Related Experiment Video
Updated: Jan 30, 2026
05:25
Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
20.1K
[Lower Urinary Tract Dysfunction (LUTD) in institutionalized handicapped adults]
N Bamoudou1, A Desvergee1, F Leroy2
1Service de médecine physique et de réadaptation (MPR), centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.
Summary
Lower urinary tract dysfunction (LUTD) affects 88.67% of institutionalized handicapped adults, with higher prevalence in those with physical or mental disabilities. Management often involves medical devices, with limited use of expert advice or specific treatments.
Area of Science:
- Gerontology
- Urology
- Public Health
Background:
- Lower urinary tract dysfunction (LUTD) is a common issue, particularly in institutionalized populations.
- Handicapped adults in long-term care facilities face unique challenges regarding urinary health.
- Understanding LUTD prevalence and management is crucial for improving quality of life in this demographic.
Purpose of the Study:
- To determine the prevalence of lower urinary tract dysfunction (LUTD) among institutionalized handicapped adults.
- To investigate the current management strategies employed for LUTD in this population.
- To identify factors associated with a higher prevalence of LUTD.
Main Methods:
- A descriptive, transversal, observational, and epidemiological study design was utilized.
- Data were collected from 150 residents across 6 nursing homes.
- Statistical analysis included prevalence calculations, P-values, and odds ratios (OR) to assess associations.
Main Results:
- The overall prevalence of LUTD was 88.67% (133/150).
- Higher LUTD prevalence was significantly associated with physical disability (OR=10.70), mental disability (OR=5.85), and urological comorbidity (OR=9.70).
- Medical devices were the most common management strategy (82.71%), while expert medical advice and specific treatments were less frequent.
Conclusions:
- Institutionalized handicapped adults exhibit a very high prevalence of lower urinary tract dysfunction (LUTD).
- Physical and mental disabilities, along with urological comorbidities, are key risk factors for LUTD in this population.
- Current management predominantly relies on medical devices, indicating a potential gap in comprehensive care and treatment strategies.
Related Concept Videos
02:05Self-Presentation: Self-Monitoring and Self-Handicapping
44.7K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
44.7K
01:28Urinary Tract Calculi I: Introduction
525
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
525
01:26Urinary Tract Infection I: Introduction
685
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
685
01:25Urinary Tract Infection II: Pathophysiology
718
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
718
01:28Urinary Tract Calculi V: Nursing Management
304
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
304
01:25Urinary Tract Calculi VI: Surgical Management
502
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
502