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Related Experiment Videos

Urinary incontinence in the elderly.

D J Griffin

    Postgraduate Medicine
    |February 1, 1983
    PubMed
    Summary

    Transient urinary incontinence in elderly individuals often stems from reversible factors identifiable by primary care physicians. Management strategies range from behavioral therapies and medications to surgical interventions, with empirical treatment for presumed neurogenic bladder in unclear cases.

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    Area of Science:

    • Geriatrics
    • Urology
    • Internal Medicine

    Background:

    • Urinary incontinence is a common and distressing condition in the elderly population.
    • It can significantly impact quality of life and lead to complications.

    Purpose of the Study:

    • To outline the diagnostic and management approaches for transient and established urinary incontinence in elderly patients.
    • To discuss the role of primary care physicians in evaluating and treating incontinence.

    Main Methods:

    • Office-based evaluation of elderly patients presenting with urinary incontinence.
    • Review of potential reversible causes and established incontinence etiologies.
    • Discussion of treatment modalities including behavioral, pharmacological, and surgical options.

    Main Results:

    • Transient incontinence in the elderly is frequently linked to reversible factors that primary care physicians can address.
    • Established incontinence may require comprehensive office evaluation to determine the cause.
    • Various treatment options exist, including bladder retraining, medications (anticholinergic, alpha-adrenergic), and surgery.

    Conclusions:

    • Prompt recognition and correction of reversible factors are key in managing transient incontinence in the elderly.
    • When the cause is not apparent, empirical treatment for uninhibited neurogenic bladder or referral to a specialist may be necessary.
    • Management can range from conservative measures to advanced interventions, with catheterization as a last resort.

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