Sekido Noritoshi, Haga Nobuhiro, Omae Kenji, Kubota Yasue, Mitsui Takahiko, Masumori Naoya, Saito Motoaki, Sakakibara Ryuji, Yoshida Mikako, Takahashi Satoru
Epidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Tokyo, Japan.
Department of Urology, Toho University Ohashi Medical Center, Meguro, Tokyo, Japan.
Int J Urol. 2025 Feb;32(2):204-211. doi: 10.1111/iju.15624. Epub 2024 Oct 25.
Seated voiding may be an attempt to obviate voiding dysfunction, improve physical stability during voiding, and prevent messy bathroom contamination. Therefore, we hypothesized that seated voiders had a higher prevalence of lower urinary tract symptoms (LUTS), deteriorating health conditions, and a higher marriage rate than standing voiders.
Of the participants from the 2023 Japan Community Health Survey conducted by the Japanese Continence Society, 2936 men (mean age: 53.6 years old) were divided into sitting and standing groups based on their posture when voiding at home. Characteristics of the two groups were compared, and factors associated with seated voiding stratified by age were investigated using multivariable logistic regression analysis.
One-thousand six-hundred and sixty men (57%) voided in the sitting position at home, and the proportion of seated voiding decreased with age. On multivariable analysis, comorbidities other than benign prostatic hyperplasia were associated with the standing group aged 40-59, and storage symptoms were associated with the seated group aged 60 and older. Being married was significantly and consistently associated with seated voiding across all ages.
Approximately 60% of Japanese men void in the sitting position at home. There are certain differences in the associations of LUTS and health conditions with voiding position by age, while seated voiding is consistently associated with marital status throughout all ages, which implies that sanitation matters.
坐着排尿可能是为了避免排尿功能障碍、改善排尿时的身体稳定性以及防止弄乱卫生间。因此，我们假设坐着排尿的男性下尿路症状（LUTS）的患病率更高、健康状况更差且结婚率高于站着排尿的男性。
在日本尿失禁学会进行的2023年日本社区健康调查的参与者中，2936名男性（平均年龄：53.6岁）根据他们在家中排尿时的姿势分为坐着排尿组和站着排尿组。比较两组的特征，并使用多变量逻辑回归分析调查按年龄分层的与坐着排尿相关的因素。
1660名男性（57%）在家中坐着排尿，坐着排尿的比例随年龄降低。在多变量分析中，除良性前列腺增生外的合并症与40 - 59岁的站着排尿组相关，储尿症状与60岁及以上的坐着排尿组相关。在所有年龄段，已婚与坐着排尿均显著且持续相关。
约60%的日本男性在家中坐着排尿。LUTS和健康状况与排尿姿势的关联在不同年龄存在一定差异，而坐着排尿在所有年龄段均与婚姻状况持续相关，这意味着卫生问题很重要。
