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Experience with an incontinence clinic

P W Overstall, K Rounce, J H Palmer

    Journal of the American Geriatrics Society
    |December 1, 1980
    PubMed
    Summary
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    Elderly incontinence is often caused by unstable bladders. Bladder retraining programs, with support for caregivers, offer the best chance for improvement in elderly patients with urinary incontinence.

    Area of Science:

    • Geriatrics
    • Urology
    • Internal Medicine

    Background:

    • Urinary incontinence is a prevalent condition affecting elderly individuals.
    • Identifying the causes of incontinence is crucial for effective management.
    • Previous studies highlight various etiologies, but specific data in an incontinence clinic setting is valuable.

    Purpose of the Study:

    • To determine the most common causes of urinary incontinence in elderly patients attending an incontinence clinic.
    • To evaluate the outcomes of treatment and identify factors associated with improvement.
    • To assess the efficacy of a comprehensive bladder retraining program.

    Main Methods:

    • A study was conducted on 309 elderly patients presenting to an incontinence clinic.
    • Data collected included patient demographics, incontinence etiology, and treatment outcomes.

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  • An individually designed bladder retraining program was implemented, including support for relatives and care providers.

    • Main Results:

    • The most frequent causes identified were unstable bladder (57%), outflow obstruction (13%), and atonic bladder (7%).
    • Pure stress incontinence was infrequent, occurring in only 2% of patients.
    • Outcomes showed one-third of patients improved, one-third required catheterization, and one-third showed no improvement.

    Conclusions:

    • Unstable bladder is the predominant cause of incontinence in this elderly cohort.
    • A tailored bladder retraining program, with multidisciplinary support, appears to be the most effective approach.
    • Further research is warranted to optimize management strategies for different incontinence types in the elderly.