Urinary, bowel and sexual health in older men from Northern Ireland

David W Donnelly, Conan Donnelly, Therese Kearney, David Weller, Linda Sharp, Amy Downing, Sarah Wilding, Penny Wright, Paul Kind, James WF Catto, William R Cross, Malcolm D Mason, Eilis McCaughan, Richard Wagland, Eila Watson, Rebecca Mottram, Majorie Allen, Hugh Butcher, Luke Hounsome, Peter Selby & 9 others Dyfed Huws, David Brewster, Emma McNair, Carol Rivas, Johana Nayoan, Mike Horton, Lauren Matheson, Adam Glaser, Anna Gavin

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives
To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population.

Subjects and Methods
A cross‐sectional postal survey of 10 000 men aged ≥40 years in NI was conducted and age‐matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (EQ‐5D‐5L) and 26‐item Expanded Prostate Cancer Composite (EPIC‐26) instruments were used to enable comparisons with prostate cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age‐distribution of the sample differs from the general population, thus data were generalised to the NI population by excluding those aged 40–59 years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi‐squared tests, analysis of variance, and multivariable log‐linear regression.

Results
Amongst men aged ≥60 years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long‐term conditions, low physical activity, and higher body mass index (BMI). Urinary incontinence, urinary irritation/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed.

Conclusion
These data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised BMI and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen‐deprivation therapy.
LanguageEnglish
Pages1-13
JournalBJU International
Early online date28 Feb 2018
DOIs
Publication statusPublished - 25 Mar 2018

Fingerprint

Northern Ireland
Reproductive Health
Prostatic Neoplasms
Urinary Incontinence
Population
Body Mass Index
Exercise
Age Distribution
Health
Androgens
Survivors
Linear Models
Analysis of Variance
Public Health
Obesity
Cross-Sectional Studies
Demography
Outcome Assessment (Health Care)
Radiation
Weights and Measures

Keywords

  • Urinary
  • Bowel
  • Sexual Health
  • Northern Ireland

Cite this

Donnelly, D. W., Donnelly, C., Kearney, T., Weller, D., Sharp, L., Downing, A., ... Gavin, A. (2018). Urinary, bowel and sexual health in older men from Northern Ireland. BJU International, 1-13. https://doi.org/10.1111/bju.14182
Donnelly, David W ; Donnelly, Conan ; Kearney, Therese ; Weller, David ; Sharp, Linda ; Downing, Amy ; Wilding, Sarah ; Wright, Penny ; Kind, Paul ; Catto, James WF ; Cross, William R ; Mason, Malcolm D ; McCaughan, Eilis ; Wagland, Richard ; Watson, Eila ; Mottram, Rebecca ; Allen, Majorie ; Butcher, Hugh ; Hounsome, Luke ; Selby, Peter ; Huws, Dyfed ; Brewster, David ; McNair, Emma ; Rivas, Carol ; Nayoan, Johana ; Horton, Mike ; Matheson, Lauren ; Glaser, Adam ; Gavin, Anna. / Urinary, bowel and sexual health in older men from Northern Ireland. In: BJU International. 2018 ; pp. 1-13.
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Donnelly, DW, Donnelly, C, Kearney, T, Weller, D, Sharp, L, Downing, A, Wilding, S, Wright, P, Kind, P, Catto, JWF, Cross, WR, Mason, MD, McCaughan, E, Wagland, R, Watson, E, Mottram, R, Allen, M, Butcher, H, Hounsome, L, Selby, P, Huws, D, Brewster, D, McNair, E, Rivas, C, Nayoan, J, Horton, M, Matheson, L, Glaser, A & Gavin, A 2018, 'Urinary, bowel and sexual health in older men from Northern Ireland', BJU International, pp. 1-13. https://doi.org/10.1111/bju.14182

Urinary, bowel and sexual health in older men from Northern Ireland. / Donnelly, David W; Donnelly, Conan; Kearney, Therese; Weller, David; Sharp, Linda; Downing, Amy; Wilding, Sarah; Wright, Penny; Kind, Paul; Catto, James WF; Cross, William R; Mason, Malcolm D; McCaughan, Eilis; Wagland, Richard; Watson, Eila; Mottram, Rebecca ; Allen, Majorie; Butcher, Hugh; Hounsome, Luke; Selby, Peter; Huws, Dyfed; Brewster, David; McNair, Emma; Rivas, Carol ; Nayoan, Johana; Horton, Mike; Matheson, Lauren; Glaser, Adam; Gavin, Anna.

In: BJU International, 25.03.2018, p. 1-13.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Urinary, bowel and sexual health in older men from Northern Ireland

AU - Donnelly, David W

AU - Donnelly, Conan

AU - Kearney, Therese

AU - Weller, David

AU - Sharp, Linda

AU - Downing, Amy

AU - Wilding, Sarah

AU - Wright, Penny

AU - Kind, Paul

AU - Catto, James WF

AU - Cross, William R

AU - Mason, Malcolm D

AU - McCaughan, Eilis

AU - Wagland, Richard

AU - Watson, Eila

AU - Mottram, Rebecca

AU - Allen, Majorie

AU - Butcher, Hugh

AU - Hounsome, Luke

AU - Selby, Peter

AU - Huws, Dyfed

AU - Brewster, David

AU - McNair, Emma

AU - Rivas, Carol

AU - Nayoan, Johana

AU - Horton, Mike

AU - Matheson, Lauren

AU - Glaser, Adam

AU - Gavin, Anna

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PY - 2018/3/25

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N2 - ObjectivesTo provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. Subjects and MethodsA cross‐sectional postal survey of 10 000 men aged ≥40 years in NI was conducted and age‐matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (EQ‐5D‐5L) and 26‐item Expanded Prostate Cancer Composite (EPIC‐26) instruments were used to enable comparisons with prostate cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age‐distribution of the sample differs from the general population, thus data were generalised to the NI population by excluding those aged 40–59 years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi‐squared tests, analysis of variance, and multivariable log‐linear regression. ResultsAmongst men aged ≥60 years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long‐term conditions, low physical activity, and higher body mass index (BMI). Urinary incontinence, urinary irritation/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed. ConclusionThese data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised BMI and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen‐deprivation therapy.

AB - ObjectivesTo provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. Subjects and MethodsA cross‐sectional postal survey of 10 000 men aged ≥40 years in NI was conducted and age‐matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (EQ‐5D‐5L) and 26‐item Expanded Prostate Cancer Composite (EPIC‐26) instruments were used to enable comparisons with prostate cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age‐distribution of the sample differs from the general population, thus data were generalised to the NI population by excluding those aged 40–59 years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi‐squared tests, analysis of variance, and multivariable log‐linear regression. ResultsAmongst men aged ≥60 years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long‐term conditions, low physical activity, and higher body mass index (BMI). Urinary incontinence, urinary irritation/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed. ConclusionThese data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised BMI and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen‐deprivation therapy.

KW - Urinary

KW - Bowel

KW - Sexual Health

KW - Northern Ireland

U2 - 10.1111/bju.14182

DO - 10.1111/bju.14182

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SP - 1

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JO - BJU International

T2 - BJU International

JF - BJU International

SN - 1464-4096

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Donnelly DW, Donnelly C, Kearney T, Weller D, Sharp L, Downing A et al. Urinary, bowel and sexual health in older men from Northern Ireland. BJU International. 2018 Mar 25;1-13. https://doi.org/10.1111/bju.14182