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The surgical point of view of the geriatric patient — Urinary incontinence = Der geriatrische Patient aus chirurgischer Sicht — Harninkontinenz

Madersbacher, S. ; Schmidbauer, J. ; Schatzl, G. ; Klingler, H.

In: Acta Chirurgica Austriaca, 2001, vol. 33, no. 6, p. 271-274

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    Titre
    • The surgical point of view of the geriatric patient — Urinary incontinence
    Titre traduit ()
    • Der geriatrische Patient aus chirurgischer Sicht — Harninkontinenz
    Auteur
    • Madersbacher, S.. Department of Urology, University of Berne, Inselspital, Switzerland
    • Schmidbauer, J.. Department of Urology, University of Berne, Inselspital, Switzerland
    • Schatzl, G.. Department of Urology, University of Berne, Inselspital, Switzerland
    • Klingler, H.. Department of Urology, University of Berne, Inselspital, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Acta Chirurgica Austriaca, 2001, vol. 33, no. 6, p. 271-274. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:316807
    Summary
    Summary: Background: Urinary incontinence is one of the most frequent diseases in the ageing population. The aim of this manuscript is to present the current knowledge on urinary incontinence regarding (i) prevalence, (ii) pathogenesis, (iii) types, (iv) diagnostic assessment, and (v) treatment options. Methods: The current literature regarding urinary incontinence with special reference to the geriatric patient was reviewed. Results: According to a study performed recently in the Vienna area, 36.0% of women and 11.5% of men aged 70 years or older report urinary incontinence. Several factors, such as urodynamic changes, structural alterations of the lower urinary tract, increased sensory input, and impaired central control of the micturition reflex, contribute to the high prevalence of urinary incontinence with age. The four most common forms of urinary incontinence in the geriatric patient are combined stress/urge incontinence, pure urge incontinence, pure stress incontinence, and overflow incontinence. Diagnostic steps are classified into "mandatory”, "recommended”, and "indicated in selected cases only”. Particularly the "mandatory tests” are simple to perform and need no special equipment. Therapeutic options should be directed to the type of urinary incontinence as well as the physical and mental status of the patient. Conclusions: Urinary incontinence is highly prevalent with age. Conservative treatment is the therapy of choice for urge incontinence and mild to moderate forms of stress and overflow incontinence in the geriatric patient