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Title: Prevalence and impact of urinary incontinence in men with chronic obstructive pulmonary disease: a questionnaire survey.
Austin Authors: Burge, A T;Lee, Annemarie L;Kein, C;Button, B M;Sherburn, M S;Miller, B;Holland, Anne E 
Affiliation: Allergy, Immunology and Respiratory Medicine Department, The Alfred Hospital, Melbourne, Victoria, Australia
Physiotherapy Department, Melbourne School of Health Sciences, The University of Melbourne, Carlton, Victoria, Australia
Physiotherapy Department, The Alfred Hospital, Melbourne, Victoria, Australia
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
School of Physiotherapy, La Trobe/Alfred Health Clinical School, The Alfred Centre, Prahran, Victoria, Australia
Issue Date: Mar-2017
Date: 2016-01-09
Publication information: Physiotherapy 2017; 103(1): 53-58
Abstract: To identify urinary incontinence and its impact on men with stable chronic obstructive pulmonary disease (COPD) and men without lung disease. Prospective questionnaire study. Outpatients attending a public metropolitan hospital. Men with COPD (n=49) and age-matched men without lung disease (n=36). Validated questionnaires to identify the prevalence and impact of urinary incontinence. Prevalence of urinary incontinence and relationship with disease-specific factors, and relationship of urinary incontinence with anxiety and depression. The prevalence of urinary incontinence was higher in men with COPD (n=19/49) compared with men without lung disease (n=6/36; P=0.027). In men with COPD, symptoms of urgency were more prevalent in men with urinary incontinence (P=0.005), but this was not evident in men without lung disease (P=0.101). Only men with COPD reported symptoms of urgency associated with dyspnoea, and this did not vary between men with and without urinary incontinence (P=0.138). In men with COPD, forced expiratory volume in 1 second (FEV1) was lower in those with urinary incontinence compared with those without urinary incontinence {mean 38 [standard deviation (SD) 14] % predicted vs 61 (SD 24) % predicted; P=0.002}. The impact of urinary incontinence did not differ between the two groups (P=0.333). Incontinence is more prevalent in men with COPD than in men without lung disease. The prevalence of urinary incontinence increases with greater disease severity, as reflected by lower FEV1. Screening for urinary incontinence should be considered in men with COPD and compromised lung function.
DOI: 10.1016/
ORCID: 0000-0003-2061-845X
Journal: Physiotherapy
PubMed URL: 27036613
Type: Journal Article
Subjects: Aged
Chronic obstructive pulmonary disease
Urinary incontinence
Appears in Collections:Journal articles

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