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Urinary Incontinence Among Older Adults

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New Directions in Geriatric Medicine

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Abstract

Urinary incontinence is common among older adults in both community and institutional settings. Less than half of older adults with urinary incontinence bring up this problem to their provider. Understanding the urinary and non-urinary causes of incontinence, as well as the appropriate screening and evaluation processes, will help clinicians provide optimal care to their patients. This chapter reviews the evidence-based treatment options available, both non-pharmacologic and pharmacologic. While many patients with urinary incontinence are treated by their primary care provider, recommendations are provided for when patients with urinary incontinence would benefit from referrals to specialists and an overview of anticipated specialist treatments.

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References

  1. Lakhan P, Jones M, Wilson A, Courtney M, Hirdes J, Gray LC. A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals. J Am Geriatr Soc. 2011;59(11):2001–8.

    Article  PubMed  Google Scholar 

  2. Buckley BS, Lapitan MC, Epidemiology Committee of the Fourth International Consultation on Incontinence, Paris, 2008. Prevalence of urinary incontinence in men, women, and children–current evidence: findings of the fourth international consultation on incontinence. Urology. 2010;76(2):265–70.

    Article  PubMed  Google Scholar 

  3. Offermans MP, Du Moulin MF, Hamers JP, Dassen T, Halfens RJ. Prevalence of urinary incontinence and associated risk factors in nursing home residents: a systematic review. Neurourol Urodyn. 2009;28(4):288–94.

    Article  PubMed  Google Scholar 

  4. Bogner HR, Gallo JJ, Sammel MD, Ford DE, Armenian HK, Eaton WW. Urinary incontinence and psychological distress in community-dwelling older adults. J Am Geriatr Soc. 2002;50(3):489–95.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Fultz NH, Fisher GG, Jenkins KR. Does urinary incontinence affect middle-aged and older women’s time use and activity patterns? Obstet Gynecol. 2004;104(6):1327–34.

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  7. Langa KM, Fultz NH, Saint S, Kabeto MU, Herzog AR. Informal caregiving time and costs for urinary incontinence in older individuals in the United States. J Am Geriatr Soc. 2002;50(4):733–7.

    Article  PubMed  Google Scholar 

  8. Thom DH, Haan MN, Van Den Eeden SK. Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing. 1997;26(5):367–74.

    Article  CAS  PubMed  Google Scholar 

  9. Trowbridge ER, Wei JT, Fenner DE, Ashton-Miller JA, Delancey JO. Effects of aging on lower urinary tract and pelvic floor function in nulliparous women. Obstet Gynecol. 2007;109(3):715–20.

    Article  PubMed  Google Scholar 

  10. Perucchini D, DeLancey JO, Ashton-Miller JA, Galecki A, Schaer GN. Age effects on urethral striated muscle. II. Anatomic location of muscle loss. Am J Obstet Gynecol. 2002;186(3):356–60.

    Article  PubMed  Google Scholar 

  11. Perucchini D, DeLancey JO, Ashton-Miller JA, Peschers U, Kataria T. Age effects on urethral striated muscle. I. Changes in number and diameter of striated muscle fibers in the ventral urethra. Am J Obstet Gynecol. 2002;186(3):351–5.

    Article  PubMed  Google Scholar 

  12. Tinelli A, Malvasi A, Rahimi S, et al. Age-related pelvic floor modifications and prolapse risk factors in postmenopausal women. Menopause. 2010;17(1):204–12.

    Article  PubMed  Google Scholar 

  13. Gibbs CF, Johnson 2nd TM, Ouslander JG. Office management of geriatric urinary incontinence. Am J Med. 2007;120(3):211–20.

    Article  PubMed  Google Scholar 

  14. Johnson TM, Ouslander JG. Incontinence. In: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S, editors. Hazzard’s geriatric medicine and gerontology, 6e. 6th ed. New York: McGraw-Hill; 2009.

    Google Scholar 

  15. Williams M, Pannill F. Urinary incontinence in the elderly. Ann Intern Med. 1982;97:895–907.

    Article  CAS  PubMed  Google Scholar 

  16. Nygaard I. Clinical practice. Idiopathic urgency urinary incontinence. N Engl J Med. 2010;363(12):1156–62.

    Article  CAS  PubMed  Google Scholar 

  17. Yoshida M, Miyamae K, Iwashita H, Otani M, Inadome A. Management of detrusor dysfunction in the elderly: changes in acetylcholine and adenosine triphosphate release during aging. Urology. 2004;63(3 Suppl 1):17–23.

    Article  PubMed  Google Scholar 

  18. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37–49.

    Article  PubMed  Google Scholar 

  19. Griebling TL. Overactive bladder in elderly men: epidemiology, evaluation, clinical effects, and management. Curr Urol Rep. 2013;14(5):418–25.

