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The aging lower urinary tract.

Catherine E Dubeau¹

¹University of Chicago, Chicago, Illinois 60637, USA. cdubeau@medicine.bsd.uchicago.edu

The Journal of Urology

|February 7, 2006

Summary

In older adults, urinary incontinence is often multifactorial, influenced by age-related changes, comorbidities, and polypharmacy. Effective management requires a collaborative approach between primary care and specialists.

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Area of Science:

Gerontology
Urology
Geriatric Medicine

Background:

Age-related changes in the genitourinary (GU) system increase the risk of lower urinary tract (LUT) dysfunction.
The elderly population often presents with complex health issues impacting continence management.

Purpose of the Study:

To discuss age-related changes affecting continence and the GU system.
To provide guidelines for diagnosing and managing incontinence in elderly individuals with LUT dysfunction.

Main Methods:

Review of published literature on elderly patients with LUT dysfunction.
Analysis of current treatment practices for this demographic.

Main Results:

LUT symptoms in the elderly are significantly affected by high rates of comorbidity and polypharmacy.
Age-related GU system changes exacerbate the risk and prevalence of LUT dysfunction.

Conclusions:

Incontinence in older adults is typically multifactorial, involving non-GU system related issues like polypharmacy and comorbidity.
Treatment planning must account for increased medication side effects in the elderly.
Co-management partnerships between primary care physicians and urologists/gynecologists are crucial for comprehensive continence care.

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