Women who limit workplace restroom use raise LUTS risk

  • W Stuart R & al.
  • J Urol
  • 6 May 2019

  • International Clinical Digest
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Takeaway

  • Women who limit their restroom use at work are more likely to have unhealthy toileting behaviors and lower urinary tract symptoms (LUTS).

Why this matters

  • Workplace environments may pose barriers to toilet access, such as poor cleanliness, inadequate privacy, and busy work schedules.

Study design

  • Researchers analyzed validated questionnaires about toileting behaviors, LUTS, and perceptions of the workplace toileting environment completed by women with full-time jobs (n=3062; mean age, 38.7 years; age range, 18-73 years; 79.5% white).
  • Funding: NIH.

Key results

  • 11% of patients reported limiting restroom use at work either most or all of the time.
  • Of those patients:
    • 84.4% (95% CI, 80.1%-87.8%) worry about the cleanliness of public toilets,
    • 72.5% (95% CI, 67.5%-76.9%) avoid public toilets, and
    • 63.8% (95% CI, 58.6%-68.7%) try to hold urine until returning home.
  • LUTS associated with limiting restroom use included:
    • Urgency: 22.3% (95% CI, 18.2%-27.0%);
    • Stress urinary incontinence: 24.9% (20.6%-29.8%);
    • Monthly urinary incontinence: 57.4% (52.1%-62.5%); and
    • Infrequent voiding: 73.6% (68.7%-78.0%).

Limitations

  • The study was cross-sectional and did not assess causality.
  • The survey response rate was low (7.4%).