Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort

Results from the LURN Study

LURN

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: Male urinary incontinence is thought to be infrequent. We sought to describe the prevalence of urinary incontinence in a male treatment seeking cohort enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network). Materials and Methods: Study inclusion and exclusion criteria, including men with prostate cancer or neurogenic bladder, were previously reported. LURN participants prospectively completed questionnaires regarding lower urinary tract symptoms and other clinical variables. Men were grouped based on incontinence type, including 1) no urinary incontinence, 2) post-void dribbling only and 3) urinary incontinence. Comparisons were made using ANOVA and multivariable regression. Results: Of the 477 men 24% reported no urinary incontinence, 44% reported post-void dribbling only and 32% reported urinary incontinence. African American men and those with sleep apnea were more likely to be in the urinary incontinence group than in the no urinary incontinence group (OR 3.2, p = 0.02 and OR 2.73, p = 0.003, respectively). Urinary incontinence was associated with significantly higher bother compared to men without leakage (p <0.001). Compared to men without urinary incontinence and men with only post-void dribbling those with urinary incontinence were significantly more likely to report higher scores (more severe symptoms) on the PROMIS (Patient-Reported Outcomes Measurement Information System) questionnaires regarding bowel issues, depression and anxiety than men without urinary incontinence (p <0.01). Conclusions: Urinary incontinence is common among treatment seeking men. This is concerning because the guideline recommended questionnaires to assess male lower urinary tract symptoms do not query for urinary incontinence. Thus, clinicians may be missing an opportunity to intervene and improve patient care. This provides a substantial rationale for a new or updated symptom questionnaire which provides a more comprehensive symptom assessment.

Original languageEnglish (US)
Pages (from-to)397-404
Number of pages8
JournalJournal of Urology
Volume200
Issue number2
DOIs
StatePublished - Aug 1 2018

Fingerprint

Urinary Incontinence
Lower Urinary Tract Symptoms
Therapeutics
Neurogenic Urinary Bladder
Symptom Assessment
Sleep Apnea Syndromes
Urinary Bladder Neoplasms
Information Systems
African Americans
Prostatic Neoplasms
Patient Care
Analysis of Variance
Anxiety

Keywords

  • lower urinary tract symptoms
  • neurogenic
  • prostatic neoplasms
  • surveys and questionnaires
  • urinary bladder
  • urinary incontinence

ASJC Scopus subject areas

  • Urology

Cite this

@article{bd24f7d25abd484e8fa45d3b5bdb3103,
title = "Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study",
abstract = "Purpose: Male urinary incontinence is thought to be infrequent. We sought to describe the prevalence of urinary incontinence in a male treatment seeking cohort enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network). Materials and Methods: Study inclusion and exclusion criteria, including men with prostate cancer or neurogenic bladder, were previously reported. LURN participants prospectively completed questionnaires regarding lower urinary tract symptoms and other clinical variables. Men were grouped based on incontinence type, including 1) no urinary incontinence, 2) post-void dribbling only and 3) urinary incontinence. Comparisons were made using ANOVA and multivariable regression. Results: Of the 477 men 24{\%} reported no urinary incontinence, 44{\%} reported post-void dribbling only and 32{\%} reported urinary incontinence. African American men and those with sleep apnea were more likely to be in the urinary incontinence group than in the no urinary incontinence group (OR 3.2, p = 0.02 and OR 2.73, p = 0.003, respectively). Urinary incontinence was associated with significantly higher bother compared to men without leakage (p <0.001). Compared to men without urinary incontinence and men with only post-void dribbling those with urinary incontinence were significantly more likely to report higher scores (more severe symptoms) on the PROMIS (Patient-Reported Outcomes Measurement Information System) questionnaires regarding bowel issues, depression and anxiety than men without urinary incontinence (p <0.01). Conclusions: Urinary incontinence is common among treatment seeking men. This is concerning because the guideline recommended questionnaires to assess male lower urinary tract symptoms do not query for urinary incontinence. Thus, clinicians may be missing an opportunity to intervene and improve patient care. This provides a substantial rationale for a new or updated symptom questionnaire which provides a more comprehensive symptom assessment.",
keywords = "lower urinary tract symptoms, neurogenic, prostatic neoplasms, surveys and questionnaires, urinary bladder, urinary incontinence",
author = "LURN and Helfand, {Brian T.} and Smith, {Abigail R.} and Lai, {H. Henry} and Yang, {Claire C.} and Gore, {John L.} and Erickson, {Brad A.} and Kreder, {Karl J.} and Cameron, {Anne P.} and Weinfurt, {Kevin P.} and Griffith, {James W} and Aaron Lentz and Pooja Talaty and Andreev, {Victor P.} and Ziya Kirkali",
year = "2018",
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doi = "10.1016/j.juro.2018.02.075",
language = "English (US)",
volume = "200",
pages = "397--404",
journal = "Journal of Urology",
issn = "0022-5347",
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Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort : Results from the LURN Study. / LURN.

