Pituitary & hypothalamus

Urinary incontinence as a novel and underrecognized clinical manifestation of prolactinoma in women

PituitaryPublished Cross-sectional study

Authors' conclusion

Prolactinoma, particularly in the later stages of the disease, may influence detrusor muscle activity in female patients and contribute to an increased prevalence of UI.

Study context

Population
Women with prolactinoma and controls; UI assessed with the International Consultation on Incontinence Questionnaire-Short Form
Participants
64 vs 80
Exposure
Women with prolactinoma vs controls
  • Prolactinoman = 64
  • Controlsn = 80reference
Outcome
Overall rate of urinary incontinence (UI)

Main finding

As reported in the abstract

Overall UI

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeP value
UI subtypes: urge (UUI), mixed (MUI), stress (SUI)Prolactinoma vs Controls · higher with ProlactinomaP = 0.012
UI subtypes: urge (UUI), mixed (MUI), stress (SUI)Prolactinoma vs Controls · higher with ProlactinomaP = 0.008
UI subtypes: urge (UUI), mixed (MUI), stress (SUI)Prolactinoma vs Controls · no differenceP = 0.839
Incontinent vs continent prolactinoma patientsIncontinent vs Continent · higher with IncontinentP = 0.015
Incontinent vs continent prolactinoma patientsIncontinent vs Continent · greater with IncontinentP = 0.038
Incontinent vs continent prolactinoma patientsIncontinent vs Continent · longer with IncontinentP < 0.001

Incontinent vs continent prolactinoma patients

Logistic regression: disease duration was the only independent predictor of UI in prolactinoma patients

Original publication

Urinary incontinence as a novel and underrecognized clinical manifestation of prolactinoma in women. Pituitary. Published 30 August 2025. doi:10.1007/s11102-025-01567-4

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