{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:33:20Z","timestamp":1790555600360,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Urinary incontinence (UI) and nocturia are common lower urinary tract symptoms (LUTS) that significantly affect quality of life. The COVID\u201019 pandemic has introduced behavioral, psychological, and physiological disruptions that may have exacerbated the prevalence of these conditions. Additionally, these changes may also be influenced by long\u2010term sequelae of COVID\u201019 infection or other concurrent factors. However, large\u2010scale investigations into these trends are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the National Health and Nutrition Examination Survey (NHANES) between 2017 and 2023 were used to analyze the prevalence of LUTS, including stress urinary incontinence (SUI), urgency urinary incontinence (UUI), mixed urinary incontinence (MUI), and nocturia, before (2017\u20132020) and during the pandemic (2021\u20132023). Age\u2010adjusted prevalence trends were analyzed overall and by sex and race\/ethnicity. Sensitivity analysis included data from 2013 to 2016 to differentiate natural trends from pandemic\u2010related impacts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of SUI, UUI, MUI, and nocturia significantly increased during the pandemic compared to pre\u2010pandemic levels (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). SUI rose from 24.89% to 29.65%, UUI from 20.80% to 28.65%, MUI from 9.17% to 16.83%, and nocturia from 26.96% to 34.78%. These trends were consistent across sexes and racial groups. Sensitivity analysis confirmed that these increases exceeded natural trends, suggesting a potential pandemic\u2010related effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study reveals a significant rise in the prevalence of LUTS, including SUI, UUI, MUI, and nocturia, during the COVID\u201019 pandemic. Further research is needed to determine whether these changes stem from the direct physiological effects of COVID\u201019 infection or are influenced by broader pandemic\u2010related factors such as lifestyle changes, healthcare disruptions, and psychological stress.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.70071","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T12:16:36Z","timestamp":1746188196000},"page":"1090-1098","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Rising Prevalence of Urinary Incontinence and Nocturia Amid the COVID\u201019 Pandemic"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0663-1903","authenticated-orcid":false,"given":"Weilong","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Urology Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Urology Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Ou","sequence":"additional","affiliation":[{"name":"Department of Urology Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingliang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology Sun Yat\u2010sen Memorial 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