Mp12-06 the Psychosocial Burden of Overactive Bladder and Incontinence

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making I (MP12)1 May 2024MP12-06 THE PSYCHOSOCIAL BURDEN OF OVERACTIVE BLADDER AND INCONTINENCE John N. Cabri, Victor Nitti, and A. Lenore Ackerman John N. CabriJohn N. Cabri , Victor NittiVictor Nitti , and A. Lenore AckermanA. Lenore Ackerman View All Author Informationhttps://doi.org/10.1097/01.JU.0001009376.16371.fb.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) and overactive bladder (OAB) are prevalent conditions associated with impaired workplace productivity and decreased health-related quality of life across multiple domains. No prior work has evaluated the social burden of these conditions. We aimed to measure the psychosocial impact of UI and OAB in a care-seeking sample. METHODS: Patients presenting for care with OAB, urge incontinence (UUI), and/or stress incontinence (SUI) were surveyed using the sex-specific ICIQ-FLUTS or MLUTS (urinary symptoms) and the Social Isolation (SI), Social Rejection (SR), and Internalized Shame (IS) domains of the Social Impact Scale (SIS; stigma of illness). SIS total and domain responses were compared to patient- and disease-specific factors to identify clinically relevant relationships. RESULTS: Fifty-one patients completed the survey; 33% had OAB, 51% had UUI, and 47% had SUI. They were 78% female, 57% white, and all were insured. Having OAB predicted lower SIS total, SR, and SI scores, while having UUI predicted higher scores (all p<0.05). Age inversely correlated with SIS total and SR scores (both p<0.05). Having a partner predicted lower SIS total, SI, and SR scores (all p<0.05). Retired patients had lower scores across all SIS domains (all p<0.05). FLUTS scores were lower in women with OAB (p<0.001) and higher in women with UUI (p<0.01). FLUTS incontinence subscores directly correlated with SIS total and SI scores (both p<0.05), while total FLUTS scores only predicted SI scores (p<0.05). In men, total MLUTS and voiding subscale scores correlated with all SIS domains (all p<0.05). MLUTS incontinence subscale scores predicted total SIS and SI scores only (p<0.05). CONCLUSIONS: The social impact of OAB and UI tended to be less than HIV/AIDS or cancer, for which the SIS was originally validated, though patients with UUI and cancer had similar shame. We found patients with UUI incurred the most social distress, which may correspond to its symptom manifestation and difficulty to treat. Prior associations between urinary symptoms, interpersonal relationships, and workplace productivity support the psychosocial burden of OAB and UI we saw among younger, working-age patients and those without partners. Coping interventions and treatment may improve quality of life in groups most at-risk for stigma from OAB and UI. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e202 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information John N. Cabri More articles by this author Victor Nitti More articles by this author A. Lenore Ackerman More articles by this author Expand All Advertisement PDF downloadLoading ...