    Article  PubMed  Google Scholar 

  20. Resnick NM, Yalla SV. Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients. JAMA. 1987;257(22):3076–81.

    Article  CAS  PubMed  Google Scholar 

  21. Taylor 3rd JA, Kuchel GA. Detrusor underactivity: clinical features and pathogenesis of an underdiagnosed geriatric condition. J Am Geriatr Soc. 2006;54(12):1920–32.

    Article  PubMed  Google Scholar 

  22. Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008;299(12):1446–56.

    Article  CAS  PubMed  Google Scholar 

  23. Melville JL, Katon W, Delaney K, Newton K. Urinary incontinence in US women: a population-based study. Arch Intern Med. 2005;165(5):537–42.

    Article  PubMed  Google Scholar 

  24. Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50(6):1306–14. discussion 1314-5.

    Article  PubMed  Google Scholar 

  25. Miyazato M, Yoshimura N, Chancellor MB. The other bladder syndrome: underactive bladder. Rev Urol. 2013;15(1):11–22.

    PubMed  PubMed Central  Google Scholar 

  26. McVary KT, Roehrborn CG, Avins AL, et al. American Urological Association Guideline: Management of Benign Prostatic Hyperplasia (BPH). American Urological Association Education and Research, Inc. 2010. Retrieved from. http://www.auanet.org/education/guidelines/benign-prostatic-hyperplasia.cfm. Accessed 15 Feb 2016.

  27. Gammack JK. Urinary incontinence. In: Williams BA, Chang A, Ahalt C, et al., editors. Current diagnosis & treatment: geriatrics, 2e. New York: McGraw-Hill Education; 2014.

    Google Scholar 

  28. Tarnay CM. Chapter 42. Urinary incontinence & pelvic floor disorders. In: DeCherney AH, Nathan L, Laufer N, Roman AS, editors. CURRENT diagnosis & treatment: obstetrics & gynecology, 11e. New York: The McGraw-Hill Companies; 2013.

    Google Scholar 

  29. Minassian VA, Stewart WF, Wood GC. Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol. 2008;111(2 Pt 1):324–31.

    Article  PubMed  Google Scholar 

  30. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S, Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7.

    Article  CAS  PubMed  Google Scholar 

  31. Jeong SJ, Kim HJ, Lee YJ, et al. Prevalence and clinical features of detrusor underactivity among elderly with lower urinary tract symptoms: a comparison between men and women. Korean J Urol. 2012;53(5):342–8.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Davis NJ, Vaughan CP, Johnson 2nd TM, et al. Caffeine intake and its association with urinary incontinence in United States men: results from National Health and Nutrition Examination Surveys 2005-2006 and 2007-2008. J Urol. 2013;189(6):2170–4.

    Article  CAS  PubMed  Google Scholar 

  33. Resnick NM. Urinary incontinence in the elderly. Med Grand Rounds. 1984;3:281–90.

    Google Scholar 

  34. DuBeau CE. Beyond the bladder: management of urinary incontinence in older women. Clin Obstet Gynecol. 2007;50(3):720–34.

    Article  PubMed  Google Scholar 

  35. Harper GM, Johnston CB, Landefeld CS. Geriatric disorders. In: Papadakis MA, McPhee SJ, Rabow MW, editors. Current medical diagnosis & treatment 2015. New York: McGraw-Hill Education; 2014.

    Google Scholar 

  36. Perry S, McGrother CW, Turner K, Leicestershire MRC Incontinence Study Group. An investigation of the relationship between anxiety and depression and urge incontinence in women: development of a psychological model. Br J Health Psychol. 2006;11(Pt 3):463–82.

    Article  PubMed  Google Scholar 

  37. Lim JR, Bak CW, Lee JB. Comparison of anxiety between patients with mixed incontinence and those with stress urinary incontinence. Scand J Urol Nephrol. 2007;41(5):403–6.

    Article  PubMed  Google Scholar 

  38. American Urological Association. Urinary incontinence medical student curriculum. 2012. Retrieved from http://www.auanet.org/education/urinary-incontinence.cfm. Accessed 15 Feb 2016.

  39. Goode PS, Burgio KL, Richter HE, Markland AD. Incontinence in older women. JAMA. 2010;303(21):2172–81.

    Article  CAS  PubMed  Google Scholar 

  40. Harris SS, Link CL, Tennstedt SL, Kusek JW, McKinlay JB. Care seeking and treatment for urinary incontinence in a diverse population. J Urol. 2007;177(2):680–4.

    Article  PubMed  Google Scholar 

  41. Agency for Healthcare Research and Quality (AHRQ). Management of urinary incontinence in older adults: the percentage of Medicare members 65 years of age and older who reported having urine leakage in the past six months and who discussed their urinary leakage problem with a health care provider. National Quality Measures Clearinghouse Measure Summary. 2015. Retrieved from https://www.qualitymeasures.ahrq.gov/content.aspx?id=48666. Accessed 15 Feb 2016.

