Male Incontinence: The Etiology or Basis of Treatment

Hester, Austin G.; Kretschmer, Alexander; Badlani, Gopal H.

doi:10.1016/j.euf.2017.12.002

Cited by 24 publications

(16 citation statements)

References 42 publications

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“…This is probably because of the belief that male incontinence has almost always resulted from prolonged bladder outlet obstruction [ 47 ]. Nevertheless, it should be noted that other causes, such as sphincter injury following prostatic surgery, polypharmacy, detrusor degeneration, and sustained urinary tract infection, have also been identified as common factors of male incontinence onset [ 48 ]. Therefore, prostate problems may be an essential factor of the systematic neglect of primary incontinence symptoms in the male population.…”

Section: Discussionmentioning

confidence: 99%

Using Search Trends to Analyze Web-Based Interest in Lower Urinary Tract Symptoms-Related Inquiries, Diagnoses, and Treatments in Mainland China: Infodemiology Study of Baidu Index Data

Wei¹,

Ma²,

Wu³

et al. 2021

J Med Internet Res

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Background Lower urinary tract symptoms (LUTS) are one of the most commonly described urination disorders worldwide. Previous investigations have focused predominantly on the prospective identification of cases that meet the researchers’ criteria; thus, the genuine demands regarding LUTS from patients and related issues may be neglected. Objective We aimed to examine web-based search trends and behaviors related to LUTS on a national and regional scale by using the dominant, major search engine in mainland China. Methods Baidu Index was queried by using LUTS-related terms for the period of January 2011 to September 2020. The search volume for each term was recorded to analyze search trends and demographic distributions. For user interest, user demand graph data and trend data were collected and analyzed. Results Of the 13 LUTS domains, 11 domains are available in the Baidu Index database. The Baidu search index for each LUTS domain varied from 37.78% to 1.47%. The search trends for urinary frequency (2011-2018: annual percent change APC=7.82%; P<.001), incomplete emptying (2011-2014: APC=17.74%; P<.001), nocturia (2011-2018: APC=11.54%; P<.001), dysuria (2017-2020: APC=20.77%; P<.001), and incontinence (2011-2016: APC=13.39%; P<.001) exhibited fluctuations over time. The search index trends for weak stream (2011-2017: APC=−4.68%; P<.001; 2017-2020: APC=9.32%; P=.23), split stream (2011-2013: APC=9.50%; P=.44; 2013-2020: APC=2.05%; P=.71), urgency (2011-2018: APC=−2.63%; P=.03; 2018-2020: APC=8.58%; P=.19), and nocturnal enuresis (2011-2018: APC=−3.20%; P=.001; 2018-2020: APC=−4.21%; P=.04) remained relatively stable and consistent. The age distribution of the population for all LUTS-related inquiries showed that individuals aged 20 to 40 years made 73.86% (49,218,123/66,635,247) of the total search inquiries. Further, individuals aged 40 to 49 years made 12.29% (8,193,922/66,635,247) of the total search inquiries for all LUTS-related terms. People from the east part of China made 67.79% (45,172,031/66,635,247) of the total search queries. Additionally, most of the searches for LUTS-related terms were related to those for urinary diseases to varying degrees. Conclusions Web-based interest in LUTS-related terms fluctuated wildly and was reflected timely by Baidu Index in mainland China. The web-based search popularity of each LUTS-related term varied significantly and differed based on personal interests, the population’s concerns, regional variations, and gender. These data can be used by care providers to track the prevalence of LUTS and the population’s interests, guide the establishment of disease-specific health care policies, and optimize physician-patient health care sessions.

