How older men live with stress urinary incontinence: Patient experience and navigation to treatment.
artificial urinary sphincter (AUS)
lived experience
male stress incontinence
prostate cancer
qualitative
Journal
Neurourology and urodynamics
ISSN: 1520-6777
Titre abrégé: Neurourol Urodyn
Pays: United States
ID NLM: 8303326
Informations de publication
Date de publication:
28 Nov 2023
28 Nov 2023
Historique:
revised:
29
09
2023
received:
16
08
2023
accepted:
22
10
2023
medline:
28
11
2023
pubmed:
28
11
2023
entrez:
28
11
2023
Statut:
aheadofprint
Résumé
To 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. Mixed method study using surveys and semistructured interviews to examine a cohort of men who underwent evaluation for treatment of postprostatectomy SUI. Thirty-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. In 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.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Doris Duke Charitable Foundation (PI: Hampson)
ID : CTSI-UL1 TR001872
Organisme : Claude D. Pepper Older Americans Independence Center UCSF Research Education Component Scholar Award (PI: Hampson)
Organisme : National Institute on Aging (PI: Sudore)
ID : K24AG054415
Organisme : NIH/NIDDK (funding: Hampson)
ID : K12K083021
Organisme : National Institute on Aging GEMSSTAR (PI: Hampson)
ID : 1R03AG064372-01
Organisme : San Francisco Veterans Affairs Medical Center (Hampson, Cooperberg, Sudore, Walter)
Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
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