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[Urinary incontinence--conservative therapy].

H Madersbacher1

  • 1Urologischen Universitätsklinik, Innsbruck.

Wiener Medizinische Wochenschrift (1946)
|August 31, 1987
PubMed
Summary
This summary is machine-generated.

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Urinary incontinence affects 5% of the population, stemming from bladder control loss or sphincter weakness. Conservative therapies, including bladder drill and pelvic floor exercises, are effective for urge and stress incontinence.

Area of Science:

  • Urology
  • Geriatrics
  • Physical Therapy

Context:

  • Urinary incontinence (UI) affects approximately 5% of the general population.
  • Incidence doubles in elderly individuals, with 20% of nursing home residents affected.
  • UI is primarily caused by detrusor hyperactivity (urge incontinence) or sphincter dysfunction (stress incontinence).

Purpose:

  • To outline the primary causes and conservative treatment strategies for urinary incontinence.
  • To highlight the increased prevalence and specific challenges of UI in the elderly population.

Summary:

  • Conservative management is the cornerstone for urge incontinence, involving addressing secondary causes of detrusor hyperactivity and employing 'bladder drill' or anticholinergic medications for idiopathic cases.
  • For genuine urinary stress incontinence, conservative options include pelvic floor exercises, weight reduction, scheduled voiding, and mitigating exacerbating factors like chronic bronchitis.

Related Experiment Videos

  • Neurogenic incontinence management is complex, tailored to specific pathophysiology, but also predominantly relies on conservative approaches.

    • Impact:

    • Conservative therapies offer significant improvement for many UI patients, enhancing quality of life.
    • Understanding UI mechanisms and tailored treatments is crucial, especially for the vulnerable elderly population.
    • Early and appropriate conservative interventions can potentially reduce the need for more invasive treatments.