alexa Gender Differences in Coping Strategies for Troublesome Lower Urinary Tract Symptoms Prior to Seeking Treatment
ISSN: 2329-9126

Journal of General Practice
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Research Article

Gender Differences in Coping Strategies for Troublesome Lower Urinary Tract Symptoms Prior to Seeking Treatment

Gin-Den Chen1,2 , Soo-Cheen Ng2,3, Chueh Chang1*
1Department of Public Health and Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taiwan
2Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan
3School of Medicine, Chung Shan Medical University, Taichung, Taiwan
Corresponding Author : Chueh Chang
Department of Public health and Institute of Health Policy and Management
College of Public Health
National Taiwan University, Taiwan
Tel: 886 4 24739595-21721
E-mail: [email protected]
Received September 11, 2014; Accepted October 6, 2014; Published October 15, 2014
Citation: Chen GD, Ng SC, Chang C (2014) Gender Differences in Coping Strategies for Troublesome Lower Urinary Tract Symptoms Prior to Seeking Treatment. J Gen Practice 2:181. doi:10.4172/2329-9126.1000181
Copyright: © 2014 Chen GD et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Objective: This study tried to explore gender differences in Lower urinary tract symptoms (LUTS) and disparities in adaptation strategies used to cope with LUTS. Materials and Methods: From July 2013 to December 2013, 184 consecutive patients who came to a tertiary center seeking medical treatment for LUTS including stress urinary incontinence (SUI), overactive bladder (OAB), and mixed urinary incontinence (MUI) were recruited in this study. OABSS, IPSS and UDI-6 were used to evaluate severities of these symptoms and IIQ-7 was used to measure the impact of these three symptoms on the quality of life. Patients’ coping strategies were also compared to evaluate gender differences. Results: In total, 184 patients (81 men and 103 women) were recruited into this study. The LUTS between genders were significant. Women had significantly more SUI and MUI than that of men, but men had significantly more OAB. The LUTS in men seemed to have less impact on quality of life than in women. Preventive toileting use before going out, restricting fluid intake, or seeking treatment at primary care clinics were adaptive strategies used by both genders. However, one-third of the women used incontinence pads or performed pelvic floor exercises to prevent urine leakage and nearly one-fourth of the women avoided contact with cold water or performed urge strategies to control the urge to void. Conclusions: Gender differences in LUTS are significant. Similar LUTS also result in different impact on men and women. Women used more coping strategies than men to handle their bothersome LUTS.

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