The term lower urinary tract symptoms (LUTS) is the preferred terminology to describe a constellation of voiding dysfunction symptoms common to both aging men and women. Data from the Boston Area Community Health (BACH) Survey, a population-based, racially and ethnically diverse random sample of 5506 adults aged from 30 to 79 years, were used to estimate the prevalence of LUTS (American Urological Association symptom index [AUA-SI] score ≥8), its impact on quality of life, and the prevalence of prescription medication use for LUTS. The prevalence of LUTS was 18% and increased with age but did not differ by sex or race/ethnicity. Quality of life was significantly reduced among those with LUTS across age, sex, and racial/ethnic groups. Prevalence of prescription medication use was low, with less than 10% of participants with LUTS reporting prescription medication use for LUTS.