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Was kann man tun, damit es unten dicht bleibt?

Inkontinenz im Alter

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Zusammenfassung

Durch die demographische Entwicklung nimmt der Anteil der älteren Bevölkerung in den nächsten Jahrzehnten zu. Damit steigt auch die Prävalenz der Harninkontinenz. Diese wird oft nicht erkannt, da die Betroffenen ihre Beschwerden sowohl gegenüber Angehörigen als auch gegenüber Ärzten verschweigen und auch Ärzte nicht gezielt nach Symptomen der Harninkontinenz fragen. Aber auch wenn die Diagnose gestellt wurde, bleibt die Inkontinenzversorgung oft unzureichend. Eine sorgfältige Anamnese bildet die Grundlage für alle diagnostischen und therapeutischen Schritte. Im Vordergrund stehen konservative Untersuchungen und Behandlungen. Nur in wenigen Fällen ist bei älteren Patienten eine invasive Diagnostik indiziert. Da Ältere häufig mehrere Medikamente einnehmen, müssen mögliche Interaktionen und Nebenwirkungen besonders beachtet werden. Vor allem kognitive Einschränkungen durch die Therapie sollten vermieden werden. Die Inkontinenzchirurgie wird bei Älteren seltener durchgeführt, kann aber im Einzelfall sinnvoll sein.

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Authors and Affiliations

  1. Klinik für Urologie, Universitätsklinikum Tübingen, Tübingen, Deutschland

    B. Amend, S. Kruck, J. Bedke, L. Arenas da Silva, A. Stenzl &  Karl-Dietrich Sievert

  2. Royal Hallamshire Hospital, Sheffield, Deutschland

    C. Chapple (Consultant Urologist)

  3. Klinik für Urologie, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    Karl-Dietrich Sievert

Authors
  1. B. Amend
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  2. S. Kruck
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  3. J. Bedke
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  4. L. Arenas da Silva
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  5. C. Chapple
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  6. A. Stenzl
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  7. Karl-Dietrich Sievert
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Corresponding author

Correspondence to Karl-Dietrich Sievert.

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K.-D. Sievert gibt an, dass kein Interessenkonflikt besteht.

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Amend, B., Kruck, S., Bedke, J. et al. Inkontinenz im Alter. CME 11, 7–16 (2014). https://doi.org/10.1007/s11298-014-1365-3

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  • DOI: https://doi.org/10.1007/s11298-014-1365-3

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