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Related Experiment Videos

[Lower urinary tract dysfunction and degenerative brain disease].

G Robain1, E Chartier-Kastler, A Ruffion

  • 1Service de médecine physique et de réadaptation, Jean Rostand, Paris VI, Ivry, France. gilberte.robain@jrs.aphp.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|July 12, 2007
PubMed
Summary
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Managing incontinence in advanced dementia requires assessing urinary tract aging and dementia's role. Differentiating dementia types, like normal pressure hydrocephalus versus Alzheimer's disease, guides treatment strategies for better patient outcomes.

Area of Science:

  • Gerontology
  • Neurology
  • Urology

Context:

  • Lower urinary tract dysfunction is often linked to dementia.
  • However, some individuals with advanced dementia do not exhibit incontinence.
  • This highlights the complex interplay between cognitive decline and bladder control.

Purpose:

  • To explore the relationship between dementia and lower urinary tract dysfunction.
  • To differentiate dementia syndromes based on the timing of urinary incontinence.
  • To outline a diagnostic and therapeutic strategy for managing incontinence in dementia patients.

Summary:

  • Careful assessment is crucial to understand the roles of urinary tract aging and dementia in incontinence.
  • Distinguishing between dementia types (e.g., normal pressure hydrocephalus vs. Alzheimer's disease) is key, as incontinence onset varies.

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  • A stepwise approach, ruling out simple causes and favoring conservative treatments, is recommended.

    • Impact:

    • Informs clinical practice for managing complex urological symptoms in dementia.
    • Improves diagnostic accuracy and treatment selection for patients with cognitive impairment.
    • Enhances the quality of life for individuals with dementia by addressing incontinence appropriately.