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Understanding the health characteristics and treatment choices of older men with stress urinary incontinence

Urology May 20, 2021

Hampson LA, Suskind AM, Breyer BN, et al. - This study was intended to present the health characteristics and current treatment choices of male stress urinary incontinence (mSUI) patients to inform patient-centered decision-making. Researchers distinguished a cohort of mSUI patients aged ≥ 65 at UCSF and San Francisco VA. Retrospective chart review and telephone interviews were used to determine demographics, incontinence characteristics, Charlson Comorbidity Index (score ≥ 4 indicates significant morbidity), frailty with Timed Up and Go test, functional dependence with activities of daily living, calculated life expectancy, and assessed mental health and quality of life. In this analysis, 130 participants had a mean age of 75 and a mean incontinence score of 14.2 representing moderately bothersome incontinence. Among older men with mSUI, multi-morbidity, functional dependence, frailty, and limited life expectancy are common, yet current treatment choices seem to be driven by incontinence characteristics. Among men across the spectrum of health and life expectancy, mSUI surgery should be considered.

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