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Urinary incontinence in the elderly.

M S Vernon1

  • 1Department of Family Medicine, East Carolina University School of Medicine, Greenville, North Carolina.

Primary Care
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

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Urinary incontinence is common in the elderly but treatable. Proper diagnosis and management, including behavioral therapy, drugs, or surgery, can significantly improve or cure most cases.

Area of Science:

  • Geriatrics
  • Urology
  • Primary Care Medicine

Background:

  • Urinary incontinence is a prevalent, often underreported condition in elderly patients.
  • It significantly impacts quality of life and healthcare utilization.

Purpose of the Study:

  • To outline diagnostic and management strategies for urinary incontinence in primary care.
  • To identify criteria for referral for specialized urologic evaluation.

Main Methods:

  • Diagnosis relies on patient history, physical examination, and basic laboratory/bedside tests.
  • Treatment options include behavioral therapy, pharmacotherapy, and surgical interventions.
  • Environmental support strategies are also considered.

Main Results:

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  • Most patients with urinary incontinence can achieve cure or improvement with appropriate interventions.
  • A combination of therapies often yields the best outcomes.
  • Physician attitude positively influences patient compliance.

Conclusions:

  • Effective management of urinary incontinence is achievable in primary care settings.
  • Timely and appropriate referral is crucial for select patients.
  • A multidisciplinary approach enhances treatment success and patient well-being.