In: Journal of Urology, Vol. 200, No. 2, 01.08.2018, p. 397-404.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort

T2 - Results from the LURN Study

AU - LURN

AU - Helfand, Brian T.

AU - Smith, Abigail R.

AU - Lai, H. Henry

AU - Yang, Claire C.

AU - Gore, John L.

AU - Erickson, Brad A.

AU - Kreder, Karl J.

AU - Cameron, Anne P.

AU - Weinfurt, Kevin P.

AU - Griffith, James W

AU - Lentz, Aaron

AU - Talaty, Pooja

AU - Andreev, Victor P.

AU - Kirkali, Ziya

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Purpose: Male urinary incontinence is thought to be infrequent. We sought to describe the prevalence of urinary incontinence in a male treatment seeking cohort enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network). Materials and Methods: Study inclusion and exclusion criteria, including men with prostate cancer or neurogenic bladder, were previously reported. LURN participants prospectively completed questionnaires regarding lower urinary tract symptoms and other clinical variables. Men were grouped based on incontinence type, including 1) no urinary incontinence, 2) post-void dribbling only and 3) urinary incontinence. Comparisons were made using ANOVA and multivariable regression. Results: Of the 477 men 24% reported no urinary incontinence, 44% reported post-void dribbling only and 32% reported urinary incontinence. African American men and those with sleep apnea were more likely to be in the urinary incontinence group than in the no urinary incontinence group (OR 3.2, p = 0.02 and OR 2.73, p = 0.003, respectively). Urinary incontinence was associated with significantly higher bother compared to men without leakage (p <0.001). Compared to men without urinary incontinence and men with only post-void dribbling those with urinary incontinence were significantly more likely to report higher scores (more severe symptoms) on the PROMIS (Patient-Reported Outcomes Measurement Information System) questionnaires regarding bowel issues, depression and anxiety than men without urinary incontinence (p <0.01). Conclusions: Urinary incontinence is common among treatment seeking men. This is concerning because the guideline recommended questionnaires to assess male lower urinary tract symptoms do not query for urinary incontinence. Thus, clinicians may be missing an opportunity to intervene and improve patient care. This provides a substantial rationale for a new or updated symptom questionnaire which provides a more comprehensive symptom assessment.

AB - Purpose: Male urinary incontinence is thought to be infrequent. We sought to describe the prevalence of urinary incontinence in a male treatment seeking cohort enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network). Materials and Methods: Study inclusion and exclusion criteria, including men with prostate cancer or neurogenic bladder, were previously reported. LURN participants prospectively completed questionnaires regarding lower urinary tract symptoms and other clinical variables. Men were grouped based on incontinence type, including 1) no urinary incontinence, 2) post-void dribbling only and 3) urinary incontinence. Comparisons were made using ANOVA and multivariable regression. Results: Of the 477 men 24% reported no urinary incontinence, 44% reported post-void dribbling only and 32% reported urinary incontinence. African American men and those with sleep apnea were more likely to be in the urinary incontinence group than in the no urinary incontinence group (OR 3.2, p = 0.02 and OR 2.73, p = 0.003, respectively). Urinary incontinence was associated with significantly higher bother compared to men without leakage (p <0.001). Compared to men without urinary incontinence and men with only post-void dribbling those with urinary incontinence were significantly more likely to report higher scores (more severe symptoms) on the PROMIS (Patient-Reported Outcomes Measurement Information System) questionnaires regarding bowel issues, depression and anxiety than men without urinary incontinence (p <0.01). Conclusions: Urinary incontinence is common among treatment seeking men. This is concerning because the guideline recommended questionnaires to assess male lower urinary tract symptoms do not query for urinary incontinence. Thus, clinicians may be missing an opportunity to intervene and improve patient care. This provides a substantial rationale for a new or updated symptom questionnaire which provides a more comprehensive symptom assessment.

KW - lower urinary tract symptoms

KW - neurogenic

KW - prostatic neoplasms

KW - surveys and questionnaires

KW - urinary bladder

KW - urinary incontinence

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