Skip to main content

Advertisement

SpringerLink
Log in

Urinary incontinence and voiding dysfunction in elderly men

  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Voiding disorders, including urinary incontinence (UI), are common in elderly men. The aging process is associated with anatomic and physiologic changes that may predispose older adults to urinary problems. The epidemiology of UI in older adults is different from that in younger individuals. Costs associated with UI care—in terms of economic costs, health resource utilization, and personal psychosocial costs—can be quite high. UI is one of the geriatric syndromes that can negatively influence physical function and quality of life in the elderly. Several clinical disorders that commonly occur in older men may have important urologic correlates, such as normal pressure hydrocephalus, Parkinson’s disease, diabetes, and dementia. Nocturia is also highly prevalent in this population and may be somewhat difficult to treat. UI is common in nursing home residents and can be associated with declines in overall and health-related quality of life. Successful treatment can have a positive impact. Effective evaluation and management rely on a strong knowledge of the etiology and treatment options for UI in elderly men.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References and Recommended Reading

  1. Wilson MG: Urinary incontinence: bridging the gender gap. J Gerontol Med Sci 2003, 58A:752–755.

    Google Scholar 

  2. Li Y, Cai X, Glance LG, et al.: Gender differences in healthcare-seeking behavior for urinary incontinence and the impact on socioeconomic status. Med Care 2007, 45:1116–1122.

    Article  PubMed  Google Scholar 

  3. Landefeld CS, Bowers BJ, Feld AD, et al.: NIH State-of-the-Science Conference Statement on prevention of fecal and urinary incontinence in adults. NIH Consens State Sci Statements 2007, 24:1–40.

    Google Scholar 

  4. Anger JT, Saigal CS, Stothers L, et al.: The prevalence of urinary incontinence among community dwelling men: results from the National Health and Nutrition Examination Survey. J Urol 2006, 176:2103–2108.

    Article  PubMed  Google Scholar 

  5. Tennstedt SL, Link CL, Steers WD, et al.: Prevalence of and risk factors for urinary leakage in a racially and ethnically diverse population of adults. Am J Epidemiol 2008, 167:390–399.

    Article  PubMed  Google Scholar 

  6. Diokno AC, Estanol MVC, Ibrahim IA, et al.: Prevalence of urinary incontinence in community dwelling men: a cross sectional nationwide epidemiological survey. Int Urol Nephrol 2007, 39:129–136.

    Article  PubMed  Google Scholar 

  7. Song HJ, Bae JM: Prevalence of urinary incontinence and lower urinary tract symptoms for community-dwelling elderly 85 years of age and older. J Wound Ostomy Continence Nurs 2007, 34:535–541.

    PubMed  Google Scholar 

  8. Østbye T, Seim A, Krause KM, et al.: A 10-year follow-up of urinary and fecal incontinence among the oldest old in the community: the Canadian Study of Health and Aging. Can J Aging 2004, 23:319–331.

    PubMed  Google Scholar 

  9. Goode PS, Burgio KL, Redden DT, et al.: Population based study of incidence and predictors of urinary incontinence in black and white older adults. J Urol 2008, 179:1449–1454.

    Article  PubMed  Google Scholar 

  10. Stothers L, Thom D, Calhoun E: Urologic Diseases in America Project: urinary incontinence in males: demographics and economic burden. J Urol 2005, 173:1302–1308.

    Article  PubMed  Google Scholar 

  11. Wagg A, Potter J, Peel P, et al.: National audit of continence care for older people: management of urinary incontinence. Age Ageing 2008, 37:39–44.

    Article  PubMed  Google Scholar 

  12. DuBeau CE: The aging lower urinary tract. J Urol 2006, 175:S11–S15.

    Article  PubMed  Google Scholar 

  13. Wagg AS, Cardozo L, Chapple C, et al.: Overactive bladder syndrome in older people. BJU Int 2007, 99:502–509.

    Article  PubMed  Google Scholar 

  14. Taylor JA III, Kuchel GA: Detrusor underactivity: clinical features and pathogenesis of an underdiagnosed geriatric condition. J Am Geriatr Soc 2006, 54:1920–1932.

