Urinary Incontinence in Men with Stroke: A Cross-Sectional Study
<i>Background and Objectives</i>: To evaluate urinary incontinence (UI) and its effect on quality of life (QoL) in male stroke patients. <i>Materials and Methods</i>: A quantitative cross-sectional study was conducted with 103 adult male stroke survivors. The individuals’ deg...
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2025-01-01
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| author | İsmail Uysal Özgür Nadiye Doğrukök Yalcin Golcuk Fatih Özden Mehmet Özkeskin Miray Başer Bircan Yücekaya Zeynep Nisa Karakoyun |
| author_facet | İsmail Uysal Özgür Nadiye Doğrukök Yalcin Golcuk Fatih Özden Mehmet Özkeskin Miray Başer Bircan Yücekaya Zeynep Nisa Karakoyun |
| author_sort | İsmail Uysal |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: To evaluate urinary incontinence (UI) and its effect on quality of life (QoL) in male stroke patients. <i>Materials and Methods</i>: A quantitative cross-sectional study was conducted with 103 adult male stroke survivors. The individuals’ degree of disability was evaluated using the Modified Rankin Scale (MRS) and Barthel Index (BI). The UI assessment was performed with the Urogenital Distress Inventory (UDI-6) and the Incontinence Impact Questionnaire-7 (IIQ-7). In addition, the QoL was questioned with EuroQoL 5-Dimension 3-Level (EQ-5D-3L)”. <i>Results</i>: The mean age of the participants was 68.4 ± 9.9 years. The average scores of the IIQ-7 and UDI-6 were 9.7 ± 7.2 and 36.6 ± 26.3, respectively. According to these scores, both UI questionnaire results were slightly above the reference cut-off value. According to the UDI-6 scores, 52.4% of the participants exhibited symptoms, while 55.3% demonstrated symptoms according to the IIQ-7 scores. The IIQ-7 was strongly correlated with the MRS (<i>p</i> < 0.001, r = 0.740), BI (<i>p</i> < 0.001, r = −0.770), EQ-5D-3L Index (<i>p</i> < 0.001, r = −0.804), and EQ-5D-3L VAS (<i>p</i> < 0.001, r = −0.679) scores. In addition, the UDI-6 was strongly correlated with the MRS (<i>p</i> < 0.001, r = 0.697), BI (<i>p</i> < 0.001, r = −0.730), EQ-5D-3L Index (<i>p</i> < 0.001, r = −0.726), and EQ-5D-3L VAS (<i>p</i> < 0.001, r = −0.623) scores. Furthermore, the IIQ-7 and UDI-6 scores were statistically higher in patients with cortical-level involvement (<i>p</i> < 0.05). Regression results showed that the IIQ-7 was associated with the MRS, BI, EQ-5D-3L Index, and EQ-5D-3L VAS scores (R<sup>2</sup> = 0.627, <i>p</i> < 0.001). Similarly, the UDI-6 was significantly associated with the MRS, BI, EQ-5D-3L Index, and EQ-5D-3L VAS scores in a multiple hierarchical regression model (R<sup>2</sup> = 0.423, <i>p</i> < 0.001). <i>Conclusions</i>: The severity of UI was classified as high. As expected, UI was higher in individuals with increased disability. The QoL of individuals with UI is more negatively affected. Finally, the severity of UI was higher in individuals with cortical stroke. |
| format | Article |
| id | doaj-art-5debfae51e1944febc78e1736d700c69 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-5debfae51e1944febc78e1736d700c692025-01-24T13:40:23ZengMDPI AGMedicina1010-660X1648-91442025-01-016115210.3390/medicina61010052Urinary Incontinence in Men with Stroke: A Cross-Sectional Studyİsmail Uysal0Özgür Nadiye Doğrukök1Yalcin Golcuk2Fatih Özden3Mehmet Özkeskin4Miray Başer5Bircan Yücekaya6Zeynep Nisa Karakoyun7Department of Health Care Services, Fethiye Vocational School of Health Services, Muğla Sıtkı Koçman University, 48000 Muğla, TürkiyePhysical Therapy Unit, Muğla Training and Research Hospital, Muğla Sıtkı Koçman University, 48000 Muğla, TürkiyeDepartment of Emergency Medicine, Faculty of Medicine, Muğla Sıtkı Koçman University, 48000 Muğla, TürkiyeDepartment