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Overactive bladder in the vulnerable elderly.

Gillian F Wolff1, George A Kuchel2, Phillip P Smith3

  • 1Division of Urology, Department of Surgery, University of Connecticut Health Center, Farmington, CT, USA.

Research and Reports in Urology
|October 21, 2014
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Summary
This summary is machine-generated.

Overactive bladder (OAB) is a common condition impacting quality of life. Management in the elderly requires a personalized, multifactorial geriatric approach considering frailty and comorbidities.

Keywords:
agingantispasmodicsfrailtyurgencyurinary incontinence

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Area of Science:

  • Geriatrics
  • Urology

Background:

  • Overactive bladder (OAB) is a prevalent condition affecting quality of life.
  • OAB is often underdiagnosed and undertreated, necessitating a symptom complex view.
  • Management is complex in the vulnerable elderly due to frailty and comorbidities.

Purpose of the Study:

  • To highlight the multifactorial nature of OAB in the vulnerable elderly.
  • To emphasize personalized management strategies considering patient and caregiver factors.
  • To advocate for tailored care and future research for this population.

Main Methods:

  • Review of OAB presentation and management challenges in the elderly.
  • Analysis of OAB as a geriatric syndrome.
  • Consideration of patient goals, caregiver expectations, and functional status.

Main Results:

  • OAB in the vulnerable elderly is a multifactorial geriatric syndrome.
  • Individualized treatment plans are crucial, addressing patient/caregiver expectations and resources.
  • Coordinated care with other medical providers is essential.

Conclusions:

  • Thoughtful, tailored management can reduce morbidity and mortality in elderly OAB patients.
  • Enhancing health-related quality of life is achievable with appropriate interventions.
  • Further research focused on the vulnerable elderly population is warranted.