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Urodynamics in the octogenarian female: is it worthwhile?
Stephen J Bromage1, Trevor J Dorkin, Lewis Chan
1Department of Urology, Concord Repatriation General Hospital, Sydney, Australia. sjbromage@doctors.org.uk
International Urogynecology Journal
|June 17, 2010
Summary
Urinary symptoms in elderly women often do not match urodynamic findings. Urodynamics is crucial for accurate diagnosis and guiding treatment in octogenarian females, preventing potential adverse effects from empirical prescribing.
Area of Science:
- Geriatric Medicine
- Urology
- Female Pelvic Medicine
Background:
- Urinary symptoms are common in elderly females.
- Accurate diagnosis of lower urinary tract dysfunction is essential for effective management.
Purpose of the Study:
- To investigate the correlation between subjective urinary symptoms and objective urodynamic diagnoses in women over 80.
- To assess the impact of urodynamic findings on clinical management decisions.
Main Methods:
- Retrospective analysis of 53 female patients aged 80 and above.
- Multichannel urodynamics performed according to International Continence Society standards.
Main Results:
- Urodynamic stress incontinence was diagnosed in 49% of patients.
- Detrusor overactivity was identified in only 29% of those with storage symptoms.
- Urodynamics led to a change in management for 43% of patients and confirmed diagnoses for 52%.
Conclusions:
- A poor correlation exists between storage symptoms and urodynamic diagnosis in octogenarian females.
- Urodynamic evaluation is vital for guiding management and avoiding empirical treatments with potential adverse effects in this population.
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