The surgical point of view of the geriatric patient — Urinary incontinence

Madersbacher, S.; Schmidbauer, J.; Schatzl, G.; Klingler, H. C. (2001). The surgical point of view of the geriatric patient — Urinary incontinence. Acta Chirurgica Austriaca, 33(6), pp. 271-274. Springer-Verlag 10.1007/BF02948094

[img]
Preview
Text
10353_2008_Article_BF02948094.pdf - Published Version
Available under License Publisher holds Copyright.

Download (507kB) | Preview

Background: Urinary incontinence is one of the most frequent diseases in the ageing population. The aim of this manuscript is to present the current knowledge on urinary incontinence regarding (i) prevalence, (ii) pathogenesis, (iii) types, (iv) diagnostic assessment, and (v) treatment options. Methods: The current literature regarding urinary incontinence with special reference to the geriatric patient was reviewed. Results: According to a study performed recently in the Vienna area, 36.0% of women and 11.5% of men aged 70 years or older report urinary incontinence. Several factors, such as urodynamic changes, structural alterations of the lower urinary tract, increased sensory input, and impaired central control of the micturition reflex, contribute to the high prevalence of urinary incontinence with age. The four most common forms of urinary incontinence in the geriatric patient are combined stress/urge incontinence, pure urge incontinence, pure stress incontinence, and overflow incontinence. Diagnostic steps are classified into “mandatory”, “recommended”, and “indicated in selected cases only”. Particularly the “mandatory tests” are simple to perform and need no special equipment. Therapeutic options should be directed to the type of urinary incontinence as well as the physical and mental status of the patient. Conclusions: Urinary incontinence is highly prevalent with age. Conservative treatment is the therapy of choice for urge incontinence and mild to moderate forms of stress and overflow incontinence in the geriatric patient.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

ISSN:

0001-544X

Publisher:

Springer-Verlag

Language:

English

Submitter:

Markus Müller

Date Deposited:

20 Sep 2018 12:21

Last Modified:

23 Oct 2019 00:34

Publisher DOI:

10.1007/BF02948094

BORIS DOI:

10.7892/boris.117883

URI:

https://boris.unibe.ch/id/eprint/117883

Actions (login required)

Edit item Edit item
Provide Feedback