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Genitourinary dysfunction in a geriatric outpatient population.

J G Ouslander, K Hepps, S Raz

    Journal of the American Geriatrics Society
    |July 1, 1986
    PubMed
    Summary
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    Geriatric patients often experience incontinence due to urodynamic abnormalities like sphincter weakness and detrusor instability. Diagnosis and treatment of these conditions significantly improve symptoms in most older adults.

    Area of Science:

    • Gerontology
    • Urology
    • Geriatric Medicine

    Background:

    • Genitourinary dysfunction is prevalent in older adults.
    • Incontinence affects a significant portion of the geriatric population, often presenting with mixed symptoms.

    Purpose of the Study:

    • To analyze clinical and urodynamic findings in elderly patients with genitourinary dysfunction.
    • To compare these findings with existing literature on geriatric populations.

    Main Methods:

    • Retrospective analysis of clinical and urodynamic data from 167 women and 96 men aged 65+.
    • Evaluation conducted over a four-year period in an outpatient urodynamic laboratory.

    Main Results:

    • 73% of patients presented with incontinence, predominantly mixed type.

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  • Common urodynamic findings included sphincter weakness (women) and detrusor motor instability (men).
  • Multiple urodynamic abnormalities were found in approximately one-third of patients, indicating complex pathophysiology.

    • Conclusions:

    • Urodynamic abnormalities are common in geriatric patients, even those without incontinence symptoms.
    • Targeted diagnosis and treatment of specific urodynamic findings lead to substantial symptom improvement in the majority of older patients.
    • Understanding complex urodynamic findings is crucial for effective management of genitourinary dysfunction in the elderly.