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MP04-05 PREVALENCE AND CHARACTERISTICS OF URINARY INCONTINENCE IN A TREATMENT-SEEKING MALE PROSPECTIVE COHORT – RESULTS FROM THE LURN STUDY
Abstract   Peer reviewed

MP04-05 PREVALENCE AND CHARACTERISTICS OF URINARY INCONTINENCE IN A TREATMENT-SEEKING MALE PROSPECTIVE COHORT – RESULTS FROM THE LURN STUDY

Brian T Helfand, Abigail R Smith, H Henry Lai, Claire C Yang, John L Gore, Bradley A Erickson, Karl J Kreder, Anne P Cameron, Kevin P Weinfurt, James W Griffith, …
The Journal of urology, Vol.199(4S), pp.e33-e34
04/2018
DOI: 10.1016/j.juro.2018.02.155

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Abstract

INTRODUCTION AND OBJECTIVES Urinary incontinence (UI) in men that have not been treated for prostate cancer has not been well studied, and UI is not believed to be a common complaint. The objective of this study was to describe the prevalence of UI in a male treatment-seeking cohort from the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN). METHODS Data were obtained prospectively from participants recruited into the LURN Observational Cohort Study between 2015 and 2017. Participants completed questionnaires related to lower urinary tract symptoms (LUTS), bowel symptoms, sexual functioning, and psychological symptoms. Men were grouped based on type of incontinence (1. no UI, 2. post-void dribbling (PVD)/post-void UI only, and 3. UI) and comparisons were made using ANOVA and multivariable regression. Men with a history of prostate cancer and a neurogenic bladder were excluded. RESULTS Of the 477 men, 24% had no UI, 44% had PVD/post-void UI only, and 32% had UI. Black men and those with sleep apnea were more likely to be in the UI group compared to the no UI group (odds ratio [OR]=3.2, p=0.02 and OR=2.73, p=0.003, respectively). Compared to men without UI and men with PVD/PV-UI only, men with UI had higher scores (more severe symptoms) on PROMIS fecal incontinence (5.4±2.3 [UI] vs. 4.5±1.4 [PVD] vs. 4.5±1.5 [non-UI], p=0.001), diarrhea (47.9±8.0 [UI] vs. 46.5±7.3 [PVD] vs. 45.0±6.9 [non-UI], p=0.04), and constipation scales (50.5±7.9 [UI] vs. 48.2±7.3 [PVD] vs. 47.0±17.4 [non-UI], p=0.01, Table). PROMIS depression and anxiety scores were also higher in the UI group compared to the non-UI group by 6.0 and 5.3 points and by 3.1 and 2.7 points compared to the PVD/PV-UI only group, respectively, as were scores on the Perceived Stress Scale (13.0±7.2 [UI] vs. 10.7±6.9 [PVD] vs. 8.4±5.9 [non-UI], p < 0.001). Groups did not differ on childhood traumatic events or erectile functioning after adjustment. CONCLUSIONS There was a high prevalence of UI in men seeking treatment for LUTS, associated with increased bowel, and psychological symptoms. Comprehensive symptom assessment including incontinence is essential for improving patient care and quality of life in men with LUTS.

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