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Urinary Incontinence

  • Chapter
Fundamentals of Geriatric Medicine

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Abstract

Upon completion of the chapter, the student will be able to:

  1. 1.

    Diagnose urinary incontinence among older adults.

  2. 2.

    Differentiate the different types of urinary incontinence.

  3. 3.

    Develop and implement a plan of care for a patient with urinary incontinence.

  4. 4.

    Manage the symptoms of urinary incontinence.

Material in this chapter is based on the following chapters in Cassel CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE, eds. Geriatric Medicine: An Evidence-Based Approach, 4th ed. New York: Springer, 2003: Timmons MC. Gynecologic and Urologic Problems of Older Women, pp. 737–754. Resnick NM. Urinary Incontinence, pp. 931–955. Selections edited by Eileen H. Callahan.

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Suggested Readings

  • Fantl JA, Newman DK, Colling J. Urinary Incontinence in Adults: Acute and Chronic Management. Clinical Practice Guideline, No. 2, 1996 Update, AHCPR Pub. No. 96-0682. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service, Agency for Health Care Policy and Research, March 1996. A comprehensive review of the care of the older adult with urinary incontinence.

    Google Scholar 

  • Resnick NM. Urinary incontinence. In: Cassel CK, Leipzig RM, Cohen HJ, et al., eds. Geriatric Medicine, 4th ed. New York: Springer, 2003:931–956.

    Google Scholar 

  • Timmons MC. Gynecologic and urologic problems of older women. In: Cassel CK, Leipzig RM, Cohen HJ, et al., eds. Geriatric Medicine, 4th ed. New York: Springer, 2003:737–754.

    Google Scholar 

References

  1. Fantl JA, Newman DK, Colling J. Urinary Incontinence in Adults: Acute and Chronic Management. Clinical Practice Guideline, No. 2, 1996 Update, AHCPR Pub. No. 96-0682. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service, Agency for Health Care Policy and Research, March 1996.

    Google Scholar 

  2. Tromp AM, Smit JH, Deeg DJH, Bouter LM, Lips P. Predictors for falls and fractures in the Longitudinal Aging Study Amsterdam. J Bone Miner Res 1998;13:1932–1939.

    Article  PubMed  CAS  Google Scholar 

  3. Brown JS, Vittinghoff E, Wyman JF, et al. Urinary incontinence: does it increase risk for falls and fractures? J Am Geriatr Soc 2000;48:721–725.

    PubMed  CAS  Google Scholar 

  4. Branch LG, Walker LA, Wetle TT, DuBeau CE, Resnick NM.: Urinary incontinence knowledge among community-dwelling people 65 years of age and older. J Am Geriatr Soc 1994;42:1257–1262.

    PubMed  CAS  Google Scholar 

  5. Cohen SJ, Robinson D, Dugan E, et al. Communication between older adults and their physicians about urinary incontinence. J Gerontol 1999;54A:M34–M37.

    Google Scholar 

  6. Resnick NM. Voiding dysfunction in the elderly. In: Yalla SV, McGuire EJ, Elbadawi A, Blaivas JG, eds. Neurourology and Urodynamics: Principles and Practice. New York: Macmillan, 1988:303–330.

    Google Scholar 

  7. Resnick NM. Geriatric medicine. In: Kasper DL, Braunweld B, Fauci A, Jameson JL, eds. Harrison’s Principles of Internal Medicine. New York: McGraw-Hill, 2005.

    Google Scholar 

  8. Marshall HJ, Beevers DG. α-Adrenoceptor blocking drugs and female urinary incontinence: prevalence and reversibility. Br J Clin Pharmacol 1996;42:507–509.

    Article  PubMed  CAS  Google Scholar 

  9. McGuire EJ. Urinary Incontinence. New York: Grune and Stratton, 1981.

    Google Scholar 

  10. Blaivas JG, Olsson CA. Stress incontinence: classification and surgical approach. J Urol 1988;139:727–731.

    PubMed  CAS  Google Scholar 

  11. Elbadawi A, Yalla SV, Resnick NM. Structural basis of geriatric voiding dysfunction. II. Aging detrusor: normal vs. impaired contractility. J Urol 1993;150:1657–1667.

    PubMed  CAS  Google Scholar 

  12. Resnick NM, Yalla SV, Laurino E. The pathophysiology and clinical correlates of established urinary incontinence in frail elderly. N Engl J Med 1989;320:1–7.

    Article  PubMed  CAS  Google Scholar 

  13. Resnick NM. Voiding dysfunction in the elderly. In: Yalla SV, McGuire EJ, Elbadawi A, Blaivas JG, eds. Neurourology and Urodynamics: Principles and Practice. New York: Macmillan, 1988:303–330.

    Google Scholar 

  14. Brocklehurst JC, Dillane JB, Griffiths L, Fry J. The prevalence and symptomatology of urinary infection in an aged population. Gerontol Clin 1968;10:242–253.

    Article  CAS  Google Scholar 

  15. Diokno AC, Brock BM, Brown M, Herzog AR. Prevalence of urinary incontinence and other urological symptoms in the non-institutionalized elderly. J Urol 1986;136:1022–1025.

    PubMed  CAS  Google Scholar 

  16. Resnick NM. Noninvasive diagnosis of the patient with complex incontinence. Gerontology 1990;36(suppl 2):8–18.

    PubMed  Google Scholar 

  17. Hilton P, Stanton SL. Algorithmic method for assessing urinary incontinence in elderly women. BMJ 1981;282:940–942.

    Article  PubMed  CAS  Google Scholar 

  18. Diokno AC. Diagnostic categories of incontinence and the role of urodynamic testing. J Am Geriatr Soc 1990;38:300–305.

