Prevalence and impact of urinary incontinence in men with cystic fibrosis

Angela T Burge; Anne E Holland; Margaret Sherburn; John Wilson; Narelle S Cox; Tshepo M Rasekaba; Rachael McAleer; Judith M Morton; Brenda M Button

doi:10.1016/j.physio.2014.11.001

Prevalence and impact of urinary incontinence in men with cystic fibrosis

Physiotherapy. 2015 Jun;101(2):166-70. doi: 10.1016/j.physio.2014.11.001. Epub 2014 Nov 11.

Authors

Angela T Burge¹, Anne E Holland², Margaret Sherburn³, John Wilson⁴, Narelle S Cox⁵, Tshepo M Rasekaba⁶, Rachael McAleer⁵, Judith M Morton⁵, Brenda M Button⁷

Affiliations

¹ Physiotherapy Department, The Alfred, PO Box 315, Prahran, VIC 3181, Australia. Electronic address: A.Burge@alfred.org.au.
² Physiotherapy Department, The Alfred, PO Box 315, Prahran, VIC 3181, Australia; Institute for Breathing and Sleep, Austin Hospital, PO Box 5555, Heidelberg, VIC 3084, Australia; Department of Physiotherapy, La Trobe University/Alfred Health Clinical School, Level 4, The Alfred Centre, 99 Commercial Rd, Prahran, VIC 3181, Australia.
³ Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, 200 Berkeley Street, VIC 3010, Australia.
⁴ Department of Allergy, Immunology and Respiratory Medicine, The Alfred, PO Box 315, Prahran, VIC 3181, Australia; Faculty of Medicine, Nursing and Health Sciences, Monash University, VIC 3800, Australia.
⁵ Department of Respiratory Medicine, Monash Medical Centre Level 2, 246 Clayton Road, Clayton, VIC 3168, Australia.
⁶ Physiotherapy Department, The Alfred, PO Box 315, Prahran, VIC 3181, Australia.
⁷ Physiotherapy Department, The Alfred, PO Box 315, Prahran, VIC 3181, Australia; Department of Allergy, Immunology and Respiratory Medicine, The Alfred, PO Box 315, Prahran, VIC 3181, Australia; Faculty of Medicine, Nursing and Health Sciences, Monash University, VIC 3800, Australia.

PMID: 25700635
DOI: 10.1016/j.physio.2014.11.001

Abstract

Objectives: To determine the prevalence and impact of urinary incontinence (UI) in men with cystic fibrosis (CF).

Design: Prospective observational study.

Setting: Adult CF clinics at tertiary referral centres.

Participants: Men with CF (n=80) and age-matched men without lung disease (n=80).

Interventions: Validated questionnaires to identify the prevalence and impact of UI.

Main outcome measures: Prevalence of UI and relationship to disease specific factors, relationship of UI with anxiety and depression.

Results: The prevalence of UI was higher in men with CF (15%) compared to controls (10%) (p=0.339). Men with CF and UI had higher scores for anxiety than those without UI (mean 9.1 (SD 4.8) vs 4.7 (4.1), p=0.003), with similar findings for depression (6.8 (4.6) vs 2.8 (3.4), p=0.002) using the Hospital Anxiety and Depression Scale.

Conclusions: Incontinence is more prevalent in adult men with CF than age matched controls, and may have an adverse effect on mental health. The mechanisms involved are still unclear and may differ from those reported in women.

Keywords: Cystic fibrosis; Male; Urinary incontinence.

Publication types

Observational Study

MeSH terms

Adult
Anxiety / epidemiology
Cystic Fibrosis / epidemiology*
Cystic Fibrosis / psychology*
Depression / epidemiology
Humans
Male
Mental Health*
Prevalence
Prospective Studies
Quality of Life
Urinary Incontinence / epidemiology*
Urinary Incontinence / psychology*