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[Age-related aspects in neurourology]
A Reitz1, T Hüsch, A Haferkamp
1KontinenzZentrum und NeuroUrologie, Klinik Hirslanden, Lengghalde 6, CH-8008 Zürich, Schweiz. andre.reitz@hirslanden.ch
This review addresses age-related neurogenic lower urinary tract dysfunction in elderly individuals with spinal cord injuries or neurological diseases. It emphasizes timely recognition of complications and adapting care strategies for this population.
Area of Science:
- Gerontology
- Neuroscience
- Urology
Context:
- Age-related neurogenic lower urinary tract dysfunction presents unique challenges.
- Elderly patients with spinal cord injury (SCI) or neurological diseases have evolving needs.
- Established neurourological concepts are often stretched by complex presentations in older adults.
Purpose:
- To review age-related aspects of neurogenic lower urinary tract dysfunction.
- To discuss the specific needs of elderly paraplegics and those with neurological conditions.
- To highlight the importance of timely recognition and adaptation of care.
Summary:
- The review covers age-specific considerations for neurogenic lower urinary tract dysfunction.
- It addresses the needs of elderly individuals with paraplegia, SCI, or neurological diseases.
- Timely recognition of urinary tract complications and delayed damage is crucial for successful treatment.
- Uro-oncological screening must consider disease-specific, paralysis-related, and social factors.
- Cardiovascular risks in elderly paraplegics require attention.
- Complex cases in the elderly necessitate adapting existing neurourological diagnostic and therapeutic approaches.
Impact:
- Informs clinical practice for managing elderly patients with neurogenic bladder.
- Suggests adapting established neurourological care models for geriatric populations.
- Emphasizes the need for individualized and comprehensive long-term care strategies.
- Highlights potential for developing novel approaches in geriatric neurourology.
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