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Urinary Incontinence Among Male Veterans Receiving Care in Primary Care Clinics. Annals of Internal Medicine. 132(7): 547-551. April 4, 2000.

This article reports on a study undertaken to determine the prevalence and consequences of urinary incontinence in men. The cross sectional survey of 840 men (mean age 59.8 years, range 25 to 93 years) was carried out in three primary care clinics in a Kentucky Veterans Affairs facility. The study featured a written survey on patient demographic information and continence, including the Incontinence Impact Questionnaire. Among all study patients, 32.3 percent reported incontinence within the past 12 months, and 13.8 percent (43 percent of those who were incontinent) reported at least weekly episodes. Age did not correlate with frequency or amount of urine loss. Frequency correlated with emotional health, social relationships, physical activity, and travel. Greater amounts of lost urine had a stronger effect on emotional health, social relationships, and travel. Among men with incontinence, only 32 percent had discussed incontinence with their medical provider, but 75 percent desired evaluation and treatment. The authors conclude that urinary incontinence is common among male veterans and affects all age groups. Although incontinence often has unfavorable consequences on quality of life and although men with incontinence desired treatment, they seldom discussed the problem with medical providers. Systematic screening of men for urinary incontinence may be necessary. The authors include the survey instrument in an appendix. 2 tables. 20 references.

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