Hall J L, Owen L, Riddell A, Church D B, Brodbelt D C, O'Neill D G
Royal (Dick) School of Veterinary Sciences, University of Edinburgh, Roslin, Midlothian EH25 9RG, UK.
Queen's Veterinary School Hospital, Department of Veterinary Medicine, University of Cambridge, Cambridge CB30ES, UK.
J Small Anim Pract. 2019 Feb;60(2):86-95. doi: 10.1111/jsap.12951. Epub 2018 Nov 1.
To estimate prevalence and identify demographic risk factors for urinary incontinence in male dogs.
The study population included all dogs within the VetCompass database from September 1, 2009 to July 7, 2013. Electronic patient records were searched for urinary incontinence cases; demographic and clinical information were extracted and analysed.
Of 109,428 male dogs attending 119 clinics in England, there were an estimated 1027 dogs diagnosed with urinary incontinence, giving a prevalence of 0.94% (95% confidence interval: 0.88 to 1.00). Breeds with highest odds of incontinence in male dogs (compared with mixed breed dogs) included the bull mastiff (odds ratio: 17.21, 95% confidence interval: 6.65 to 44.56, case=5, non-case=314, P<0.001), Irish red setter (odds ratio: 12.79, 95% confidence interval: 4.83 to 33.84, case=5, non-case=142, P<0.001), fox terrier (odds ratio: 9.60, 95% confidence interval: 3.68 to 25.05, case=5, non-case=176, P < 0.001), bulldog (odds ratio: 5.72, 95% confidence interval: 2.24 to 14.59, case=5, non-case=929, P<0.001) and boxer (odds ratio: 3.65, 95% confidence interval: 1.84 to 7.25, case=10, non-case=1470, P<0.001). Increased odds of urinary incontinence were associated with greater age (age 9 to 12 years, odds ratio: 10.46, 95% confidence interval: 6.59 to 16.62, n=12,348, P<0.001) and being insured (odds ratio: 1.96, 95% confidence interval: 1.53 to 2.51, n=26,202, P<0.001). There was no association with castration or bodyweight using multi-variable analysis.
The overall prevalence of urinary incontinence in male dogs is approximately 1%, which may be higher than expected given the sparsity of reports describing this problem. In contrast to bitches, neutering and bodyweight were not associated with greater odds of urinary incontinence, which is important when giving neutering advice.
评估雄性犬尿失禁的患病率，并确定其人口统计学风险因素。
研究人群包括VetCompass数据库中2009年9月1日至2013年7月7日期间的所有犬只。通过电子病历搜索尿失禁病例；提取并分析人口统计学和临床信息。
在英国119家诊所就诊的109,428只雄性犬中，估计有1027只犬被诊断为尿失禁，患病率为0.94%（95%置信区间：0.88至1.00）。雄性犬中尿失禁几率最高的品种（与混种犬相比）包括斗牛獒（优势比：17.21，95%置信区间：6.65至44.56，病例数=5，非病例数=314，P<0.001）、爱尔兰红雪达犬（优势比：12.79，95%置信区间：4.83至33.84，病例数=5，非病例数=142，P<0.001）、猎狐梗（优势比：9.60，95%置信区间：3.68至25.05，病例数=5，非病例数=176，P<0.001）、斗牛犬（优势比：5.72，95%置信区间：2.24至14.59，病例数=5，非病例数=929，P<0.001）和拳师犬（优势比：3.65，95%置信区间：1.84至7.25，病例数=10，非病例数=1470，P<0.001）。尿失禁几率增加与年龄较大（9至12岁，优势比：10.46，95%置信区间：6.59至16.62，n=12,348，P<0.001）和已投保（优势比：1.96，95%置信区间：1.53至2.51，n=26,202，P<0.001）有关。多变量分析显示与去势或体重无关。
雄性犬尿失禁的总体患病率约为1%，鉴于描述该问题的报告稀少，这一患病率可能高于预期。与母犬不同，去势和体重与尿失禁几率增加无关，这在提供去势建议时很重要。
