Boyle P, Robertson C, Mazzetta C, Keech M, Hobbs F D R, Fourcade R, Kiemeney L, Lee C
Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy.
BJU Int. 2003 Dec;92(9):943-7. doi: 10.1111/j.1464-410x.2003.04526.x.
To report the results of the prevalence and health status associated with male urinary incontinence (UI) in a population-based, multicentre study in four countries, and to assess the epidemiology of this condition.
A standard questionnaire asking about frequency and amount of urine loss, use of pads and stress incontinence, was used to measure the prevalence of UI among men in four countries (Boxmeer, The Netherlands; Auxerre, France; Birmingham, UK; and Seoul, Korea). Self-reported urinary leakage was also recorded, with details of visits to the doctor for the symptoms. The samples were selected randomly from population registers of men aged 40-79 years, which provided representative samples in each community.
In all, 4979 men responded; from incontinence symptom scores, 7.3% of men aged 40-79 years in Auxerre, 16.3% in Boxmeer, 14.4% in Birmingham and 4.3% in Seoul reported mild to severe UI. On a self-reported question, 14.8% and 14.5% of men in Birmingham and Boxmeer thought that they had urinary leakage, compared with 7.5% and 7.1% of men in Auxerre and Seoul, but typically the reported incontinence was leaking drops of urine a few times a week. Of men with urinary leakage in the three European centres, 25.9% visited the doctor with this problem, compared with only 9.0% of men in Seoul. Of men in the European centres, 5.9% used pads at least occasionally, compared with only 1.6% of men in Seoul. UI was age-related and the reporting of it varied among centres, with 14.4% of men in Birmingham and 12.7% of men in Boxmeer aged 40-49 years reporting mild to severe UI, compared with 5.2% in Auxerre and 1.9% in Seoul. Among men aged 60-69 years the corresponding percentages were 13.7% in Birmingham, 22.6% in Boxmeer, 9.2% in Auxerre and 8.0% in Seoul.
UI is more common in older men and relatively uncommon among younger men. Some men reported no problems on the symptom questionnaire but replied positively to a direct question. Surprisingly many men wear protective pads at least occasionally as a result of their problem. UI appears to be a problem for men and which remains largely untreated; this may partly be a result of cultural differences.
在一项针对四个国家的基于人群的多中心研究中，报告男性尿失禁（UI）的患病率及相关健康状况结果，并评估该疾病的流行病学情况。
采用一份标准问卷，询问尿液丢失的频率和量、尿垫使用情况及压力性尿失禁情况，以测量四个国家（荷兰博克斯梅尔、法国欧塞尔、英国伯明翰、韩国首尔）男性中UI的患病率。还记录了自我报告的尿失禁情况，以及因这些症状就医的详细信息。样本从40 - 79岁男性的人口登记册中随机选取，这些样本在每个社区都具有代表性。
共有4979名男性做出回应；根据尿失禁症状评分，欧塞尔40 - 79岁男性中有7.3%、博克斯梅尔有16.3%、伯明翰有14.4%、首尔有4.3%报告有轻度至重度UI。在一项自我报告的问题中，伯明翰和博克斯梅尔分别有14.8%和14.5%的男性认为自己有尿失禁，而欧塞尔和首尔分别为7.5%和7.1%，但通常报告的尿失禁是每周有几次滴尿。在欧洲三个中心有尿失禁的男性中，25.9%因这个问题就医，而首尔只有9.0%的男性如此。在欧洲中心，5.9%的男性至少偶尔使用尿垫，而首尔只有1.6%的男性这样做。UI与年龄相关，且各中心对此的报告有所不同，伯明翰40 - 49岁男性中有14.4%、博克斯梅尔有12.7%报告有轻度至重度UI，而欧塞尔为5.2%，首尔为1.9%。在60 - 69岁男性中，相应比例分别为伯明翰13.7%、博克斯梅尔22.6%、欧塞尔9.2%、首尔8.0%。
UI在老年男性中更常见，在年轻男性中相对少见。一些男性在症状问卷上报告无问题，但对直接问题回答为阳性。令人惊讶的是，许多男性因该问题至少偶尔使用防护尿垫。UI似乎是男性面临的一个问题，且很大程度上仍未得到治疗；这可能部分是文化差异导致的结果。
