Risk factors of overactive bladder and its impact on anxiety, quality of life, and social interactions in young men in Mainland China

Si G1, Wen J2, Gao C1, Zhang H1, Fan M1, Liu Y3, Shao S3

Research Type

Clinical

Abstract Category

Overactive Bladder

Abstract 94
Urology 3 - Overactive Bladder
Scientific Podium Short Oral Session 8
Thursday 18th September 2025
15:07 - 15:15
Parallel Hall 3
Overactive Bladder Quality of Life (QoL) Male
1. Department of Urology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100, China, 2. Department of Pediatric Surgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100, China, 3. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Henan Joint Intonational Pediatric Urodynamic Laboratory, Zhengzhou 450052, China
Presenter
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Abstract

Hypothesis / aims of study
To investigate the risk factors of  OAB and their impact on anxiety level, quality of life and social interaction in young men in Mainland China.
Study design, materials and methods
An anonymous epidemiological questionnaire survey was conducted on 5 300 newly enrolled male university students(17~22 years old) from two universities in Henan Province China were selected by stratified random cluster sampling method from 2023 to 2024. The questionnaire included basic information and history of urinary tract infection(UTI), constipation, smoking, alcohol consumption, coffee/tea consumption, carbonated beverage consumption, phimosis/redundant prepuce urinary retention history, chronic insomnia history, as well as Self Rating Anxiety Scale(SAS), Quality of Life(QoL) score, Social Avoidance and Distress Scale(SADS). International Continence Society diagnoses urinary urgency scores of ≥ 2 and a total score of ≥ 3 in OABSS as OAB[3]. Analyze the relevant influencing factors of OAB and its impact on anxiety level, quality of life, and social interaction.
Results
The overall prevalence of OAB was 4.9%(244/5 018) in male university students. The prevalence of OAB in male university students is related to a history of UTI(χ2=93.527, P<0.001), constipation(χ2=10.762, P=0.001), smoking(χ2=8.990, P=0.003), alcohol consumption(χ2=3.984, P=0.046), coffee/strong tea consumption(χ2=35.614, P<0.001), carbonated beverage consumption(χ2=10.809, P=0.001), redundant prepuce(χ2=4.839, P=0.028), phimosis(χ2=13.685, P<0.001), urinary retention(χ2=15.854, P<0.001), and chronic insomnia(χ2=62.654, P<0.001). It is not related to the place of residence(χ2=0.037, P=0.847). Logistic regression analysis showed that a history of urinary tract infections, constipation, smoking, alcohol consumption, coffee/strong tea consumption, carbonated drinks consumption, foreskin elongation, phimosis, urinary retention, and chronic insomnia were the related influencing factors of male university students OAB(P<0.05). The anxiety score, quality of life score, social avoidance score, social distress score, and average score of the Social Avoidance and Distress Scale for male university students in the OAB group were significantly higher than those in the non OAB group [(41.18 ± 6.535) points and(38.61 ± 6.357) points,(3.65 ± 1.203) points and(2.79 ± 0.947) points,(6.25 ± 1.863) points and(5.86 ± 1.509) points,(6.27 ± 1.594) points and(5.97 ± 1.319) points,(12.51 ± 2.353) points and(11.84 ± 2.005) points, P<0.05].
Interpretation of results
This study found that male college students with OAB were more likely to have anxiety and worse quality of life, possibly because the various symptoms of OAB severely affected the daily life. Male college students with OAB are more likely to avoid and distress about social interaction, which may be due to symptoms such as urgency, frequency, and incontinence, which make patients feel stigmatized and afraid of ridicule from others, thus affecting their social interactions.
Concluding message
A history of UTI, constipation, smoking, alcohol consumption, coffee/strong tea consumption, carbonated drinks consumption, foreskin elongation, phimosis, urinary retention, and chronic insomnia are related influencing factors for the occurrence of OAB among male youths. OAB has a negative impact on the mental health, quality of life, and social interaction of young men.
Disclosures
Funding National Natural Science Foundation of China(82470807) Clinical Trial No Subjects Human Ethics Committee This study was approved by the Ethics Committee of the First Affiliated Hospital of Xinxiang Medical University (approval number: EC-023-192) Helsinki Yes Informed Consent Yes
07/07/2025 11:29:23