How older men live with stress urinary incontinence: Patient experience and navigation to treatment

Abstract

ObjectivesTo explore the context in which older men navigate treatment for stress urinary incontinence (SUI) following prostate surgery by characterizing lived experience of men with symptomatic SUI.Subjects/Patients and MethodsMixed method study using surveys and semistructured interviews to examine a cohort of men who underwent evaluation for treatment of postprostatectomy SUI.ResultsThirty‐six men were interviewed after consultation for SUI and 31 had complete quantitative clinical data. Twenty‐six underwent surgery and 10 chose no surgical intervention. In qualitative interviews, respondents experienced substantial decline in quality of life due to incontinence citing concerns associated with use of pads and worrying about incontinence. Most patients reported “workarounds”—efforts to mitigate or manage incontinence including Kegels, physical therapy, and garments. Participants also reported lifestyle changes including less strenuous physical activity, less sexual activity, and/or fewer social gatherings. Patients then described a “breaking point” where incontinence workarounds were no longer sufficient. After seeking evaluation, men described challenges in exploring treatment for SUI, including access to care and provider knowledge of treatment options.ConclusionIn a novel study of patients living with SUI a predictable lived experience was observed that culminated in a desire for change or “breaking point.” In all men, this led to treatment‐seeking behaviors and for many it led to SUI intervention. Despite effective treatments, patients continue to meet barriers gaining access to SUI evaluation and treatment.

Exploring the Hidden Struggles: A Qualitative Insight into Urinary Incontinence Among Prostate Cancer Survivors Post-Surgery

“…In recent years, for patients with long-term urinary incontinence after surgery, the prevalent studies are focusing on decision-making for treatment of urinary incontinence. [17][18][19][20] However, the qualitative studies on early postoperative patients predominantly concentrate on clarifying the knowledge gap of postoperative recovery, 21,22 and did not explore the broader physical manifestations, psychological, and social implications caused by urinary incontinence at this changing stage. 14,23 This lacuna in research fails to account for the comprehensive patient experience, particularly the emotional and mental health challenges posed by early PPI.…”