Mp34-12 Assessment of Urinary Symptoms in Transgender, Non-Binary and Gender Nonconforming Individuals

You have accessJournal of UrologyDiversity, Equity & Inclusion: Health Equity & Outcomes II (MP34)1 May 2024MP34-12 ASSESSMENT OF URINARY SYMPTOMS IN TRANSGENDER, NON-BINARY AND GENDER NONCONFORMING INDIVIDUALS Andria N. Li, Rosa Park, Stephanie Gleicher, T. Anne Zwaschka, Roger R. Dmochowski, Melissa R. Kaufman, W. Stuart Reynolds, and Elisabeth Sebesta Andria N. LiAndria N. Li , Rosa ParkRosa Park , Stephanie GleicherStephanie Gleicher , T. Anne ZwaschkaT. Anne Zwaschka , Roger R. DmochowskiRoger R. Dmochowski , Melissa R. KaufmanMelissa R. Kaufman , W. Stuart ReynoldsW. Stuart Reynolds , and Elisabeth SebestaElisabeth Sebesta View All Author Informationhttps://doi.org/10.1097/01.JU.0001008876.78012.90.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Sexual and gender minorities reported excessive holing of their urine because a bathroom was occupied by others or due to avoiding public restrooms overall. Decreased voiding has been linked to bladder symptoms in other populations due to occupational limitations, such as taxi drivers and healthcare professionals, but it has not yet been studied extensively among this population of transgender, non-binary, and gender-nonconforming individuals. The goal of this study was to characterize urinary symptoms in this population. METHODS: This is a secondary analysis from a community-based sample of adults electronically recruited via ResearchMatch examining lower urinary tract symptoms and unmet social needs. Urinary symptoms and severity were assessed with the Lower Urinary Tract Dysfunction Research Network 10-item Symptom Index (LURN SI-10). Participants self-identified as cisgender, transgender, or non-binary. Those over the age of 50 were excluded. Subgroup analysis was used to describe urinary symptoms experienced by TG/NB participants. RESULTS: Of the 4,210 participants, 97 (2%) identified as transgendered, non-binary, or gender non-conforming and were included in the TG/NB group. Mean age was 30.9 years old and mean BMI was 27.9 kg/m2. Mean LURN SI-10 in the TGNB group was 5.7 out of 38. Most were somewhat bothered (32%) or not bothered at all (59%). On subgroup analysis, most symptoms experienced were urgency (55%), hesitancy (52%), slow stream (36%), and bladder pain (31%). Interestingly, although this is a relatively young and healthy cohort, a significant number of participants experienced incontinence, both UUI (20%) and SUI (22%). Finally, daytime frequency (4%) and nocturia (18%) were experienced less commonly. Results are displayed in the Table 1. CONCLUSIONS: In this community-based cohort, we observed that urgency, hesitancy, slow stream, and bladder pain was observed among TG/NB people, despite being generally otherwise young and healthy. This could possibly be due to the avoidance of public restrooms leading to unhealthy bladder habits and subsequent bladder symptoms. Policies that protect and promote public restroom access are imperative to improve the quality of life for this population. Source of Funding: UL1 TR000445 from NCATS/NIH © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e575 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Andria N. Li More articles by this author Rosa Park More articles by this author Stephanie Gleicher More articles by this author T. Anne Zwaschka More articles by this author Roger R. Dmochowski More articles by this author Melissa R. Kaufman More articles by this author W. Stuart Reynolds More articles by this author Elisabeth Sebesta More articles by this author Expand All Advertisement PDF downloadLoading ...