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Diabetes-associated bladder dysfunction in the older adult (CE)
Kathleen F Hunter1, Katherine N Moore
1Royal Alexandra Hospital in Edmonton, Alberta, Canada.
Geriatric Nursing (New York, N.Y.)
|June 19, 2003
Summary
Diabetic cystopathy, a diabetes complication, impairs bladder function with reduced sensation and contractility. This review covers age and diabetes effects, prevention, and management strategies for this condition.
Area of Science:
- Urology
- Endocrinology
- Geriatrics
Background:
- Diabetic cystopathy is a chronic complication of diabetes mellitus.
- It is characterized by a triad of decreased bladder sensation, increased bladder capacity, and impaired detrusor contractility.
- Lower urinary tract dysfunction is common in older adults with diabetes.
Purpose of the Study:
- To discuss age- and diabetes-related changes affecting lower urinary tract function.
- To review bladder function in older adult diabetics.
- To explore prevention and management strategies for diabetic cystopathy.
Main Methods:
- Literature review of age- and diabetes-related changes in lower urinary tract function.
- Synthesis of current knowledge on bladder dysfunction in diabetic patients.
- Identification of research gaps and opportunities.
Main Results:
- Diabetes and aging significantly alter lower urinary tract function.
- Specific changes include sensory deficits and detrusor underactivity.
- Limited research exists to guide clinical practice.
Conclusions:
- Diabetic cystopathy requires comprehensive management strategies.
- Nursing research is crucial to address knowledge gaps.
- Early identification and intervention can improve outcomes.