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Urinary incontinence in the older man.
1Division of Geriatric Medicine and Gerontology, Emory University School of Medicine, Georgia, USA.
The Medical Clinics of North America
|September 30, 1999
Summary
Urinary incontinence (UI) significantly impacts older men, despite being less common than in women. Understanding male-specific causes and treatments, like post-prostatectomy interventions, is crucial for effective management.
Area of Science:
- Urology
- Geriatrics
Background:
- Urinary incontinence (UI) affects older men, presenting unique challenges compared to women.
- Anatomical differences contribute to distinct UI pathophysiology in men, with overflow incontinence and detrusor instability being predominant.
Purpose of the Study:
- To explore the specific causes, diagnostic approaches, and treatment options for urinary incontinence in older men.
- To highlight the clinical interpretation challenges of urgency and urge incontinence symptoms in men.
Main Methods:
- Review of current medical literature on male urinary incontinence.
- Discussion of diagnostic tools including post-void residual measurement and noninvasive urine flow studies.
- Examination of treatment modalities such as biofeedback and artificial sphincter implantation.
Main Results:
- Stress incontinence in men is primarily linked to prostate surgery.
- Urgency and urge incontinence symptoms in men can indicate detrusor instability or bladder outlet obstruction.
- Biofeedback is effective for post-prostatectomy UI, while artificial sphincters are suitable for near-continual leakage.
Conclusions:
- Male urinary incontinence requires tailored diagnostic and treatment strategies, considering factors like prostate surgery and co-existing physical/mental dysfunction.
- Staff-dependent interventions are recommended for male nursing home patients with UI.