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Bladder function in healthy elderly males
Scandinavian Journal of Urology and Nephrology
|January 1, 1978
Summary
Elderly men often experience bladder issues like detrusor hyperreflexia, characterized by involuntary bladder contractions. This study suggests age-related obstruction and nervous system changes contribute to these common urinary problems.
Area of Science:
- Urology
- Gerontology
- Neuroscience
Background:
- Age-related changes in bladder function are common in elderly men.
- Detrusor hyperreflexia, an overactive bladder condition, affects a significant portion of this demographic.
- Understanding the etiology of these changes is crucial for effective management.
Purpose of the Study:
- To investigate bladder function in healthy elderly males.
- To identify the prevalence of detrusor hyperreflexia in this population.
- To explore potential etiological factors contributing to observed bladder dysfunction.
Main Methods:
- Cystometry, uroflowmetry, and voiding cystourethrography were employed.
- A cohort of 20 healthy elderly male volunteers participated.
- Data analysis focused on bladder pressures, flow rates, and neurological findings.
Main Results:
- 53% of participants exhibited detrusor hyperreflexia.
- Reduced urinary flow rates and elevated maximal intravesical pressures were observed.
- No direct correlation was found between flow rate/pressure and detrusor hyperreflexia presence.
Conclusions:
- Detrusor hyperreflexia is highly prevalent in elderly men.
- Incipient infravesical obstruction and subclinical neurological impairment are likely etiological factors.
- These findings highlight the multifactorial nature of age-related bladder dysfunction.