Mp63-20 urinary incontinence, as captured by the 10-item lurn symptom index, is associated with more bother from lower urinary tract symptoms

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction II (MP63)1 Sep 2021MP63-20 URINARY INCONTINENCE, AS CAPTURED BY THE 10-ITEM LURN SYMPTOM INDEX, IS ASSOCIATED WITH MORE BOTHER FROM LOWER URINARY TRACT SYMPTOMS Tanya W. Kristof, Clark Judge, James W. Griffith, Abigail R. Smith, Richard J. Fantus, Brian T. Helfand, and Alexander P. Glaser Tanya W. KristofTanya W. Kristof More articles by this author , Clark JudgeClark Judge More articles by this author , James W. GriffithJames W. Griffith More articles by this author , Abigail R. SmithAbigail R. Smith More articles by this author , Richard J. FantusRichard J. Fantus More articles by this author , Brian T. HelfandBrian T. Helfand More articles by this author , and Alexander P. GlaserAlexander P. Glaser More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002103.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) is prevalent in men with lower urinary tract symptoms (LUTS) but often not assessed in clinical care. The AUA Symptom Index (AUASI) is the most commonly used questionnaire for men presenting to the urology clinic but notably does not assess UI. The LURN-SI-10 is a one-page assessment for patients with LUTS including an assessment of UI. The objective of this study is to determine if UI, as captured by the LURN-SI-10, is associated with quality of life (QOL) and bother. METHODS: The LURN-SI-10 and AUA-SI were prospectively administered to men with LUTS presenting to the urology clinic. UI was defined as a response of “about half the time or more” to LURN-SI-10 questions related to urge incontinence, stress incontinence and post-void dribbling. Total AUA-SI, LURN-SI-10, AUA QOL, and LURN-SI-10 bother were compared between men with and without UI using the Wilcoxon rank-sum test. The proportion of men with UI was compared between men with low or high QOL using Fischer’s exact test. RESULTS: The LURN SI-10 and AUA-SI demonstrated a large correlation (r=0.78) as did respective bother and QOL items (r=0.75). When stratified by primary diagnosis, the correlation between questionnaires was 0.76 for prostate cancer (n=115), 0.81 for benign prostatic hyperplasia (n=91), 0.75 for elevated PSA (n=34), 0.60 for overactive bladder (n=11), and 0.89 for urethral stricture (n=6), and 0.91 for other diagnoses (n=25). UI was present in 27% of the study population. Men with UI had higher (more severe) AUA-SI scores and LURN-SI-10 scores and worse AUA-SI QOL and LURN-SI-10 bother (Table). Of men with responses of mixed or worse AUA-SI QOL, 48% reported incontinence, in comparison to the 10% of men with delighted, pleased, or mostly satisfied QOL (p<0.0001; Figure). CONCLUSIONS: UI is prevalent in men presenting to the urology clinic and is associated with worse QOL and bother. The LURN-SI-10 captures a more inclusive range of LUTS than the AUA-SI, and assessment of UI should be included in routine care of men with LUTS. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1109-e1109 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tanya W. Kristof More articles by this author Clark Judge More articles by this author James W. Griffith More articles by this author Abigail R. Smith More articles by this author Richard J. Fantus More articles by this author Brian T. Helfand More articles by this author Alexander P. Glaser More articles by this author Expand All Advertisement PDF downloadLoading ...