Prevalence and Impacts of Male Urinary Incontinence on Quality of Life, Mental Health, Work Limitation, and Health Care Seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a Cross-sectional, Population-based Study

Overview

Journal Investig Clin Urol

Specialty Urology

Date 2022 Jan 4

PMID 34983125

Citations 3

Authors

Ming-Chieh Cheng

Shih-Ping Liu

Yao-Chi Chuang

Karina Chin Po Hsu

Po-Ming Chow

Affiliations

Soon will be listed here.

Abstract

Purpose: Male urinary incontinence (UI) is a global health issue associated with bothersome symptoms which affect daily life. This study aims to evaluate the prevalence of male UI in China, Taiwan, and South Korea and to determine if UI is an independent risk factor affecting the health-related quality of life (HRQoL), mental health, work limitations, and healthcare seeking behavior.

Materials And Methods: A analysis was conducted on the LUTS Asia database which was collated from a cross-sectional, population-based internet survey in China, Taiwan, and South Korea. Prevalence of male UI was assessed, and the effect on HRQoL, Hospital Anxiety and Depression Scale (HADS) depression and anxiety scores, work performance, and healthcare seeking behaviors was determined using univariate and multivariate analyses.

Results: A total of 4,076 male participants were surveyed. Prevalence of male UI was 17.3%. UI adversely affected the HRQoL in both physical and mental domains. Both multivariate and univariate analyses showed that male UI could be correlated with a negative effect on the HADS anxiety and depression scores. Multivariate analysis suggested that work difficulties were correlated to the presence of UI. Up to 28% of participants who reported urge UI only did not adopt any management measures.

Conclusions: UI is common in men over 40 years and adversely impacts HRQoL. It is an independent risk factor for anxiety and depression and may cause significant work limitations. Despite these negative effects, many men still do not seek any intervention.

Citing Articles

Effectiveness of non-pharmacological interventions delivered at home for urinary and faecal incontinence with homebound older people: systematic review of randomised controlled trials.

Buck J, Fromings Hill J, Collins R, Booth J, Fleming J Age Ageing. 2024; 53(6).

PMID: 38941119 PMC: 11212545. DOI: 10.1093/ageing/afae126.

Association of urinary incontinence with depression among men: a cross-sectional study.

Wu S, Wu F BMC Public Health. 2023; 23(1):944.

PMID: 37231365 PMC: 10210416. DOI: 10.1186/s12889-023-15961-9.

Does Medicaid cover artificial urinary sphincter and male urethral sling surgery?-a state-by-state analysis.

Zarandi S, Loeb C, Barham D, Miller J, Schneider D, Hammad M Transl Androl Urol. 2023; 12(2):217-227.

PMID: 36915876 PMC: 10005999. DOI: 10.21037/tau-22-486.

References

Choi E, Lam C, Chin W . The health-related quality of life of Chinese patients with lower urinary tract symptoms in primary care. Qual Life Res. 2014; 23(10):2723-33. DOI: 10.1007/s11136-014-0725-5. View

Correia S, Dinis P, Rolo F, Lunet N . Prevalence, treatment and known risk factors of urinary incontinence and overactive bladder in the non-institutionalized Portuguese population. Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20(12):1481-9. DOI: 10.1007/s00192-009-0975-x. View

Kim T, Han D, Ryu D, Lee K . The Impact of Lower Urinary Tract Symptoms on Quality of Life, Work Productivity, Depressive Symptoms, and Sexuality in Korean Men Aged 40 Years and Older: A Population-Based Survey. Int Neurourol J. 2015; 19(2):120-9. PMC: 4490313. DOI: 10.5213/inj.2015.19.2.120. View

Bartoli S, Aguzzi G, Tarricone R . Impact on quality of life of urinary incontinence and overactive bladder: a systematic literature review. Urology. 2009; 75(3):491-500. DOI: 10.1016/j.urology.2009.07.1325. View

Nitti V . The prevalence of urinary incontinence. Rev Urol. 2006; 3 Suppl 1:S2-6. PMC: 1476070. View

Coyne K, Kvasz M, Ireland A, Milsom I, Kopp Z, Chapple C . Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and the United States. Eur Urol. 2011; 61(1):88-95. DOI: 10.1016/j.eururo.2011.07.049. View

Esparza A, Tomas M, Pina-Roche F . Experiences of women and men living with urinary incontinence: A phenomenological study. Appl Nurs Res. 2018; 40:68-75. DOI: 10.1016/j.apnr.2017.12.007. View

DAncona C, Haylen B, Oelke M, Abranches-Monteiro L, Arnold E, Goldman H . The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourol Urodyn. 2019; 38(2):433-477. DOI: 10.1002/nau.23897. View

Rubach A, Balasubramaniam K, Munch Storsveen M, Elnegaard S, Jarbol D . Healthcare-seeking with bothersome lower urinary tract symptoms among men in the Danish population: the impact of lifestyle and socioeconomic status. Scand J Prim Health Care. 2019; 37(2):155-164. PMC: 6567136. DOI: 10.1080/02813432.2019.1608412. View

10.

Markland A, Goode P, Redden D, Borrud L, Burgio K . Prevalence of urinary incontinence in men: results from the national health and nutrition examination survey. J Urol. 2010; 184(3):1022-7. DOI: 10.1016/j.juro.2010.05.025. View

11.

Irwin D, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S . Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006; 50(6):1306-14. DOI: 10.1016/j.eururo.2006.09.019. View

12.

Coyne K, Thompson C, Lai J, Sexton C . An overactive bladder symptom and health-related quality of life short-form: validation of the OAB-q SF. Neurourol Urodyn. 2015; 34(3):255-63. DOI: 10.1002/nau.22559. View

13.

Coyne K, Sexton C, Thompson C, Clemens J, Chen C, Bavendam T . Impact of overactive bladder on work productivity. Urology. 2012; 80(1):97-103. DOI: 10.1016/j.urology.2012.03.039. View

14.

Chapple C, Castro-Diaz D, Chuang Y, Lee K, Liao L, Liu S . Prevalence of Lower Urinary Tract Symptoms in China, Taiwan, and South Korea: Results from a Cross-Sectional, Population-Based Study. Adv Ther. 2017; 34(8):1953-1965. PMC: 5565668. DOI: 10.1007/s12325-017-0577-9. View

15.

Coyne K, Sexton C, Irwin D, Kopp Z, Kelleher C, Milsom I . The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008; 101(11):1388-95. DOI: 10.1111/j.1464-410X.2008.07601.x. View

16.

Bedretdinova D, Fritel X, Zins M, Ringa V . The Effect of Urinary Incontinence on Health-related Quality of Life: Is It Similar in Men and Women?. Urology. 2016; 91:83-9. DOI: 10.1016/j.urology.2015.12.034. View

17.

Lai U, Wun Y, Luo T, Pang S . In a free healthcare system, why do men not consult for lower urinary tract symptoms (LUTS)?. Asia Pac Fam Med. 2011; 10(1):7. PMC: 3129303. DOI: 10.1186/1447-056X-10-7. View

18.

Moore K, Gray M . Urinary incontinence in men: current status and future directions. Nurs Res. 2004; 53(6 Suppl):S36-41. DOI: 10.1097/00006199-200411006-00006. View