Urinary incontinence affects more than one in 10 older men in the U.S., yet more than half of those experiencing the condition have never brought it up with their doctor, according to a new survey.
The national poll of 2,000 men age 60 and older, conducted by Talker Research on behalf of Boston Scientific, found that 11% of respondents reported experiencing urinary incontinence. Of those, 58% said they hadnt discussed the issue with a healthcare provider.
When asked why, many cited embarrassment or the belief that their symptoms were a normal part of aging. Overall, 72% of respondents admitted theyve dismissed health issues at some point, 20% said theyve intentionally avoided the doctor despite concerns, and 13% said they were too embarrassed to talk about their health problems.
Despite the reluctance to speak up, the condition has had a real impact on quality of life. Among those whove experienced incontinence, nearly two-thirds (64%) said it has caused or continues to cause inconveniences, and 32% said it has negatively affected their mental health and confidence.
Stigma may play a large role in that silence. Sixty-five percent of men with incontinence believe the condition carries a social stigma. However, many believe increased education from healthcare providers (56%) and greater public awareness (51%) could help break that stigma.
“Its important for men to take their health seriously and open up to their doctor, especially as they age,” said Dr. Ron Morton, chief medical officer of urology at Boston Scientific. “We are on a mission to destigmatize urinary incontinence. We want to not only help men feel more comfortable talking to their doctors, but to also raise awareness of the treatment options available to help address this issue.”
Among the men who have experienced urinary incontinence, many have tried non-surgical methods to manage it, including medications (46%), pads or diapers (43%), and lifestyle changes (29%). Some also reported awareness of alternative options like physical therapy (17%) and artificial urinary sphincters (13%).
More than half (59%) said they would consider surgical treatment if it were proven to be long-lasting and effective.
“Incontinence is not something men should feel they have to just live with or hide from,” Dr. Morton said. “There are several therapies available to treat male urinary incontinence, and an artificial urinary sphincter can be a long-lasting treatment option. We encourage those suffering with incontinence to talk to their doctor about whats appropriate for them.”