# Understanding and Improving Treatment Decision-Making for Older Males with Stress Urinary Incontinence

> **NIH NIH R03** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2020 · $121,125

## Abstract

PROJECT SUMMARY/ABSTRACT:
Male stress urinary incontinence (SUI) is common, costly, and significantly impacts health-related quality of life
among older men, yet little is known about patient-centered outcomes in this population. Moreover, current
patient counseling for male SUI treatment is based upon surgical outcomes, lacking guidance from patient-
centered factors and patients’ underlying attitudes and beliefs about the importance of these various factors on
treatment decisions and outcomes. Data are needed to understand how multi-morbidity, cognitive function,
functional limitations, and life expectancy impact quality of life and decisional regret among older men who
have made SUI treatment decisions. The long-term goal is to broaden our understanding of patient-centered
outcomes in this population and to ensure treatments are aligned with patients’ overall goals. The objective of
this application is to gain an understanding of quality of life and decisional regret among older men who have
made SUI treatment decisions, and to understand the beliefs and motivations that drive these decisions. The
central hypothesis is that there are geriatric-specific factors that impact quality of life and decisional regret
among older men who have made SUI treatment decisions which go beyond those that are usually considered
by surgeons counseling patients about these decisions. This hypothesis will be tested by utilizing a cohort of
men ≥ 65 who have made SUI treatment decisions at the University of California, San Francisco and the San
Francisco Veterans Affairs Medical Center to pursue two specific aims: 1) To identify patient-, disease- and
treatment-related factors associated with decisional regret and quality of life among older men who have made
SUI treatment decisions; and 2) To understand the underlying beliefs and motivations driving treatment
decisions among older men with SUI. This project is innovative because it is the first to focus on patient-
centered outcomes in this patient population, goes beyond commonly measured surgical outcomes to bring
geriatric principles to treatment decisions, and importantly, will be the first to identify what patient-identified
treatment factors are important to older men considering SUI treatment. The proposed research is significant
because it will improve patient counseling and informed decision-making among older adults facing treatment
decisions for SUI, which is critical to patient-centered surgical care.

## Key facts

- **NIH application ID:** 9999436
- **Project number:** 5R03AG064372-02
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Lindsay Ann Hampson
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $121,125
- **Award type:** 5
- **Project period:** 2019-09-01 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9999436

## Citation

> US National Institutes of Health, RePORTER application 9999436, Understanding and Improving Treatment Decision-Making for Older Males with Stress Urinary Incontinence (5R03AG064372-02). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/9999436. Licensed CC0.

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