    Article  PubMed  Google Scholar 

  15. Markland AD, Goode PS, Burgio KL, et al.: Correlates of urinary, fecal, and dual incontinence in older African-American and white men and women. J Am Geriatr Soc 2008, 56:285–290.

    Article  PubMed  Google Scholar 

  16. Cigolle CT, Langa KM, Kabeto MU, et al.: Geriatric conditions and disability: The Health and Retirement Study. Ann Intern Med 2007, 147:156–164.

    PubMed  Google Scholar 

  17. Jenkins KR, Fultz NH: Functional impairment as a risk factor for urinary incontinence among older Americans. Neurourol Urodynam 2005, 24:51–55.

    Article  Google Scholar 

  18. Anpalahan M, Gibson SJ: Geriatric syndromes as predictors of adverse outcomes of hospitalization. Int Med J 2008, 38:16–23.

    CAS  Google Scholar 

  19. Matsumoto M, Inoue K: Predictors of institutionalization in elderly people living at home: the impact of incontinence and commode use in rural Japan. J Cross Cult Gerontol 2007, 22:421–432.

    Article  PubMed  Google Scholar 

  20. Gades NM, Jacobson DJ, Girman CJ, et al.: Prevalence of conditions potentially associated with lower urinary tract symptoms in men. BJU Int 2005, 95:549–553.

    Article  PubMed  Google Scholar 

  21. Morris V, Wagg A: Lower urinary tract symptoms, incontinence and falls in elderly people: time for an intervention study. Int J Clin Pract 2007, 61:320–323.

    Article  PubMed  CAS  Google Scholar 

  22. Ko Y, Lin SJ, Salmon JW, et al.: The impact of urinary incontinence on quality of life of the elderly. Am J Manag Care 2005, 11:S103–S111.

    PubMed  Google Scholar 

  23. Teunissen D, van den Bosch W, van Weel C, et al.: “It can always happen”: the impact of urinary incontinence on elderly men and women. Scan J Primary Health Care 2006, 24:166–173.

    Article  Google Scholar 

  24. Corna LM, Cairney J: The role of social support in the relationship between urinary incontinence and psychological distress in older adults. Can J Aging 2005, 24:285–294.

    PubMed  Google Scholar 

  25. Pfisterer MHD, Johnson TM II, Jenetzky E, et al.: Geriatric patients’ preferences for treatment of urinary incontinence: a study of hospitalized, cognitively competent adults aged 80 and older. J Am Geriatr Soc 2007, 55:2016–2022.

    Article  PubMed  Google Scholar 

  26. Tsakanikas D, Relkin N: Normal pressure hydrocephalus. Sem Neurol 2007, 27:58–65.

    Article  Google Scholar 

  27. Vacca V: Diagnosis and treatment of idiopathic normal pressure hydrocephalus. J Neurosci Nurs 2007, 39:107–111.

    Article  PubMed  Google Scholar 

  28. Sakakibara R, Kanda T, Sekido T, et al.: Mechanism of bladder dysfunction in idiopathic normal pressure hydrocephalus. Neurourol Urodynam 2008, 27:507–510.

    Article  Google Scholar 

  29. Kilic K, Czorny A, Auque J, et al.: Predicting the outcome of shunt surgery in normal pressure hydrocephalus. J Clin Neurosci 2007, 14:729–736.

    Article  PubMed  CAS  Google Scholar 

  30. Lemack GE, Dewey RB, Roehrborn CG, et al.: Questionnaire-based assessment of bladder dysfunction in patients with mild to moderate Parkinson’s disease. Urology 2000, 56:250–254.

    Article  PubMed  CAS  Google Scholar 

  31. Routh J, Crimmins CR, Leibovich B, et al.: Impact of Parkinson’s disease on continence after radical prostatectomy. Urology 2006, 68:575–577.

    Article  PubMed  Google Scholar 

  32. Sarma AV, Burke JP, Jacobson DJ, et al.: Associations between diabetes and clinical markers of benign prostatic hyperplasia among community-dwelling black and white men. Diabetes Care 2008, 31:476–482.

