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Urinary incontinence in the disabled elderly male.

H D Eastwood, C J Smart

|July 1, 1985

Summary

This study highlights a collaborative urology and geriatric medicine approach for managing urinary incontinence in disabled elderly men. Combined diagnostic and surgical interventions improve outcomes, especially for those with cerebrovascular disease and enlarged prostates.

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Area of Science:

Geriatric Medicine
Urology
Neurology

Background:

Urinary incontinence is a common issue in disabled elderly men, often complicated by neurological lesions and potential outflow obstruction.
A multidisciplinary approach is needed for effective diagnosis and management in this complex patient population.

Purpose of the Study:

To describe a combined urology and geriatric medicine approach for diagnosing and managing urinary incontinence in disabled elderly men with neurological lesions.
To evaluate the effectiveness of this integrated management strategy, including urodynamic studies and surgical interventions.

Main Methods:

A dual out-patient assessment followed by planned admission to a geriatric ward for urodynamic studies and cystoscopy.
Surgical intervention was performed when necessary, with outcomes analyzed in 75 patients.

Main Results:

Single urodynamic studies alone were diagnostic in only 20% of cases.
The most frequent surgical group comprised patients with combined cerebrovascular disease and prostatic enlargement.
The degree of patient disability, not age, was found to influence surgical outcomes.

Conclusions:

A collaborative approach between urology and geriatric medicine is beneficial for managing urinary incontinence in disabled elderly men.
Integrated diagnostic and surgical management improves patient outcomes.
Further research should focus on the specific impact of neurological lesions and comorbidities on treatment efficacy.

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