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[Geriatric urology : Increasingly important in urological care]
1Urologische Klinik, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Ev. Krankenhaus Witten gGmbh, Pferdebachstr. 27, 58455, Witten, Deutschland. awiedemann@evk-witten.de.
Der Urologe. Ausg. A
|July 8, 2017
Summary
The aging population will increase urology patient numbers and treatment intensity, necessitating a shift towards geriatric urology. This involves addressing lower urinary tract issues, infections, hematuria, and benign prostate hyperplasia in vulnerable older adults.
Area of Science:
- Geriatric Medicine
- Urology
Background:
- Demographic shifts indicate a significant increase in the number of geriatric patients requiring urological care over the next decade.
- This demographic trend necessitates a strategic reorientation within urology, moving focus from oncological issues towards geriatric-specific urological conditions.
Observation:
- Key areas of focus for geriatric urology include functional disorders of the lower urinary tract, infectiology, hematuria, and benign prostate hyperplasia.
- The establishment of ISAR screening for geriatric patients outside of geriatric departments represents an initial step towards interdisciplinary collaboration.
Findings:
- Geriatric patients are characterized by advanced age, multimorbidity, polypharmacy, and inherent vulnerability, presenting unique challenges in urological practice.
- New research avenues include cognitive changes associated with urological surgery and medications, and adapting urological procedures for this patient cohort.
Implications:
- Urology must adapt its clinical practices and research priorities to effectively manage the complex needs of an aging patient population.
- Developing specialized geriatric urology services will be crucial for improving patient outcomes and addressing the growing demand for urological care in older adults.
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