Men With an Improvement in Urinary Symptoms Have a Lower Risk of Mortality

    March 2023 in “ The Journal of Urology
    Blayne Welk, J Andrew McClure
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    Studysummary This study concluded that male patients with improved lower urinary tract symptoms may have a lower risk of death, suggesting a potential benefit of treating symptoms beyond just managing patient discomfort. Our plain-language summary of this paper — not a Tressless recommendation.
    The study analyzed data from the MTOPS trial, involving 3,046 men aged over 50 with moderate to severe lower urinary tract symptoms (LUTS). Participants were randomized to receive placebo, doxazosin, finasteride, or a combination of both drugs. Over an average follow-up of 6.1 years, 117 deaths were recorded. Results showed that each 1-point improvement in the American Urological Association Symptom Score (AUASS) was associated with a 4% reduction in the risk of death (HR 0.96, p=0.01), and a 5-point improvement corresponded to a 17% reduction (HR 0.83). This association held true across different treatment groups. The findings suggest that improving LUTS in men may lower mortality risk, indicating a potential shift in treatment focus towards symptom management.
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