{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T15:46:25Z","timestamp":1782229585863,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore the context in which older men navigate treatment for stress urinary incontinence (SUI) following prostate surgery by characterizing lived experience of men with symptomatic SUI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects\/Patients and Methods<\/jats:title><jats:p>Mixed method study using surveys and semistructured interviews to examine a cohort of men who underwent evaluation for treatment of postprostatectomy SUI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010six men were interviewed after consultation for SUI and 31 had complete quantitative clinical data. Twenty\u2010six underwent surgery and 10 chose no surgical intervention. In qualitative interviews, respondents experienced substantial decline in quality of life\u00a0due to incontinence citing concerns associated with use of pads and worrying about incontinence. Most patients reported \u201cworkarounds\u201d\u2014efforts to mitigate or manage incontinence including Kegels, physical therapy, and garments. Participants also reported lifestyle changes including less strenuous physical activity, less sexual activity, and\/or fewer social gatherings. Patients then described a \u201cbreaking point\u201d where incontinence workarounds were no longer sufficient. After seeking evaluation, men described challenges in exploring treatment for SUI, including access to care and provider knowledge of treatment options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a novel study of patients living with SUI a predictable lived experience was observed that culminated in a desire for change or \u201cbreaking point.\u201d\u00a0In all men, this led to treatment\u2010seeking behaviors and for many it led to SUI intervention. Despite effective treatments, patients continue to meet barriers gaining access to SUI evaluation and treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25325","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T09:58:52Z","timestamp":1701165532000},"page":"11-21","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["How older men live with stress urinary incontinence: Patient experience and navigation to treatment"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5710-9299","authenticated-orcid":false,"given":"Nathan M.","family":"Shaw","sequence":"first","affiliation":[{"name":"Department of Urology, School of Medicine University of California San Francisco San Francisco California USA"},{"name":"Department of Urology MedStar Georgetown Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin N.","family":"Breyer","sequence":"additional","affiliation":[{"name":"Department of Urology, School of Medicine University of California San Francisco San Francisco California USA"},{"name":"Department of Epidemiology &amp; 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