    PubMed  CAS  Google Scholar 

  19. Kong TK, Morris JA, Robinson JM, Brocklehurst JC. Predicting urodynamic dysfunction from clinical features in incontinent elderly women. Age Ageing 1990;19:257–263.

    Article  PubMed  CAS  Google Scholar 

  20. Klarskov P, Andersen JT, Asmussen CF, et al. Symptoms and signs predictive of the voiding pattern after acute urinary retention in men. Scand J Urol Nephrol 1987;21:23–28.

    Article  PubMed  CAS  Google Scholar 

  21. DuBeau CE, Resnick NM. Evaluation of the causes and severity of geriatric incontinence: a critical appraisal. Urol Clin North Am 1991;18:243–256.

    PubMed  CAS  Google Scholar 

  22. Resnick NM. Initial evaluation of the incontinent patient. J Am Geriatr Soc 1990;38:311–316.

    PubMed  CAS  Google Scholar 

  23. Resnick NM, Ouslander JG, eds. National Institutes of Health consensus development conference on urinary incontinence. J Am Geriatr Soc 1990;38:263–386.

    Google Scholar 

  24. Fantl JA, Wyman JF, McClish DK. Efficacy of bladder training in older women with urinary incontinence. JAMA 1991;265:609–613.

    Article  PubMed  CAS  Google Scholar 

  25. Burgio KL, Locher JL, Goode PS, et al. Behavioral vs drug treatment for urge urinary incontinence in older women: a randomized controlled trial. JAMA 1998;280:1995–2000.

    Article  PubMed  CAS  Google Scholar 

  26. Berghmans LCM, Hendriks HJM, DeBie RA, Van Waalwijk Van Doorn ESC, Bo K, Van Kerrebroeck PHEV. Conservative treatment of urge urinary incontinence in women: a systematic review of randomized clinical trials. BJU Int 2000;85:254–263.

    Article  PubMed  CAS  Google Scholar 

  27. Payne CK. Behavioral therapy for overactive bladder. Urology 2000;55(5A):3–6.

    Article  PubMed  CAS  Google Scholar 

  28. Wagg A, Malone-Lee J. The management of urinary incontinence in the elderly. Br J Urol 1998;82(suppl 1):11–17.

    PubMed  Google Scholar 

  29. Ouslander JG, Schnelle JF. Incontinence in the nursing home. Ann Intern Med 1995;122:438–449.

    PubMed  CAS  Google Scholar 

  30. Ouslander JG. Intractable incontinence in the elderly. BJU Int 2000;85(suppl 3):72–78.

    PubMed  Google Scholar 

  31. Johnson ET. The condom catheter: urinary tract infection and other complications. South Med J 1983;76:579–582.

    PubMed  CAS  Google Scholar 

  32. Jayachandran S, Moopan UMM, Kim H. Complications from external (condom) urinary drainage devices. Urology 1985;25:31–34.

    Article  PubMed  CAS  Google Scholar 

  33. Norton PA, Baker JE. Postural changes can reduce leakage in women with stress urinary incontinence. Obstet Gynecol 1994;84:770–774.

    PubMed  CAS  Google Scholar 

  34. Suarez GM, Baum NH, Jacobs J. Use of standard contraceptive diaphragm in management of stress urinary incontinence. Urology 1991;37:119–122.

    Article  PubMed  CAS  Google Scholar 

  35. Zeitlin MP, Lebherz TB. Pessaries in the geriatric patient. J Am Geriatr Soc 1992;40:635–639.

    PubMed  CAS  Google Scholar 

  36. Mann RD, Biswas P, Freemantle S, Pearce G, Wilton L. The pharmacovigilance of tamsulosin: event data on 12484 patients. BJU Int 2000;85:446–450.

    Article  PubMed  CAS  Google Scholar 

  37. Gormley GJ, Stoner E, Bruskewitz RC, et al. The effect of finasteride in men with benign prostatic hyperplasia. N Engl J Med 1992;327:1185–1191.

    Article  PubMed  CAS  Google Scholar 

  38. Resnick NM. Urinary Incontinence in the Elderly. Medical Grand Rounds, vol 3. New York: Plenum, 1984.

    Google Scholar 

  39. Resnick NM, Yalla SV. Management of urinary incontinence in the elderly. N Engl J Med 1985;313:800–805.

    Article  PubMed  CAS  Google Scholar 

  40. Resnick NM. Urinary incontinence. Lancet 1995;346:94–99.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY, 10029, USA

    Eileen H. Callahan MD (Associate Professor)

Authors
  1. Eileen H. Callahan MD
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Editor information

Editors and Affiliations

  1. Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY, 10029, USA

    Rainier P. Soriano MD (Assistant Professor and Director of Medical Student Education), Helen M. Fernandez MD (Assistant Professor and Fellowship Director) & Rosanne M. Leipzig MD, PhD (Professor and Vice Chair of Education) (Assistant Professor and Director of Medical Student Education),  (Assistant Professor and Fellowship Director) &  (Professor and Vice Chair of Education)

  2. ABIM Foundation and American Board of Internal Medicine, Philadelphia, PA, 19106, USA

    Christine K. Cassel MD, MACP (President and CEO) (President and CEO)

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Callahan, E.H. (2007). Urinary Incontinence. In: Soriano, R.P., Fernandez, H.M., Cassel, C.K., Leipzig, R.M. (eds) Fundamentals of Geriatric Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-32326-8_29

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  • DOI: https://doi.org/10.1007/978-0-387-32326-8_29

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-32324-4

  • Online ISBN: 978-0-387-32326-8

  • eBook Packages: MedicineMedicine (R0)

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