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[Urinary incontinence in the aged].

K Nakauchi1

  • 1Department of Urology, Tokyo Metropolitan Geriatric Hospital.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|March 1, 1990
PubMed
Summary
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Urinary incontinence in the elderly is a growing concern due to the aging population and decreased caregiver support. Early medical intervention and understanding multifactorial causes are crucial for effective management.

Area of Science:

  • Gerontology
  • Urology
  • Neuroscience

Context:

  • The global population is aging, leading to a projected increase in elderly individuals experiencing urinary incontinence.
  • Reduced availability of family caregivers and rising incontinence care costs pose significant socio-economic challenges.
  • Urinary incontinence in older adults has been historically under-addressed by medical professionals.

Purpose:

  • To educate medical and geriatric doctors on the complexities of elderly urinary incontinence.
  • To provide a comprehensive overview of the physiological and pathophysiological aspects of urinary incontinence in the aged.
  • To emphasize the importance of recognizing multifactorial causes for effective assessment and management.

Summary:

  • The paper reviews the physiology of urination, focusing on the nervous system's role.

Related Experiment Videos

  • It details abnormal bladder and urethral functions identified through urodynamic testing in older adults.
  • Pathophysiological mechanisms, including drug-induced incontinence and multifactorial mixed types, are discussed.
  • Impact:

    • Enhancing the understanding and management of urinary incontinence among the elderly population.
    • Empowering general practitioners to play a vital role in addressing this condition.
    • Potentially mitigating the social and economic burden associated with widespread elderly incontinence.