A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives
Male urinary incontinence (UI) is a prevalent yet under-discussed condition that has a significant impact on patient quality of life and social, emotional and physical well-being. UI in men can arise as stress incontinence, urge incontinence, or mixed incontinence depending on the timing and mani...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2024-08-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20240830-346/pdf/JOMH2024040501.pdf |
| _version_ | 1827120374391767040 |
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| author | Matthew J. Salvino Andrew C. Peterson |
| author_facet | Matthew J. Salvino Andrew C. Peterson |
| author_sort | Matthew J. Salvino |
| collection | DOAJ |
| description | Male urinary incontinence (UI) is a prevalent yet under-discussed condition that
has a significant impact on patient quality of life and social, emotional and
physical well-being. UI in men can arise as stress incontinence, urge
incontinence, or mixed incontinence depending on the timing and manifestation of
urinary leakage. The economic implications of UI are substantial, with UI in men
leading to billions in healthcare costs annually in the United States alone. UI
is associated with decreased quality of life and depression, particularly among
socioeconomically vulnerable populations. For men, this condition can cause
emotional and financial distress, affecting quality of life, social
reintegration, and professional activities. Addressing the mental health aspects
of UI through screening, open communication, and tailored interventions is
crucial for improving patient outcomes and quality of life. The diagnostic
process for UI begins with a thorough history and physical examination to
classify the type and severity, which dictates the treatment approach. Other
office-based diagnostic tools can help to accurately characterize symptoms and
assess impact on quality of life. For complex cases or when standard diagnostics
fail to clarify the condition, referrals to urologic specialists for advanced
testing are recommended. Conservative management is always preferred as the
first-line therapy for UI, including for stress, urge and mixed incontinence.
Medications tend to be more effective and prevalent in the management and
treatment for urge incontinence while surgical interventions are likely to give
the best outcomes for stress incontinence. Referral to a urologic specialist is
often necessitated in complex cases or for surgical treatment of UI. In this
study, we provide a comprehensive analysis of male UI, enhance understanding and
awareness of the condition, guide management practices to improve patient
outcomes, and explore the economic burden and mental health implications of UI in
men. |
| first_indexed | 2025-03-20T13:36:14Z |
| format | Article |
| id | doaj.art-d70b2efa264a46eb9796dfacb59f3ccf |
| institution | Directory Open Access Journal |
| issn | 1875-6867 1875-6859 |
| language | English |
| last_indexed | 2025-03-20T13:36:14Z |
| publishDate | 2024-08-01 |
| publisher | MRE Press |
| record_format | Article |
| series | Journal of Men's Health |
| spelling | doaj.art-d70b2efa264a46eb9796dfacb59f3ccf2024-09-12T09:11:19ZengMRE PressJournal of Men's Health1875-68671875-68592024-08-01208152310.22514/jomh.2024.125S1875-6867(24)00233-1A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectivesMatthew J. Salvino0Andrew C. Peterson1Department of Urology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Urology, Duke University School of Medicine, Durham, NC 27710, USAMale urinary incontinence (UI) is a prevalent yet under-discussed condition that has a significant impact on patient quality of life and social, emotional and physical well-being. UI in men can arise as stress incontinence, urge incontinence, or mixed incontinence depending on the timing and manifestation of urinary leakage. The economic implications of UI are substantial, with UI in men leading to billions in healthcare costs annually in the United States alone. UI is associated with decreased quality of life and depression, particularly among socioeconomically vulnerable populations. For men, this condition can cause emotional and financial distress, affecting quality of life, social reintegration, and professional activities. Addressing the mental health aspects of UI through screening, open communication, and tailored interventions is crucial for improving patient outcomes and quality of life. The diagnostic process for UI begins with a thorough history and physical examination to classify the type and severity, which dictates the treatment approach. Other office-based diagnostic tools can help to accurately characterize symptoms and assess impact on quality of life. For complex cases or when standard diagnostics fail to clarify the condition, referrals to urologic specialists for advanced testing are recommended. Conservative management is always preferred as the first-line therapy for UI, including for stress, urge and mixed incontinence. Medications tend to be more effective and prevalent in the management and treatment for urge incontinence while surgical interventions are likely to give the best outcomes for stress incontinence. Referral to a urologic specialist is often necessitated in complex cases or for surgical treatment of UI. In this study, we provide a comprehensive analysis of male UI, enhance understanding and awareness of the condition, guide management practices to improve patient outcomes, and explore the economic burden and mental health implications of UI in men.https://oss.jomh.org/files/article/20240830-346/pdf/JOMH2024040501.pdfurinary incontinencemale urinary incontinenceurinary incontinence managemenurinary incontinence treatmenturinary incontinence diagnosisstress urinary incontinenceurge urinary incontinencemixed urinary incontinence |
| spellingShingle | Matthew J. Salvino Andrew C. Peterson A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives Journal of Men's Health urinary incontinence male urinary incontinence urinary incontinence managemen urinary incontinence treatment urinary incontinence diagnosis stress urinary incontinence urge urinary incontinence mixed urinary incontinence |
| title | A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives |
| title_full | A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives |
| title_fullStr | A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives |
| title_full_unstemmed | A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives |
| title_short | A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives |
| title_sort | multidimensional approach to male urinary incontinence treatment efficacy and mental health perspectives |
| topic | urinary incontinence male urinary incontinence urinary incontinence managemen urinary incontinence treatment urinary incontinence diagnosis stress urinary incontinence urge urinary incontinence mixed urinary incontinence |
| url | https://oss.jomh.org/files/article/20240830-346/pdf/JOMH2024040501.pdf |
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