Department of Urology, University of California San Francisco, San Francisco, California, USA.
Department of Medicine, University of Toledo, Toledo, Ohio, USA.
Neurourol Urodyn. 2020 Nov;39(8):2509-2519. doi: 10.1002/nau.24523. Epub 2020 Sep 23.
Voiding positions and preferences in men are not well characterized. In this study, we aim to understand the interplay of voiding characteristics and their impact on voiding position.
We designed a 27-item survey to assess voiding characteristics and lower urinary tract symptoms (LUTS) severity in men seen in urology and other outpatient clinics. Participants included adult men patients and adult men accompanying patients at our institution's outpatient clinics. Data collected included demographics, International Prostate Symptom Score questionnaire, stream type (single, split, and dribble), voiding behavior, positional stream quality, and voiding bother.
We received 195 completed surveys (80% response rate). Of men queried, 18% (35/195) preferred to sit while voiding. Overall, men who sit had a higher proportion of LUTS (66% [23/35] vs. 41% [66/160]; p = .01), more physical limitations affecting voiding choice (20% [7/35] vs. 3% [5/160]; (p = .001), and a lower desire to stand (6% [2/35] vs. 24% [38/160]; p = .02), compared to men who stand. Men who sit while voiding reported nearly double the amount of voiding associated bother (34% [12/35]) compared to men who stand (18% [28/160]; p = .04). Older aged men reported a similar rate of seated urination compared to younger men. The most common reasons to void seated included comfort and avoidance of spraying.
Our findings discourage the use of anecdotal beliefs founded on generalizable characteristics, such as age and stream type, to infer a patient's voiding characteristics. Open dialog with patients regarding voiding preferences may garner important information regarding overall urologic health and better inform urologic care.
男性的排尿姿势和偏好尚未得到充分描述。本研究旨在了解排尿特征的相互作用及其对排尿姿势的影响。
我们设计了一份包含 27 个项目的调查，以评估在泌尿科和其他门诊诊所就诊的男性的排尿特征和下尿路症状（LUTS）严重程度。参与者包括我院门诊诊所的成年男性患者及其成年男性陪同者。收集的数据包括人口统计学信息、国际前列腺症状评分问卷、尿流类型（单一、分叉和滴沥）、排尿行为、排尿姿势质量和排尿困扰。
我们收到了 195 份完整的调查问卷（80%的回复率）。在被调查的男性中，18%（35/195）喜欢坐着排尿。总体而言，选择坐姿排尿的男性中 LUTS 的比例更高（66%[23/35]vs.41%[66/160]；p=0.01），影响排尿选择的身体限制因素更多（20%[7/35]vs.3%[5/160]；p=0.001），并且站立排尿的意愿更低（6%[2/35]vs.24%[38/160]；p=0.02）。与站立排尿的男性相比，坐着排尿的男性报告与排尿相关的困扰程度几乎是后者的两倍（34%[12/35]）。与年轻男性相比，年龄较大的男性选择坐姿排尿的比例相似。选择坐姿排尿的最常见原因包括舒适和避免喷溅。
我们的研究结果不支持根据可推广的特征（如年龄和尿流类型）来推测患者的排尿特征的经验主义信念。与患者就排尿偏好进行开诚布公的对话，可以获得有关整体泌尿科健康的重要信息，并为泌尿科护理提供更好的依据。