    Article  PubMed  Google Scholar 

  33. Appell RA, Sand PK: Nocturia: etiology, diagnosis, and treatment. Neurourol Urodynam 2008, 27:34–39.

    Article  Google Scholar 

  34. Parsons M, Tissot W, Cardozo L, et al.: Normative bladder diary measurements: night versus day. Neurourol Urodynam 2007, 26:465–473.

    Article  Google Scholar 

  35. Weiss JP, Blaivas JG, Jones M, et al.: Age related pathogenesis of nocturia in patients with overactive bladder. J Urol 2007, 178:548–551.

    Article  PubMed  Google Scholar 

  36. Sugaya K, Nishijima S, Oda M, et al.: Biochemical and body composition analysis of nocturia in the elderly. Neurourol Urodynam 2008, 27:205–211.

    Article  CAS  Google Scholar 

  37. FitzGerald MP, Litman HJ, Link CL, et al.: The association of nocturia with cardiac disease, diabetes, body mass index, age and diuretic use: results from the BACH Study. J Urol 2007, 177:1385–1389.

    Article  PubMed  Google Scholar 

  38. Gourova LW, van de Beek C, Spigt MG, et al.: Predictive factors for nocturia in elderly men: a cross-sectional study in 21 geriatric practices. BJU Int 2006, 97:528–532.

    Article  PubMed  Google Scholar 

  39. Norman D, Loredo JS: Obstructive sleep apnea in older adults. Clin Geriatr Med 2008, 24:151–165.

    Article  PubMed  Google Scholar 

  40. Tani M, Hirayama A, Fujimoto K, et al.: Increase in 24-hour urine production/weight causes nocturnal polyuria due to impaired function of antidiuretic hormone in elderly men. Int J Urol 2008, 15:151–154.

    Article  PubMed  CAS  Google Scholar 

  41. Bliwise DL, Adelman CL, Ouslander JG: Polysomnographic correlates of spontaneous nocturnal wetness episodes in incontinent geriatric patients. Sleep 2004, 27:153–157.

    PubMed  Google Scholar 

  42. Johnson TM II, Burridge A, Issa MM, et al.: The relationship between the action of arginine vasopressin and responsiveness to oral desmopressin in older men: a pilot study. J Am Geriatr Soc 2007, 55:562–569.

    Article  PubMed  Google Scholar 

  43. Asplund R: Pharmacotherapy for nocturia in the elderly patient. Drugs Aging 2007, 24:325–343.

    Article  PubMed  CAS  Google Scholar 

  44. Ransmayr GN, Holliger S, Schletterer K, et al.: Lower urinary tract symptoms in dementia with Lewy bodies, Parkinson disease, and Alzheimer disease. Neurology 2008, 70:299–303.

    Article  PubMed  CAS  Google Scholar 

  45. Sakakubara R, Ito T, Uchiyama T, et al.: Lower urinary tract function in dementia of Lewy body type. J Neurol Neurosurg Psychiatry 2005, 76:729–732.

    Article  Google Scholar 

  46. Al-Samarrai NR, Uman GC, Al-Samarrai T, et al.: Introducing a new incontinence management system for nursing home residents. J Am Med Dir Assoc 2007, 8:253–261.

    Article  PubMed  Google Scholar 

  47. Ouslander JG, Griffiths P, McConnel E, et al.: Functional Incidental Training: applicability and feasibility in the Veterans Affairs nursing home patient population. J Am Med Dir Assoc 2005, 6:157–158.

    Article  Google Scholar 

  48. DuBeau CE, Simon SE, Morris JN: The effect of urinary incontinence on quality of life in older nursing home residents. J Am Geriatr Soc 2006, 54:1325–1333.

    Article  PubMed  Google Scholar 

  49. Holroyd-Leduc JM, Mehta KM, Covinsky KE: Urinary incontinence and its association with death, nursing home admission, and functional decline. J Am Geriatr Soc 2004, 52:712–718.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology and The Landon Center on Aging, Mailstop 3016, The University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA

    Tomas L. Griebling

Authors
  1. Tomas L. Griebling
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tomas L. Griebling.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Griebling, T.L. Urinary incontinence and voiding dysfunction in elderly men. Curr Bladder Dysfunct Rep 3, 241–246 (2008). https://doi.org/10.1007/s11884-008-0035-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11884-008-0035-2

Keywords

Search

Navigation