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[The aging bladder. anatomy and physiology].

C van der Horst¹, K P Jünemann

¹Klinik für Urologie und Kinderurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel. cvanderhorst@urology.uni-kiel.de

Der Urologe. Ausg. A

|March 27, 2004

Summary

Urinary incontinence in older adults stems from multiple factors, including medications and health conditions. Understanding the aging bladder and brain control is key to improving prevention and treatment strategies.

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Area of Science:

Gerontology
Urology
Neuroscience

Context:

Micturition disorders in the elderly arise from a complex interplay of factors including medication, mobility, metabolism, and overall physical and psychological health.
Senile incontinence can manifest as a single type or, more commonly, as a combination of different forms.
Age-related structural changes in the urinary bladder are primarily linked to functional impairments.

Purpose:

To explore the multifactorial nature of micturition disorders in the elderly.
To highlight the role of age-dependent changes in the urinary bladder and brain control of continence.
To emphasize the need for updated knowledge on pathophysiology for effective prevention and therapy.

Summary:

The brain's vulnerability to age-related disturbances impacts continence and micturition control.
Neurophysiological research informs modified micturition recommendations for elderly individuals with residual urine or bladder over-expansion.
Advancements in understanding cerebral organization, receptor-mediated, and molecular-biological regulation of continence are crucial.

Impact:

Improved understanding of incontinence pathophysiology can lead to more efficient prevention and treatment strategies.
New insights into brain control mechanisms will influence healthcare system responses and clinical practices.
Enhanced knowledge facilitates better management of urinary incontinence in the aging population.

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