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Overactive bladder syndrome in older people.
Adrian S Wagg1, Linda Cardozo, Christopher Chapple
1Department of Geriatric Medicine, University College London Hospitals, London, UK. a.wagg@ucl.ac.uk
BJU International
|April 5, 2007
Summary
Overactive bladder (OAB) causes urinary incontinence in older adults and is treatable. Medication for OAB shows similar benefits in elderly and younger individuals, including those with cognitive impairment.
Area of Science:
- Gerontology
- Urology
- Geriatric Medicine
Background:
- Overactive bladder (OAB) is a common cause of urinary incontinence in older adults.
- OAB is often due to detrusor overactivity and is a treatable condition.
- Older adults are a diverse population with varied care needs.
Purpose of the Study:
- To review the management of OAB in older people.
- To discuss the efficacy and considerations of OAB medications in the elderly.
- To explore treatment impacts on cognitively impaired individuals and those on acetylcholinesterase inhibitors.
Main Methods:
- Review of existing studies on OAB medication in elderly populations.
- Analysis of treatment benefits compared to younger individuals.
- Discussion of specific patient subgroups, including the cognitively impaired.
Main Results:
- Medication for OAB demonstrates equivalent benefits in elderly and younger populations.
- The study addresses the complexities of managing OAB in a heterogeneous elderly group.
- Considerations for treatment in cognitively impaired patients are highlighted.
Conclusions:
- OAB is a treatable condition in older adults, with medications showing comparable efficacy to younger individuals.
- Management strategies must account for the heterogeneity of the elderly population.
- Further attention is needed for OAB treatment in cognitively impaired older adults.
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