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Urinary incontinence. Basic types and their management in older patients
1Department of Family and Community Medicine, Lancaster General Hospital, PA 17604-3555, USA.
Postgraduate Medicine
|May 1, 1996
Summary
Urinary incontinence in older adults often improves with behavioral changes, exercises, and medication. Surgery is typically a last resort for persistent cases or those with correctable anatomical issues.
Area of Science:
- Geriatrics
- Urology
- Internal Medicine
Background:
- Urinary incontinence is a common condition affecting older adults.
- Current management guidelines emphasize conservative approaches.
Purpose of the Study:
- To summarize current guidelines for evaluating and managing urinary incontinence in the elderly.
- To outline treatment strategies based on patient response and anatomical considerations.
Main Methods:
- Review of current clinical guidelines.
- Summary of recommended diagnostic steps including history, physical examination, and limited lab work.
- Categorization of treatment options.
Main Results:
- Conservative management (behavior modification, exercises, medication) is effective for most patients.
- Surgical intervention is indicated for refractory cases or correctable anatomical defects.
Conclusions:
- A stepwise approach to urinary incontinence management in older adults is recommended.
- Conservative therapies should be exhausted before considering surgical options.