, Nadir Osman, European Association of Urology Young Academic Urologists Functional Urology Working Group
Department of Urology, Jagiellonian University Medical College, Krakow, Poland., Department of Urology, Medical University of Silesia, Zabrze, Poland., Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy., Service d'Urologie, Hôpital Foch, Suresnes, France., Department of Urology, ERN Accredited Centrum, Ghent University Hospital, Ghent, Belgium., Department of Urology, Son Espases University Hospital, Health Research Institute of the Balearic Islands, Palma, Spain., Unit of Urology, Division of Oncology, Urological Research Institute, IRCCS San Raffaele Hospital, Milan, Italy., Department of Urology, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul, Turkey., Division of Neuro-Urology, Department of Surgical Sciences, CTO Hospital, Citta della Salute e della Scienza, Turin, Italy., Department of Urology, King's College Hospital, King's College, London, UK., Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA., Department of Urology, Medical University of Vienna, Vienna, Austria., Department of Urology, Hospital Clinico San Carlos, Madrid, Spain., Department of Urology, Sorbonne University, Tenon Academic Hospital, AP-HP, Paris, France., Department of Urology, Royal Hallamshire Hospital, Sheffield, UK.