{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T06:32:48Z","timestamp":1771569168713,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000771","name":"Prostate Cancer UK","doi-asserted-by":"publisher","award":["BO26\/MO"],"award-info":[{"award-number":["BO26\/MO"]}],"id":[{"id":"10.13039\/501100000771","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008719","name":"Movember Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008719","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (\n                      <jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\n                      ), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional postal survey of 10 000 men aged \u226540\u00a0years in\n                      <jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\n                      was conducted and age\u2010matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (\n                      <jats:styled-content style=\"fixed-case\">EQ<\/jats:styled-content>\n                      \u20105D\u20105L) and 26\u2010item Expanded Prostate Cancer Composite (\n                      <jats:styled-content style=\"fixed-case\">EPIC<\/jats:styled-content>\n                      \u201026) instruments were used to enable comparisons with prostate\u00a0cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age\u2010distribution of the sample differs from the general population, thus data were generalised to the\n                      <jats:styled-content style=\"fixed-case\">NI<\/jats:styled-content>\n                      population by excluding\u00a0those aged 40\u201359\u00a0years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi\u2010squared tests, analysis of variance, and multivariable log\u2010linear regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Amongst men aged \u226560\u00a0years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long\u2010term conditions, low physical activity, and higher body mass index (\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      ). Urinary incontinence, urinary irritation\/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      These data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen\u2010deprivation therapy.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14182","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T09:18:59Z","timestamp":1519809539000},"page":"845-857","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Urinary, bowel and sexual health in older men from Northern Ireland"],"prefix":"10.1111","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0076-7685","authenticated-orcid":false,"given":"David W.","family":"Donnelly","sequence":"first","affiliation":[{"name":"Northern Ireland Cancer Registry Centre for Public Health Queen's University Belfast Belfast 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