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Related Experiment Videos

Urinary incontinence in older persons: a simple approach to a complex problem.

T L Tan1

  • 1Department of Geriatric Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. thai_lian_tan@ttsh.com.sg

Annals of the Academy of Medicine, Singapore
|January 14, 2004
PubMed
Summary

Urinary incontinence significantly impacts older adults but is often overlooked. Careful evaluation and management can restore continence in most geriatric patients.

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Area of Science:

  • Geriatric Medicine
  • Urology

Background:

  • Urinary incontinence is a prevalent geriatric syndrome with substantial morbidity and mortality.
  • It is frequently under-recognized and inadequately managed, despite its significant impact and cost.

Purpose of the Study:

  • To outline the assessment and management of urinary incontinence in older persons.
  • To emphasize the importance of restoring continence in the geriatric population.

Main Methods:

  • Management involves identifying and reversing transient incontinence.
  • Exclusion of urinary retention and sinister causes through special tests like imaging and urodynamic assessment.
  • Deciding on the need for specialist referral.

Main Results:

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  • Impairment of lower urinary tract integrity, cognitive function, or mobility can lead to incontinence.
  • A systematic approach to evaluation is crucial for effective management.

    • Conclusions:

    • Continence in older persons can be restored in most cases with careful evaluation.
    • Addressing urinary incontinence is vital for improving geriatric health outcomes.