Skip to main content

The Older Patient

  • 1158 Accesses


Aging affects the lower urinary tract and is a recognized risk factor for voiding dysfunction and urinary incontinence. The reported prevalence of urinary incontinence in community-dwelling older persons ranges from 10–40 % and up to 70 % in residents in aged care residential facilities. Discrepancy in prevalence rates has been attributed to differences in inclusion criteria and definitions. Lower urinary tract symptoms (LUTS) and urinary incontinence are often overlooked in the elderly as a result of embarrassment or the symptoms mistaken as a normal part of aging. LUTS and urinary incontinence have been associated with worsening quality of life (QOL). Morbidity of urinary incontinence in the older patient includes increased risk of falls, urinary tract infections, urinary retention, renal deterioration, and skin irritation.


  • Urinary Incontinence
  • Pelvic Organ Prolapse
  • Lower Urinary Tract Symptom
  • Intrinsic Sphincter Deficiency
  • Benign Prostatic Enlargement

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-1-4471-2772-7_6
  • Chapter length: 14 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
USD   84.99
Price excludes VAT (USA)
  • ISBN: 978-1-4471-2772-7
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   109.99
Price excludes VAT (USA)
Hardcover Book
USD   149.99
Price excludes VAT (USA)
Fig. 6.1
Fig. 6.2
Fig. 6.3
Fig. 6.4

Suggested Readings

Effects of Ageing on the Lower Urinary Tract

  • DuBeau CE. The aging lower urinary tract. J Urol. 2006;175:S11–5.

    PubMed  CrossRef  Google Scholar 

  • Gomes CM, Arap S, Trigo-Rocha FE. Voiding dysfunction and urodynamic abnormalities in elderly patients. Rev Hosp Clin Fac Med S Paulo. 2004;59:206–15.

    PubMed  Google Scholar 

  • Griffiths D, Tadic SD, Schaerfer W, Resnick NM. Cerebral control of the lower urinary tract: how age-related changes might predispose to urge incontinence. Neuroimage. 2009;47:981–6.

    PubMed  CrossRef  Google Scholar 

  • Taylor JA, Kuchel GA. Detrusor underactivity: clinical features and pathogenesis of an underdiagnosed geriatric condition. JAGS. 2006;54:1920–32.

    CrossRef  Google Scholar 

  • Yalla SV, Sullivan MP, Resnick NM. Update on detrusor hyperactivity with impaired contractility. Curr Bladder Dysfunct Rep. 2007;2:191–6.

    CrossRef  Google Scholar 

Mobility/Access Issues in Management of Urinary Incontinence in the Elderly

  • Brown JS, Vittinghoff E, Wyman JF, Stone KL, Nevitt MC, Ensrud KE, et al. Urinary incontinence: does it increase risk of falls and fractures? Study of Osteoporotic Fractures Research Group. J Am Geriatr Soc. 2000;48(7):721–5.

    PubMed  CAS  Google Scholar 

  • Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials. BMJ. 2004;328(7441):680.

    PubMed  CrossRef  Google Scholar 

  • Ostaszkiewicz J, Johnston L, Roe B. Habit retraining for the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;CD002801

    Google Scholar 

Continence Appliances

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Lewis Chan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Bacsu, C., Ahmad, L., So, K., Perkins, J., Chan, L., Chan, L. (2013). The Older Patient. In: Chan, L., Tse, V. (eds) Multidisciplinary Care of Urinary Incontinence. Springer, London.

Download citation

  • DOI:

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2771-0

  • Online ISBN: 978-1-4471-2772-7

  • eBook Packages: MedicineMedicine (R0)