Dilemmas in Management of the Geriatric Bladder

  • Siobhan M. Hartigan
  • W. Stuart Reynolds
  • Phillip P. SmithEmail author
Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Reconstructed Bladder Function & Dysfunction


Purpose of Review

In this article, we will review current dilemmas regarding evaluation and management of the geriatric bladder incorporating concepts of normal changes of aging as well as common lower urinary tract dysfunction.

Recent Findings

Increasing age leads to functional changes in essentially all organ systems including the genitourinary system. Understanding the natural changes with age of the bladder as well as the signs and symptoms of pathologic conditions is paramount to diagnosis and treatment of urologic conditions in the geriatric population.


There are several conundrums in the diagnosis and evaluation of the geriatric bladder including the ability of the bladder to store, empty, as well as sensitivity disturbances. Diagnostic testing and goals of treatment should be individualized for each patient and personalized to consider patient comorbidities, limitations, and expectations.


Geriatric urology Aging bladder Lower urinary tract symptoms Incontinence Voiding dysfunction 


Compliance with Ethical Standards

Conflict of Interest

SM Hartigan, WS Reynolds, and PP Smith declare that they have no conflict of interest.

Funding Information

Relevant to this publication, PPS reports NIA K76AG054777.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Siobhan M. Hartigan
    • 1
  • W. Stuart Reynolds
    • 1
  • Phillip P. Smith
    • 2
    • 3
    Email author
  1. 1.Department of UrologyVanderbilt University Medical CenterNashvilleUSA
  2. 2.Department of SurgeryUniversity of Connecticut Health CenterFarmingtonUSA
  3. 3.Center on Aging, UConn Institute for Brain and Cognitive SciencesUConn School of MedicineFarmingtonUSA

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