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Related Experiment Videos

Incontinence in the elderly: objective demonstration and quantitative assessment.

D J Griffiths1, P N McCracken, G M Harrison

  • 1Division of Geriatrics, University of Alberta, Edmonton, Canada.

British Journal of Urology
|May 1, 1991
PubMed
Summary

For elderly patients with severe incontinence, 24-hour inpatient monitoring is the most sensitive method for demonstrating and assessing urine leakage severity. This method proved superior to pad tests and subjective patient responses.

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Area of Science:

  • Gerontology
  • Urology
  • Clinical Medicine

Background:

  • Urinary incontinence is a common and debilitating condition in the elderly.
  • Accurate assessment of incontinence severity is crucial for effective management and treatment.
  • Current methods for evaluating incontinence vary in sensitivity and reproducibility.

Purpose of the Study:

  • To compare the efficacy of different methods in demonstrating and assessing the severity of urinary incontinence in elderly patients.
  • To identify the most sensitive and reproducible method for evaluating incontinence in this population.

Main Methods:

  • Comparison of subjective patient reports, 1-hour pad tests, visual inspection during physical examination, 24-hour inpatient monitoring, and videourodynamic testing.
  • Evaluation of methods in a cohort of elderly individuals with a high prevalence of severe urge incontinence.

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Main Results:

  • Twenty-four hour inpatient monitoring demonstrated the highest sensitivity for detecting urine leakage.
  • Videourodynamic testing was nearly as sensitive as 24-hour monitoring.
  • A 1-hour pad test showed poor sensitivity and reproducibility.
  • Subjective patient responses were unreliable for assessing changes in incontinence severity.
  • Twenty-four hour monitoring provided the most reproducible quantitative assessment and effectively tracked changes with treatment.

Conclusions:

  • Twenty-four hour inpatient monitoring is the gold standard for demonstrating and assessing urinary incontinence severity in elderly patients.
  • Objective, longer-duration monitoring methods are superior to short-term tests and subjective reporting for clinical evaluation and treatment response assessment.