Malmsten U G, Milsom I, Molander U, Norlén L J
Department of Geriatric Medicine, Vasa Hospital, Göteborg, Sweden.
J Urol. 1997 Nov;158(5):1733-7. doi: 10.1016/s0022-5347(01)64113-2.
We assessed the prevalence of urinary incontinence and other lower urinary tract symptoms in men 45 years old or older.
A postal questionnaire was sent to a random sample (10,458) of the total population of men 45 years old or older living in Göteborg, Sweden. The response rate was 74%.
The overall prevalence of urinary incontinence was 9.2% increasing (p < 0.001) linearly from 3.6% in men 45 years old to 28.2% in men 90 years old or older. Daily leakage was reported by 64%, and 31% believed that urinary incontinence limited their social and vocational life. However, only 46% of the men with urinary incontinence had sought medical advice. Overall prevalence of other voiding disturbances included hesitancy in 9.1% of the patients, weak stream in 30.5%, dribbling in 33.7%, sensation of incompletely emptied bladder in 26.4%, nocturia in 56.1% and history of urinary tract infection in the last 2 years in 6.3%. Prevalence of all symptoms increased with increasing age. Childhood enuresis was reported by 9.1%. Impotence was reported by 7.6% and there was a linear increase (p < 0.001) in the number of men reporting impotence up to 80 years of age.
The prevalence of urinary incontinence and lower urogenital tract symptoms, such as hesitancy, weak stream, dribbling, sensation of incompletely emptied bladder, nocturia, urinary tract infection and impotence, increased linearly with increasing age.
我们评估了45岁及以上男性尿失禁及其他下尿路症状的患病率。
向瑞典哥德堡45岁及以上男性总人口的随机样本（10458人）邮寄了一份调查问卷。回复率为74%。
尿失禁的总体患病率为9.2%，从45岁男性的3.6%呈线性增加（p<0.001），至90岁及以上男性的28.2%。64%的人报告有日常漏尿情况，31%的人认为尿失禁限制了他们的社交和职业生活。然而，只有46%的尿失禁男性寻求过医疗建议。其他排尿障碍的总体患病率包括：9.1%的患者有排尿犹豫，30.5%的患者有尿流无力，33.7%的患者有滴沥，26.4%的患者有膀胱未完全排空的感觉，56.1%的患者有夜尿症，6.3%的患者在过去两年中有尿路感染史。所有症状的患病率均随年龄增长而增加。9.1%的人报告有童年遗尿症。7.6%的人报告有阳痿，报告阳痿的男性人数在80岁之前呈线性增加（p<0.001）。
尿失禁及下泌尿生殖道症状，如排尿犹豫、尿流无力、滴沥、膀胱未完全排空的感觉、夜尿症、尿路感染和阳痿的患病率随年龄增长呈线性增加。
