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Updated: Nov 7, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Addressing the gender gap in urinary continence care.
1Director of Continence Services, Cardiff and Vale University Health Board.
Urinary incontinence affects many, particularly older men, yet lacks specific guidance. This article addresses gender gaps in male incontinence care and management.
Area of Science:
- Urology
- Gerontology
- Healthcare Disparities
Background:
- Urinary incontinence is prevalent in both genders, with prevalence increasing in older men.
- Despite higher prevalence in older men, best practice guidance for male urinary incontinence lags behind that for women.
- Existing barriers to healthcare access for men, exacerbated by the embarrassing nature of incontinence, are often overlooked.
Purpose of the Study:
- To highlight gender-specific gaps in the understanding and management of male urinary incontinence.
- To provide guidance for healthcare professionals on addressing male incontinence more effectively.
- To examine challenges in symptom identification, assessment, and management for male urinary incontinence.
Main Methods:
- Review of existing literature on urinary incontinence prevalence and management.
- Analysis of gender-specific healthcare access barriers for men with incontinence.
- Examination of current practices in continence care and equipment provision.
Main Results:
- Significant lack of tailored best practice guidance for male urinary incontinence.
- Healthcare professionals demonstrate insufficient education in identifying and assessing male incontinence symptoms.
- Manufacturers' provision of continence management equipment may not adequately address male-specific needs.
Conclusions:
- Addressing male urinary incontinence requires recognizing and overcoming gender-specific barriers to care.
- Enhanced professional education and tailored management strategies are crucial for improving outcomes.
- Development of gender-sensitive continence care protocols and products is needed.
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