{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:21:03Z","timestamp":1790371263771,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare characteristics between men and women as they seek medical care for their urinary incontinence (UI), examining patients' experience both with primary care (PCP) and UI specialists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This is a cross\u2010sectional study utilizing the National Association for Continence (NAFC)\u2010sponsored adult patient\u2010reported survey data from March 2020 to April 2020. Descriptive statistics were calculated as percentages, and comparisons were performed using a chi\u2010squared test for categorical variables. The statistical significance level was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred sixty\u2010six individuals with UI who had sought medical care completed the survey during the study period. One hundred twenty\u2010four (47%) were women (W) and 142 (53%) were men (M). The study population was older, with the majority of respondents either 45\u221264 (35%) or 65+ (48%). Most participants sought care for their UI within 2 years of UI onset (59%) and first spoke to their PCP about their UI (64.7%). Women were more likely to endorse a severe emotional impact (OR 1.63, CI 1.04\u22122.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04) and physical impact (OR 1.90, CI 1.19\u22123.04,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) of their UI on their life. In patients who spoke to their PCP about their UI, women were more likely to bring it up at a routine checkup, while men were more likely to make an appointment to discuss their UI. Men were more likely to endorse that their PCP had spoken to them about a wide range of treatment options and were more likely to have been started on a treatment plan. Men were also more likely to be started on a medication for their UI by their PCP compared to women. PCP referral rates to specialty care were higher amongst men. For those who received a referral, there was a high rate of specialist follow\u2010up (94.0% vs. 98.5%\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.19). Men were mostly referred to urology (W 47% vs. 94% M,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), with women more frequently referred to gynecology (W 15.9% vs. 0% M,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and urogynecology (W 25.0% vs. 0.9% M,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Specialists were more likely to speak about absorbent products with men compared to women (M 52.5% vs. W 30.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Though women endorsed more severe impact of UI on their life, men were more likely to be counseled on a wide range of treatment options, started on a treatment plan, prescribed medication for their UI, and be referred to specialty care for treatment of their UI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      This study was not registered with\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link>\n                      because it used previously collected, deidentified data.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/Clinicaltrials.gov\">Clinicaltrials.gov<\/jats:ext-link>\n                      indicates that observational studies should be registered as a Patient Registry for prospective data collection, which does not apply to this study as the patients included in this survey are not followed.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70419","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T07:40:07Z","timestamp":1788162007000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Differences Between Men and Women With Urinary Incontinence as They Seek Medical Care"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1423-2753","authenticated-orcid":false,"given":"Zoe","family":"LaPier","sequence":"first","affiliation":[{"name":"Department of Urology at NYU Grossman School of Medicine New York New York USA"},{"name":"Department of Obstetrics and Gynecology at NYU Grossman School of Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1908-1555","authenticated-orcid":false,"given":"Dora","family":"Jericevic","sequence":"additional","affiliation":[{"name":"Department of Urology at NYU Grossman School of Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarti","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology at NYU Grossman School of Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Urology at NYU Grossman School of Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Gregg","sequence":"additional","affiliation":[{"name":"National Association for Continence Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Brucker","sequence":"additional","affiliation":[{"name":"Department of Urology at NYU Grossman School of Medicine New York New York USA"},{"name":"Department of Obstetrics and Gynecology at NYU Grossman School of Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Escobar","sequence":"additional","affiliation":[{"name":"Department of Urology at NYU Grossman School of Medicine New York New York USA"},{"name":"Department of Obstetrics and Gynecology at NYU Grossman School of Medicine New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23897"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2022.04.015"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000001127"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2003.10.037"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.07.049"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813430410006666"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.12.034"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb04699.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0020-7292(03)00220-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2276-7"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.341"},{"issue":"6","key":"e_1_2_11_13_1","first-page":"339","article-title":"Urinary Incontinence in Women: Evaluation and Management","volume":"100","author":"Hu J. S.","year":"2019","journal-title":"American Family Physician"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-022-07707-x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05187-5"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000113"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002183"},{"issue":"6","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"2455","DOI":"10.1016\/j.juro.2012.09.079","article-title":"Diagnosis and Treatment of Overactive Bladder (Non\u2010Neurogenic) in Adults: AUA\/SUFU Guideline","volume":"188","author":"Gormley E. A.","year":"2012","journal-title":"Journal of Urology"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.08.059"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70419","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70419","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70419","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T07:40:08Z","timestamp":1788162008000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":18,"alternative-id":["10.1002\/nau.70419"],"URL":"https:\/\/doi.org\/10.1002\/nau.70419","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"2024-03-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"nau.70419"}}