title: 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.
abstract: To describe the natural history of non-neurogenic overactive bladder (OAB) and urgency incontinence in community-dwelling older men.
  
  
  
  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.
  
  
  
  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.
  
  
  
  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. 36:443-448, 2017. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia.
authors.forename: Naomi
authors.initials: N
authors.lastname: Noguchi
authors.affiliation: Department of Urology, Concord Hospital, University of Sydney, New South Wales, Australia.
authors.forename: Lewis
authors.initials: L
authors.lastname: Chan
authors.affiliation: Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia.|School of Public Health, University of Sydney, New South Wales, Australia.
authors.forename: Robert G
authors.initials: RG
authors.lastname: Cumming
authors.affiliation: Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia.
authors.forename: Fiona M
authors.initials: FM
authors.lastname: Blyth
authors.affiliation: ANZAC Research Institute, Concord Hospital, University of Sydney, New South Wales, Australia.
authors.forename: David J
authors.initials: DJ
authors.lastname: Handelsman
authors.affiliation: Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia.
authors.forename: Louise M
authors.initials: LM
authors.lastname: Waite
authors.affiliation: 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.
authors.forename: David G
authors.initials: DG
authors.lastname: Le Couteur
authors.affiliation: Centre for Education and Research on Ageing and the Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, New South Wales, Australia.
authors.forename: Vasi
authors.initials: V
authors.lastname: Naganathan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001315:Australia; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011470:Prostatic Hyperplasia; D012720:Severity of Illness Index; D063189:Symptom Assessment; D053201:Urinary Bladder, Overactive / Q000175:diagnosis* / Q000503:physiopathology; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000503:physiopathology
keywords: elderly; incontinence; longitudinal; men; overactive bladder