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Dementia

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Neurourology

Abstract

Dementia is a pathological, neurodegenerative process leading to progressive decline in cognitive and functional abilities. It has multiple causes, diverse manifestations, and heterogeneity with respect to the impact of sex or gender on prevalence, risk factors, and outcomes. LUTS in dementia patients can be caused by the dementia itself, by the neurological and urological pharmacotherapy, and by the ageing bladder or comorbidities. Overall, urinary incontinence affects around 50% of men and 60% of women with dementia, inevitably occurring in advanced stages of disease. The degree of incontinence is strongly associated with patient’s general status and ambulation. Although LUTS are highly prevalent in dementia patients, high-quality data to guide the choice of treatment strategies in this population are lacking. The extensive and aggressive therapy of LUTS should be reserved for those with good general status and ambulation. Behavioural therapy, including toilet training and prompted voiding, may be especially useful in patients with unawareness UI.

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Author information

Authors and Affiliations

  1. Video-Urodynamics Unit, Department of Urology, Moinhos de Vento Hospital, Porto Alegre, RS, Brazil

    Marcio A. Averbeck

  2. Department of Urology, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

Authors
  1. Marcio A. Averbeck
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  2. Helmut Madersbacher
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Editor information

Editors and Affiliations

  1. Department of Urology, China Rehabiliation Research Center Capital Medical University, Beijing, China

    Limin Liao

  2. Department of Urology, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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Averbeck, M.A., Madersbacher, H. (2019). Dementia. In: Liao, L., Madersbacher, H. (eds) Neurourology. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7509-0_61

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  • DOI: https://doi.org/10.1007/978-94-017-7509-0_61

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-7507-6

  • Online ISBN: 978-94-017-7509-0

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