OBJECTIVE - To identify urinary incontinence and its impact on men with stable chronic obstructive pulmonary disease (COPD) and men without lung disease.
DESIGN - Prospective questionnaire study.
SETTINGS - Outpatients attending a public metropolitan hospital.
PARTICIPANTS - Men with COPD (n=49) and age-matched men without lung disease (n=36).
INTERVENTIONS - Validated questionnaires to identify the prevalence and impact of urinary incontinence.
MAIN OUTCOME MEASURES - Prevalence of urinary incontinence and relationship with disease-specific factors, and relationship of urinary incontinence with anxiety and depression.
RESULTS - The prevalence of urinary incontinence was higher in men with COPD (n=19/49) compared with men without lung disease (n=6/36; P=0.027). In men with COPD, symptoms of urgency were more prevalent in men with urinary incontinence (P=0.005), but this was not evident in men without lung disease (P=0.101). Only men with COPD reported symptoms of urgency associated with dyspnoea, and this did not vary between men with and without urinary incontinence (P=0.138). In men with COPD, forced expiratory volume in 1 second (FEV1) was lower in those with urinary incontinence compared with those without urinary incontinence {mean 38 [standard deviation (SD) 14] % predicted vs 61 (SD 24) % predicted; P=0.002}. The impact of urinary incontinence did not differ between the two groups (P=0.333).
CONCLUSIONS - Incontinence is more prevalent in men with COPD than in men without lung disease. The prevalence of urinary incontinence increases with greater disease severity, as reflected by lower FEV1. Screening for urinary incontinence should be considered in men with COPD and compromised lung function.
Physiotherapy. 2016 Jan 09 [Epub ahead of print]
A T Burge, A L Lee, C Kein, B M Button, M S Sherburn, B Miller, A E Holland
Physiotherapy Department, The Alfred Hospital, Melbourne, Victoria, Australia; School of Physiotherapy, La Trobe/Alfred Health Clinical School, The Alfred Centre, Prahran, Victoria, Australia. Physiotherapy Department, The Alfred Hospital, Melbourne, Victoria, Australia; Institute for Breathing and Sleep, Bowen Centre, Austin Hospital, Heidelberg, Victoria, Australia., Allergy, Immunology and Respiratory Medicine Department, The Alfred Hospital, Melbourne, Victoria, Australia., Physiotherapy Department, The Alfred Hospital, Melbourne, Victoria, Australia; Allergy, Immunology and Respiratory Medicine Department, The Alfred Hospital, Melbourne, Victoria, Australia., Physiotherapy Department, Melbourne School of Health Sciences, The University of Melbourne, Carlton, Victoria, Australia., Allergy, Immunology and Respiratory Medicine Department, The Alfred Hospital, Melbourne, Victoria, Australia., Physiotherapy Department, The Alfred Hospital, Melbourne, Victoria, Australia; School of Physiotherapy, La Trobe/Alfred Health Clinical School, The Alfred Centre, Prahran, Victoria, Australia; Institute for Breathing and Sleep, Bowen Centre, Austin Hospital, Heidelberg, Victoria, Australia.