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Urinary incontinence in the geriatric population.

Adam P Klausner1, Jonathan M Vapnek

  • 1Department of Urology, Box 1272, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029, USA.

The Mount Sinai Journal of Medicine, New York
|January 8, 2003
PubMed
Summary

Urinary incontinence is common in older adults, affecting up to 30% in the community and 50% in nursing homes. Many cases are reversible with proper diagnosis and treatment by primary care providers or specialists.

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Area of Science:

  • Geriatrics
  • Urology
  • Geriatric Medicine

Background:

  • Urinary incontinence (UI) is a prevalent issue in the elderly population.
  • Despite its prevalence, UI is often treatable.

Purpose of the Study:

  • To provide an updated overview of geriatric urinary incontinence.
  • To cover definition, diagnosis, and treatment strategies.

Main Methods:

  • Comprehensive review of geriatric and urologic literature.
  • Synthesis of current knowledge on UI in older adults.

Main Results:

  • UI affects 15-30% of community-dwelling elderly and 50% of nursing home residents.
  • Incontinence prevalence is higher in females (2:1 ratio).

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  • Classifications include urge, stress, overflow, functional, and mixed types; diagnosis requires thorough history, physical, and neuro-urologic examination.
  • Reversible causes are common, with treatment options including behavioral changes, medications (anticholinergics, hormone replacement), and surgery.

    • Conclusions:

    • Geriatric urinary incontinence is a widespread condition with numerous potential causes.
    • Many causes are reversible, often manageable by primary care providers.
    • Referral to urology may be necessary for advanced diagnostics like urodynamics and surgical options.