of Health Care Services, Köyceğiz Vocational School of Health Services, Muğla Sıtkı Koçman University, 48000 Muğla, TürkiyeDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ege University, 35100 İzmir, TürkiyeDepartment of Physiotherapy and Rehabilitation, Institute of Health Sciences, Ege University, 35100 İzmir, TürkiyeDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ondokuz Mayıs University, 55200 Samsun, TürkiyeDepartment of Anatomy, Faculty of Medicine, Muğla Sıtkı Koçman University, 48000 Muğla, Türkiye<i>Background and Objectives</i>: To evaluate urinary incontinence (UI) and its effect on quality of life (QoL) in male stroke patients. <i>Materials and Methods</i>: A quantitative cross-sectional study was conducted with 103 adult male stroke survivors. The individuals’ degree of disability was evaluated using the Modified Rankin Scale (MRS) and Barthel Index (BI). The UI assessment was performed with the Urogenital Distress Inventory (UDI-6) and the Incontinence Impact Questionnaire-7 (IIQ-7). In addition, the QoL was questioned with EuroQoL 5-Dimension 3-Level (EQ-5D-3L)”. <i>Results</i>: The mean age of the participants was 68.4 ± 9.9 years. The average scores of the IIQ-7 and UDI-6 were 9.7 ± 7.2 and 36.6 ± 26.3, respectively. According to these scores, both UI questionnaire results were slightly above the reference cut-off value. According to the UDI-6 scores, 52.4% of the participants exhibited symptoms, while 55.3% demonstrated symptoms according to the IIQ-7 scores. The IIQ-7 was strongly correlated with the MRS (<i>p</i> < 0.001, r = 0.740), BI (<i>p</i> < 0.001, r = −0.770), EQ-5D-3L Index (<i>p</i> < 0.001, r = −0.804), and EQ-5D-3L VAS (<i>p</i> < 0.001, r = −0.679) scores. In addition, the UDI-6 was strongly correlated with the MRS (<i>p</i> < 0.001, r = 0.697), BI (<i>p</i> < 0.001, r = −0.730), EQ-5D-3L Index (<i>p</i> < 0.001, r = −0.726), and EQ-5D-3L VAS (<i>p</i> < 0.001, r = −0.623) scores. Furthermore, the IIQ-7 and UDI-6 scores were statistically higher in patients with cortical-level involvement (<i>p</i> < 0.05). Regression results showed that the IIQ-7 was associated with the MRS, BI, EQ-5D-3L Index, and EQ-5D-3L VAS scores (R<sup>2</sup> = 0.627, <i>p</i> < 0.001). Similarly, the UDI-6 was significantly associated with the MRS, BI, EQ-5D-3L Index, and EQ-5D-3L VAS scores in a multiple hierarchical regression model (R<sup>2</sup> = 0.423, <i>p</i> < 0.001). <i>Conclusions</i>: The severity of UI was classified as high. As expected, UI was higher in individuals with increased disability. The QoL of individuals with UI is more negatively affected. Finally, the severity of UI was higher in individuals with cortical stroke.https://www.mdpi.com/1648-9144/61/1/52bladder functionhemiplegiamalephysical functionlife satisfaction |
| spellingShingle | İsmail Uysal Özgür Nadiye Doğrukök Yalcin Golcuk Fatih Özden Mehmet Özkeskin Miray Başer Bircan Yücekaya Zeynep Nisa Karakoyun Urinary Incontinence in Men with Stroke: A Cross-Sectional Study Medicina bladder function hemiplegia male physical function life satisfaction |
| title | Urinary Incontinence in Men with Stroke: A Cross-Sectional Study |
| title_full | Urinary Incontinence in Men with Stroke: A Cross-Sectional Study |
| title_fullStr | Urinary Incontinence in Men with Stroke: A Cross-Sectional Study |
| title_full_unstemmed | Urinary Incontinence in Men with Stroke: A Cross-Sectional Study |
| title_short | Urinary Incontinence in Men with Stroke: A Cross-Sectional Study |
| title_sort | urinary incontinence in men with stroke a cross sectional study |
| topic | bladder function hemiplegia male physical function life satisfaction |
| url | https://www.mdpi.com/1648-9144/61/1/52 |
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