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[Urinary incontinence in the aged].

Zeitschrift Fur Gerontologie

|July 1, 1984

Summary

This summary is machine-generated.

Urinary incontinence affects 7% of elderly men and 12% of women. This review covers bladder anatomy, continence mechanisms, and therapeutic options for various incontinence types in older adults.

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Area of Science:

Gerontology
Urology
Neuroscience

Context:

Urinary incontinence is a prevalent issue in the elderly population, affecting a significant percentage of both men and women.
Understanding the complex interplay of bladder anatomy, continence mechanisms, and innervation is crucial for diagnosing incontinence in older adults.

Purpose:

To provide a comprehensive overview of urinary incontinence in the elderly.
To review the anatomy of the urinary bladder, continence mechanism, and bladder innervation.
To describe urodynamic examinations and differentiate various forms of incontinence.

Summary:

The review details extrasphincteric urinary leakage (e.g., ectopic ureter, fistula) and incontinence arising from sphincter weakness or detrusor dysfunction.
It discusses detrusor function in neurogenic bladder, a common cause of incontinence in elderly patients with conditions like stroke, Parkinson's disease, and diabetes.

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Therapeutic possibilities for managing elderly incontinence are briefly outlined.

Impact:

This review serves as a concise guide for healthcare professionals managing urinary incontinence in elderly patients.
It highlights the importance of accurate diagnosis through urodynamic examination for effective treatment.
The information presented can aid in developing targeted therapeutic strategies for diverse incontinence etiologies in geriatric populations.