Related Experiment Video
Updated: Jul 21, 2025
13:45
A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation
Published on: June 20, 2025
445
Treatment for Urinary Incontinence in Women Older Than 65 Years
Giulia I Lane1, Elisabeth Erekson2, Andrea Austin3
1From the Department of Urology, University of Michigan Medical School, Ann Arbor, MI.
Urogynecology (Philadelphia, Pa.)
|July 25, 2023
Summary
Only about 11% of older women with urinary incontinence (UI) received treatment, primarily pharmacotherapy. More severe and longer-lasting UI symptoms increased the likelihood of treatment, highlighting a gap in care for many affected women.
Area of Science:
- Gerontology
- Urology
- Public Health
Background:
- Urinary incontinence (UI) significantly impacts the quality of life for women over 65.
- The prevalence of UI treatment and its associated factors in this demographic remain largely uncharacterized.
Purpose of the Study:
- To determine the rates of urinary incontinence (UI) treatment among older women.
- To identify factors associated with receiving UI treatment in this population.
Main Methods:
- Retrospective cohort analysis using linked data from the Nurses' Health Study and Medicare claims.
- Evaluation of pharmacotherapy, noninvasive, and procedural UI treatments within one year of symptom reporting.
- Multivariable logistic regression analysis to identify predictors of treatment.
Main Results:
- Out of 8,332 women reporting UI, only 10.9% had a Medicare claim for treatment.
- Pharmacotherapy accounted for 94.6% of all UI treatments.
- More severe UI (OR, 3.1), longer duration (OR, 1.9), mixed (OR, 2.5), and urgency UI (OR, 3.0) were associated with higher odds of treatment.
Conclusions:
- A significant proportion of older women with self-reported urinary incontinence (UI) do not receive treatment.
- Pharmacotherapy is the predominant treatment modality for UI in this population.
- Severity and duration of UI symptoms are key determinants for seeking and receiving treatment.
More Related Videos
Related Concept Videos
01:17Urinary Tract Infection IV: Nursing Management
25
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
25
01:30Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
01:28Urinary Tract Calculi V: Nursing Management
14
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...
14
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
15
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
15
01:25Urinary Tract Calculi VI: Surgical Management
11
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...
11
01:23Urinary Bladder
954
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
954