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The Older Patient

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Multidisciplinary Care of Urinary Incontinence

Abstract

Aging affects the lower urinary tract and is a recognized risk factor for voiding dysfunction and urinary incontinence. The reported prevalence of urinary incontinence in community-dwelling older persons ranges from 10–40 % and up to 70 % in residents in aged care residential facilities. Discrepancy in prevalence rates has been attributed to differences in inclusion criteria and definitions. Lower urinary tract symptoms (LUTS) and urinary incontinence are often overlooked in the elderly as a result of embarrassment or the symptoms mistaken as a normal part of aging. LUTS and urinary incontinence have been associated with worsening quality of life (QOL). Morbidity of urinary incontinence in the older patient includes increased risk of falls, urinary tract infections, urinary retention, renal deterioration, and skin irritation.

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Suggested Readings

Effects of Ageing on the Lower Urinary Tract

  • DuBeau CE. The aging lower urinary tract. J Urol. 2006;175:S11–5.

    Article  PubMed  Google Scholar 

  • Gomes CM, Arap S, Trigo-Rocha FE. Voiding dysfunction and urodynamic abnormalities in elderly patients. Rev Hosp Clin Fac Med S Paulo. 2004;59:206–15.

    PubMed  Google Scholar 

  • Griffiths D, Tadic SD, Schaerfer W, Resnick NM. Cerebral control of the lower urinary tract: how age-related changes might predispose to urge incontinence. Neuroimage. 2009;47:981–6.

    Article  PubMed  Google Scholar 

  • Taylor JA, Kuchel GA. Detrusor underactivity: clinical features and pathogenesis of an underdiagnosed geriatric condition. JAGS. 2006;54:1920–32.

    Article  Google Scholar 

  • Yalla SV, Sullivan MP, Resnick NM. Update on detrusor hyperactivity with impaired contractility. Curr Bladder Dysfunct Rep. 2007;2:191–6.

    Article  Google Scholar 

Mobility/Access Issues in Management of Urinary Incontinence in the Elderly

  • Brown JS, Vittinghoff E, Wyman JF, Stone KL, Nevitt MC, Ensrud KE, et al. Urinary incontinence: does it increase risk of falls and fractures? Study of Osteoporotic Fractures Research Group. J Am Geriatr Soc. 2000;48(7):721–5.

    PubMed  CAS  Google Scholar 

  • Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials. BMJ. 2004;328(7441):680.

    Article  PubMed  Google Scholar 

  • Ostaszkiewicz J, Johnston L, Roe B. Habit retraining for the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;CD002801

    Google Scholar 

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Correspondence to Lewis Chan .

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© 2013 Springer-Verlag London

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Bacsu, C., Ahmad, L., So, K., Perkins, J., Chan, L., Chan, L. (2013). The Older Patient. In: Chan, L., Tse, V. (eds) Multidisciplinary Care of Urinary Incontinence. Springer, London. https://doi.org/10.1007/978-1-4471-2772-7_6

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  • DOI: https://doi.org/10.1007/978-1-4471-2772-7_6

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2771-0

  • Online ISBN: 978-1-4471-2772-7

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