Evidence map›Paper›PMID 38014566›Full record

ArticleNeurourology and urodynamics2024

How older men live with stress urinary incontinence: Patient experience and navigation to treatment.

Nathan M Shaw, Benjamin N Breyer, Louise C Walter, Rebecca L Sudore, Anne M Suskind, Caitlin Baussan, Kathryn Quanstrom, Isabel E Allen, Matthew R Cooperberg, Dan Dohan and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurourology and urodynamics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Nathan M ShawDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.ORCID http://orcid.org/0000-0002-5710-9299
Benjamin N BreyerDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Louise C WalterDepartment of Medicine, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Rebecca L SudoreDepartment of Medicine, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Anne M SuskindDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.ORCID http://orcid.org/0000-0002-8437-3861
Caitlin BaussanDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Kathryn QuanstromDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Isabel E AllenDepartment of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Matthew R CooperbergDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Dan DohanInstitute for Health Policy Studies, University of California San Francisco, San Francisco, California, USA.
Lindsay A HampsonDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, California, USA.ORCID http://orcid.org/0000-0002-0740-7984
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI W. JOHN BOSCARDIN · 2013 to 2026
$19.9M
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
Understanding and Improving Treatment Decision-Making for Older Males with Stress Urinary IncontinenceR03AG064372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAMPSON, LINDSAY ANN · 2019 to 2020
$242k
NCATS NIH HHS UL1 TR001872NIA NIH HHS K24 AG054415NIA NIH HHS P30 AG044281NIA NIH HHS R03 AG064372
6 · The paper itself

Abstract

objectivesTo explore the context in which older men navigate treatment for stress urinary incontinence (SUI) following prostate surgery by characterizing lived experience of men with symptomatic SUI. SUBJECTS/PATIENTS AND

methodsMixed method study using surveys and semistructured interviews to examine a cohort of men who underwent evaluation for treatment of postprostatectomy SUI.

resultsThirty-six men were interviewed after consultation for SUI and 31 had complete quantitative clinical data. Twenty-six underwent surgery and 10 chose no surgical intervention. In qualitative interviews, respondents experienced substantial decline in quality of life due to incontinence citing concerns associated with use of pads and worrying about incontinence. Most patients reported "workarounds"-efforts to mitigate or manage incontinence including Kegels, physical therapy, and garments. Participants also reported lifestyle changes including less strenuous physical activity, less sexual activity, and/or fewer social gatherings. Patients then described a "breaking point" where incontinence workarounds were no longer sufficient. After seeking evaluation, men described challenges in exploring treatment for SUI, including access to care and provider knowledge of treatment options.

conclusionIn a novel study of patients living with SUI a predictable lived experience was observed that culminated in a desire for change or "breaking point." In all men, this led to treatment-seeking behaviors and for many it led to SUI intervention. Despite effective treatments, patients continue to meet barriers gaining access to SUI evaluation and treatment.

Indexed as

Urinary IncontinenceUrinary Incontinence, StressUrinary Sphincter, ArtificialAgedHumansMalePatient Outcome AssessmentQuality of LifeTreatment Outcomeartificial urinary sphincter (AUS)lived experiencemale stress incontinenceprostate cancerqualitative

Identifiers

PMID38014566
PMCPMC10866353
OpenAlexW4389090158

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.