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The sample was enriched with persons expected to have abnormal or diminished bladder sensations eg participants with lower back surgery and participants 65 years old or older. Factors associated with not seeking treatment included low symptom severity and concerns about the costs vs the benefits of treatment eg side effects of medication.

Symptom frequency and bother were associated with each other across symptoms assessed by the LUTS Tool. They sought treatment mostly because of new, continuing or bothersome symptoms. Removing barriers and misconceptions about the treatment of lower urinary tract symptoms may increase the of mixer who seek clinical care and improve the clinical course of men and women who experience lower urinary tract symptoms.

Interviews were performed in person beginning with an open-ended assessment of urinary symptoms and associated bother followed by more directed questions, including reasons for seeking or not seeking treatment.