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Incontinence in older women
Patricia S Goode1, Kathryn L Burgio, Holly E Richter
1Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, and Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USA. pgoode@uab.edu
JAMA
|June 3, 2010
Summary
Urinary incontinence affects many older women, impacting their quality of life. Early diagnosis and evidence-based treatments, including exercises and medications, significantly improve patient satisfaction and well-being.
Area of Science:
- Geriatrics
- Urology
Background:
- Urinary incontinence is a prevalent geriatric syndrome affecting over a third of older women.
- It is linked to adverse outcomes like social isolation, falls, and institutionalization.
- Often underreported, it necessitates routine screening in older women.
Observation:
- Incontinence is often underreported and untreated, necessitating its inclusion in routine health assessments for older women.
- A case study illustrates the chronic nature of incontinence and the importance of accurate diagnosis (stress, urgency, or mixed).
Findings:
- Comprehensive, evidence-based treatment options are available, including behavioral therapies, medications, devices, and surgical interventions.
- Special considerations for evaluating and treating patients with dementia are discussed.
Implications:
- Effective management of urinary incontinence can lead to high levels of patient satisfaction.
- Treatment improves overall quality of life for older women experiencing incontinence.
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