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Section: Discussionmentioning

confidence: 99%

Using Search Trends to Analyze Web-Based Interest in Lower Urinary Tract Symptoms-Related Inquiries, Diagnoses, and Treatments in Mainland China: Infodemiology Study of Baidu Index Data

Wei¹,

Ma²,

Wu³

et al. 2021

J Med Internet Res

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“…Urination control in males mainly lies in the membranous portion of the urethra, whereas the control in females resides inside the mid to distal parts of the urethra. Although the male membranous urethra and female mid-distal urethra are very similar in terms of anatomy, tissue structure, embryonic development, and innervation, the morphology of the male urethral sphincter is different from that of females due to the presence of the male prostate 24–26. This morphological difference between males and females forms the anatomical basis for the functional difference in the urinary sphincter between genders.…”

Section: Discussionmentioning

confidence: 99%

<p>Clinical study of the effects of deep brain stimulation on urinary dysfunctions in patients with Parkinson’s disease</p>

Zong

Meng

Zhang

et al. 2019

CIA

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Purpose: To evaluate the effect of deep brain stimulation (DBS) on urinary dysfunctions in Parkinson’s patients. Patients and methods: A total of 416 patients, diagnosed with Parkinson’s disease (PD) based on the UK Parkinson’s Disease Society Brain Bank Diagnostic Criteria, were enrolled in the study, including 307 males and 109 females. The effects of DBS treatment on urinary functions during urination and bladder storage of these patients were evaluated using testing and assessment scales, such as the American Urological Association Symptom Index (AUA-SI), Overactive Bladder Symptom Scores (OAB-SS), Quality Of Life Scale (QOL), and urodynamic tests. The data were statistically analyzed with the chi-square test and both independent-samples t -test and paired-samples t -test were used in this study. Results: Symptoms of urinary dysfunctions, such as urinary frequency, urgency, and incontinence, in the patients with PD were notably relieved by DBS treatment ( P <0.05), and the OAB-SS and bladder storage problems were greatly improved as well ( P <0.05). Compared with those in male patients, DBS surgery significantly improved the AUA-SI, urinary symptom scores, and QOL in female PD patients ( P <0.05), as well as other functional indicators related to the urinary tract, including the maximum urinary flow rate, detrusor pressure at peak flow, and residual urine volume in female PD patients ( P <0.05). Conclusion: DBS surgery is effective in improving urinary functions in PD patients, as primarily reflected by the alleviation of urinary symptoms such as urinary frequency, urgency, and incontinence. Female PD patients displayed better urinary function outcomes from DBS treatment than did male patients.

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“…Urologic factors associated with UI include UTI, bladder outlet obstruction (BOO), overactive bladder, underactive bladder, and/or sphincter injury [5]. Recurrent UTIs and diverse urinary microbiota may contribute to the pathology of UUI and refractory detrusor overactivity [13].…”

Section: Urologic Factorsmentioning

confidence: 99%

“…Much of what we know about UI also comes from studies largely involving women and younger subjects. A non-systematic review of the literature performed in 2017 identified 7204 papers, though 6838 were excluded for female populations and those <65 years old [5]. Nevertheless, an estimated 17% (3.4 million) of males over 60 in the United States (US) are affected by UI [6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation and treatment of urinary incontinence in the aging male

Pearlman

Kreder

2020

Postgraduate Medicine

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Risk of urinary incontinence (UI) increases with age and can have detrimental effects on patients and caregivers. UI should not be considered a normal part of aging and warrants a comprehensive evaluation. Treatment of UI in the aging male requires special consideration, particularly when it comes to comorbid conditions and potential side effects of intervention. The aim of this review is to discuss the evaluation of, risk factors for, and management of UI in the aging male.

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Male Incontinence: The Etiology or Basis of Treatment

Cited by 24 publications

References 42 publications

Using Search Trends to Analyze Web-Based Interest in Lower Urinary Tract Symptoms-Related Inquiries, Diagnoses, and Treatments in Mainland China: Infodemiology Study of Baidu Index Data

Using Search Trends to Analyze Web-Based Interest in Lower Urinary Tract Symptoms-Related Inquiries, Diagnoses, and Treatments in Mainland China: Infodemiology Study of Baidu Index Data

<p>Clinical study of the effects of deep brain stimulation on urinary dysfunctions in patients with Parkinson’s disease</p>

Evaluation and treatment of urinary incontinence in the aging male

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