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Related Experiment Videos

Urinary incontinence in old age

E Fossberg, H O Beisland, S Sander

    Annales Chirurgiae Et Gynaecologiae
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Urinary incontinence in the elderly is common. Urodynamic investigations are crucial for accurate diagnosis and effective treatment, leading to significant improvement in many geriatric patients.

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    Area of Science:

    • Geriatrics
    • Urology

    Background:

    • Urinary incontinence affects a significant percentage of elderly individuals, especially those in nursing homes.
    • Current treatments like indwelling catheters or pads offer limited efficacy.
    • Patient history alone is often insufficient for accurate diagnosis.

    Purpose of the Study:

    • To classify and optimize treatment for urinary incontinence in geriatric patients.
    • To evaluate the effectiveness of urodynamic investigations in diagnosing incontinence.

    Main Methods:

    • A study involving 100 incontinent nursing home patients in Oslo.
    • Utilized urodynamic investigations for objective assessment.
    • Performed simultaneous urethrocystometry.

    Main Results:

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    • Most patients presented with multiple lower urinary tract conditions contributing to incontinence.
    • Treatment based on urodynamic findings resulted in 38% becoming continent.
    • An additional 30% showed improvement, while 30% remained unchanged.

    Conclusions:

    • Urodynamic investigations are essential for accurate and differentiated diagnosis of urinary incontinence in the elderly.
    • Objective assessment enables appropriate and effective treatment strategies.
    • Recommends routine use of simultaneous urethrocystometry for geriatric incontinence evaluation.