GWater Optimization for LUTS Patients
Abstract
Background:Lower urinary tract symptoms (LUTS) are highly prevalent among older adults and significantly
impair urinary function, sleep quality, and overall quality of life. Water optimization and fluid-behavior
modification have emerged as simple, low-cost, non-pharmacological strategies for LUTS management.
Aim of the study:To evaluate the effectiveness of water optimization strategies in improving lower urinary tract
symptoms and to investigate the relationship between hydration behavior and symptom severity among patients
with LUTS.
Methods:This prospective interventional study was conducted in the Department of Urology of Dhaka Medical
College Hospital in Bangladesh. A total of 120 adult patients with LUTS were enrolled consecutively and
followed for 8 weeks. Participants received individualized counseling regarding fluid management, including
reduction of excessive water intake, limitation of evening and night-time fluid consumption, and reduction of
caffeinated beverages. Baseline and follow-up assessments included International Prostate Symptom Score
(IPSS), daytime urinary frequency, nocturia, urgency episodes, quality of life score, and fluid intake patterns.
Statistical analysis was performed using SPSS version 26.0, and p<0.05 was considered statistically significant.
Result: The mean age of participants was 63.4 ± 9.1 years, and 68.33% were male. Following intervention,
significant reductions were observed in total daily water intake, evening fluid intake,…
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