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Related Experiment Videos

Urinary incontinence: selected current concepts.

Marget-Mary G Wilson1

  • 1Division of Geriatric Medicine, St. Louis University Health Sciences Center, 1402 South Grand Boulevard, Room M238, MO 63104, USA. wilsonmg@slu.edu

The Medical Clinics of North America
|September 12, 2006
PubMed
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Urinary incontinence (UI) affects many older adults, increasing health risks. Early detection through screening and clinical exams, along with behavioral therapy and medication, can effectively manage overactive bladder (OAB).

Area of Science:

  • Gerontology
  • Urology
  • Geriatric Medicine

Background:

  • Urinary incontinence (UI) is a common and serious condition in older adults, linked to higher comorbidity and mortality rates.
  • Overactive bladder (OAB) is the primary cause of persistent incontinence among the elderly population.
  • Effective management of UI in seniors requires prompt detection and tailored treatment strategies.

Purpose of the Study:

  • To highlight the prevalence and impact of UI in older adults.
  • To emphasize the importance of screening and clinical examination for early UI detection and classification.
  • To review the treatment approaches for OAB, including behavioral modification and pharmacotherapy.

Main Methods:

  • Literature review on UI and OAB in the geriatric population.

Related Experiment Videos

  • Analysis of current treatment guidelines and clinical evidence.
  • Discussion of diagnostic and management strategies for elderly patients with UI.

    • Main Results:

    • Behavioral modification is the recommended first-line treatment for OAB.
    • Antimuscarinic agents show efficacy in OAB treatment, but safety and tolerability data in older adults are limited.
    • Referral to a urologist is indicated for patients unresponsive to non-invasive treatments or suitable for surgery.

    Conclusions:

    • Comprehensive screening and examination are crucial for managing UI in older adults.
    • While effective, the use of antimuscarinic agents in the elderly requires careful consideration of safety and tolerability.
    • A multidisciplinary approach involving primary care and urology ensures optimal management of UI in the geriatric population.