Hirayama Fumi, Lee Andy H, Binns Colin W, Taniguchi Hiroyuki, Nishimura Koichi, Kato Kumiko
School of Public Health and National Drug Research Institute, Curtin University of Technology, Perth, Western Australia, Australia.
Int J Urol. 2008 Aug;15(8):751-3. doi: 10.1111/j.1442-2042.2008.02093.x.
This study investigated urinary incontinence in men with chronic obstructive pulmonary disease (COPD). A total of 244 community-dwelling men (mean age 66.5 years) diagnosed with COPD within the past 4 years were recruited from six hospital outpatient departments in central Japan. The prevalence of urinary incontinence was 10% according to the International Consultation on Incontinence criterion. Urine leakage among the 24 incontinent men was typically a small amount (75%) and occurred once a week or less often (58%). Fifteen (63%) of them reported urge incontinence while only two men experienced stress incontinence. On average they had urine leakage for 2.5 (SD 2.3) years and the majority (n = 19, 79%) developed the condition after diagnosis of COPD. The finding of higher prevalence of urge incontinence challenges the conventional view that COPD is associated with stress incontinence due to high pressure coughs.
本研究调查了慢性阻塞性肺疾病（COPD）男性患者的尿失禁情况。从日本中部六个医院门诊招募了共244名在过去4年内被诊断为COPD的社区男性（平均年龄66.5岁）。根据国际尿失禁咨询标准，尿失禁患病率为10%。24名尿失禁男性的尿液泄漏通常量少（75%），且每周发生一次或更少（58%）。其中15名（63%）报告有急迫性尿失禁，而只有两名男性有压力性尿失禁。他们平均有2.5（标准差2.3）年的尿液泄漏情况，大多数（n = 19，79%）在被诊断为COPD后出现这种情况。急迫性尿失禁患病率较高这一发现挑战了传统观点，即COPD因高压咳嗽而与压力性尿失禁有关。
