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 W.F. Catto; William R. Cross; Malcolm D. Mason; Eilis McCaughan; Richard Wagland; Eila Watson; Rebecca Mottram; Majorie Allen; Hugh Butcher; Luke Hounsome; Peter Selby; Dyfed Huws; David H. Brewster; Emma McNair; Carol Rivas; Johana Nayoan; Mike Horton; Lauren Matheson; Adam W. Glaser; Anna Gavin

doi:10.1111/bju.14182

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 W.F. Catto, William R. Cross, Malcolm D. Mason, Eilis McCaughan, Richard Wagland, Eila Watson, Rebecca Mottram, Majorie Allen, Hugh Butcher, Luke Hounsome, Peter SelbyDyfed Huws, David H. Brewster, Emma McNair, Carol Rivas, Johana Nayoan, Mike Horton, Lauren Matheson, Adam W. Glaser, Anna Gavin

^*Corresponding author for this work

HI: Analytical Programme

Research output: Contribution to journal › Article › peer-review

11 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.

Original language	English
Pages (from-to)	845-857
Number of pages	13
Journal	BJU International
Volume	122
Issue number	5
DOIs	https://doi.org/10.1111/bju.14182
Publication status	Published - Nov 2018

Bibliographical note

Funding Information:
The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/MO. The authors thank all the men who responded to the survey. We acknowledge the following people for their contribution to the development, setting up, and running of the study: Heather Kinnear, Oonagh McSorley, Victoria Cairnduff, Linda Roberts, Adrian Slater, the LAPCD User Advisory Group and Clinical and Scientific Advisory Group, Picker Institute Europe and Business Services Organisation (NI). The authors also thank Age Concern in NI for providing feedback on the survey content and layout.

Funding Information:
The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/ MO.

Publisher Copyright:
© 2018 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International

Keywords

Life After Prostate Cancer Diagnosis
bowel dysfunction
health-related quality of life
prostate cancer
sexual dysfunction
urinary dysfunction

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/bju.14182

Cite this

Donnelly, D. W., Donnelly, C., Kearney, T., Weller, D., Sharp, L., Downing, A., Wilding, S., Wright, P., Kind, P., Catto, J. W. F., Cross, W. R., Mason, M. D., McCaughan, E., Wagland, R., Watson, E., Mottram, R., Allen, M., Butcher, H., Hounsome, L., ... Gavin, A. (2018). Urinary, bowel and sexual health in older men from Northern Ireland. BJU International, 122(5), 845-857. https://doi.org/10.1111/bju.14182

@article{b3a3f14b21864a19b8c837bebd53a81c,

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

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.",

keywords = "Life After Prostate Cancer Diagnosis, bowel dysfunction, health-related quality of life, prostate cancer, sexual dysfunction, urinary dysfunction",

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

note = "Funding Information: The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/MO. The authors thank all the men who responded to the survey. We acknowledge the following people for their contribution to the development, setting up, and running of the study: Heather Kinnear, Oonagh McSorley, Victoria Cairnduff, Linda Roberts, Adrian Slater, the LAPCD User Advisory Group and Clinical and Scientific Advisory Group, Picker Institute Europe and Business Services Organisation (NI). The authors also thank Age Concern in NI for providing feedback on the survey content and layout. Funding Information: The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/ MO. Publisher Copyright: {\textcopyright} 2018 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International",

year = "2018",

month = nov,

doi = "10.1111/bju.14182",

language = "English",

volume = "122",

pages = "845--857",

journal = "BJU International",

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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, DH, McNair, E, Rivas, C, Nayoan, J, Horton, M, Matheson, L, Glaser, AW & Gavin, A 2018, 'Urinary, bowel and sexual health in older men from Northern Ireland', BJU International, vol. 122, no. 5, pp. 845-857. https://doi.org/10.1111/bju.14182

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 W.F.

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 H.

AU - McNair, Emma

AU - Rivas, Carol

AU - Nayoan, Johana

AU - Horton, Mike

AU - Matheson, Lauren

AU - Glaser, Adam W.

AU - Gavin, Anna

N1 - Funding Information: The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/MO. The authors thank all the men who responded to the survey. We acknowledge the following people for their contribution to the development, setting up, and running of the study: Heather Kinnear, Oonagh McSorley, Victoria Cairnduff, Linda Roberts, Adrian Slater, the LAPCD User Advisory Group and Clinical and Scientific Advisory Group, Picker Institute Europe and Business Services Organisation (NI). The authors also thank Age Concern in NI for providing feedback on the survey content and layout. Funding Information: The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/ MO. Publisher Copyright: © 2018 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International

PY - 2018/11

Y1 - 2018/11

N2 - 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.

AB - 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.

KW - Life After Prostate Cancer Diagnosis

KW - bowel dysfunction

KW - health-related quality of life

KW - prostate cancer

KW - sexual dysfunction

KW - urinary dysfunction

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

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

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