Natural history of non-neurogenic overactive bladder and urinary incontinence over 5 years in community-dwelling older men: The concord health and aging in men project

AIMS - To describe the natural history of non-neurogenic overactive bladder (OAB) and urgency incontinence in community-dwelling older men.

METHODS - A representative sample of 1,705 community-dwelling men aged 70 and older in a defined geographic area of Sydney, Australia, had their urinary symptoms assessed using the International Prostate Symptom Scores (IPSS) and the International Consultation of Incontinence Questionnaire (ICIQ) at baseline, 2-year follow-up, and 5-year follow-up.

Four hundred and eighty-eight men without neurological diseases or prostate cancer during follow-up, or history of urological treatment at baseline were included in the analysis. Urgency incontinence was defined as leakage of urine occurring more than weekly in the above-defined population. OAB was defined as either urgency or urgency incontinence according to 2002 International Continence Society consensus.

RESULTS - Of the men with OAB at baseline, 29% received treatment for OAB or benign prostatic enlargement over 5 years. Of the remaining men, 33% had sustained remission at 2-year and 5-year follow-ups without treatment. Of the men with OAB at 2-year follow-up, remission rate at 5-year follow-up was 53% in men without OAB at baseline and 27% in men with OAB at baseline (P = 0. 23). No statistically significant difference was found in baseline characteristics between men with sustained remission and men with persistent symptoms.

CONCLUSIONS - One in three older men with non-neurogenic OAB had sustained remission of symptoms without medical or surgical interventions. No significant predictor of sustained remission was identified. Neurourol. Urodynam. © 2016 Wiley Periodicals, Inc.

Neurourology and urodynamics. 2016 Jan 12 [Epub ahead of print]

Naomi Noguchi, Lewis Chan, Robert G Cumming, Fiona M Blyth, David J Handelsman, Louise M Waite, David G Le Couteur, Vasi Naganathan

Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia. , Department of Urology, Concord Hospital, University of Sydney, New South Wales, Australia. , Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia. , Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia. , ANZAC Research Institute, Concord Hospital, University of Sydney, New South Wales, Australia. , Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia. , Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia. , Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia.

PubMed