  42. National Committee for Quality Assurance. Specifications for the medicare health outcomes survey volume 6. Healthcare Effectiveness Data and Information Set (HEDIS). 2015; 29–31. Retrieved from http://www.hosonline.org/globalassets/hos-online/publications/hos_hedis_volume6_2015.pdf. Accessed 15 Feb 2016.

  43. McGee S. Simplifying likelihood ratios. J Gen Intern Med. 2002;17(8):646–9.

    Article  PubMed  Google Scholar 

  44. Hoffman BL, Schorge JO, Schaffer JI, et al. Chapter 23. Urinary incontinence. In: Williams gynecology, 2e. New York: The McGraw-Hill Companies; 2012.

    Google Scholar 

  45. Brown JS, Bradley CS, Subak LL, et al. The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence. Ann Intern Med. 2006;144(10):715–23.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Suskind AM, Dunn RL, Morgan DM, DeLancey JO, McGuire EJ, Wei JT. The Michigan Incontinence Symptom Index (M-ISI): a clinical measure for type, severity, and bother related to urinary incontinence. Neurourol Urodyn. 2014;33(7):1128–34.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Suskind AM, Dunn RL, Morgan DM, DeLancey JO, Rew KT, Wei JT. A screening tool for clinically relevant urinary incontinence. Neurourol Urodyn. 2015;34(4):332–5.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Bates CK, Carroll N, Potter J. The challenging pelvic examination. J Gen Intern Med. 2011;26(6):651–7.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Nager CW, Kraus SR, Kenton K, et al. Urodynamics, the supine empty bladder stress test, and incontinence severity. Neurourol Urodyn. 2010;29(7):1306–11.

    Article  PubMed  Google Scholar 

  50. Abrams P, Andersson KE, Birder L, et al. In: Recommendation of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. 5th-9th July 2008, 2009. 1767–1820

    Google Scholar 

  51. Burden H, Warren K, Abrams P. Diagnosis of male incontinence. Curr Opin Urol. 2013;23(6):509–14.

    Article  PubMed  Google Scholar 

  52. Huang AJ, Brown JS, Boyko EJ, et al. Clinical significance of postvoid residual volume in older ambulatory women. J Am Geriatr Soc. 2011;59(8):1452–8.

    Article  PubMed  Google Scholar 

  53. Fung CH, Spencer B, Eslami M, Crandall C. Quality indicators for the screening and care of urinary incontinence in vulnerable elders. J Am Geriatr Soc. 2007;55 Suppl 2:S443–9.

    Article  PubMed  Google Scholar 

  54. Goode PS, Burgio KL, Locher JL, et al. Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women: a randomized controlled trial. JAMA. 2003;290(3):345–52.

    Article  PubMed  Google Scholar 

  55. Jura YH, Townsend MK, Curhan GC, Resnick NM, Grodstein F. Caffeine intake, and the risk of stress, urgency and mixed urinary incontinence. J Urol. 2011;185(5):1775–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Gleason JL, Richter HE, Redden DT, Goode PS, Burgio KL, Markland AD. Caffeine and urinary incontinence in US women. Int Urogynecol J. 2013;24(2):295–302.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Hay-Smith J, Berghmans B, Burgio K, et al. Adult conservative management. In: Proceedings of the 4th international consultation on incontinence. 2009. 1025–1120

    Google Scholar 

  58. Dumoulin C, Hunter KF, Moore K, et al. Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: summary of the 5th international consultation on incontinence. Neurourol Urodyn. 2014. doi:10.1002/nau.22677.

    Google Scholar 

  59. Wing RR, Creasman JM, West DS, et al. Improving urinary incontinence in overweight and obese women through modest weight loss. Obstet Gynecol. 2010;116(2 Pt 1):284–92.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Subak LL, King WC, Belle SH, et al. Urinary incontinence before and after bariatric surgery. JAMA Intern Med. 2015;175:1378–87.

    Article  PubMed  Google Scholar 

  61. Subak LL, Wing R, West DS, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med. 2009;360(5):481–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Johnson TM, Ouslander JG, Uman GC, Schnelle JF. Urinary incontinence treatment preferences in long-term care. J Am Geriatr Soc. 2001;49(6):710–8.

    Article  CAS  PubMed  Google Scholar 

  63. Pfisterer MH, Johnson 2nd TM, Jenetzky E, Hauer K, Oster P. 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(12):2016–22.

    Article  PubMed  Google Scholar 

  64. Fader M, Cottenden AM, Getliffe K. Absorbent products for moderate-heavy urinary and/or faecal incontinence in women and men. Cochrane Database Syst Rev. 2008;4:CD007408. doi:10.1002/14651858.CD007408.

  65. Gray M. Incontinence-related skin damage: essential knowledge. Ostomy Wound Manage. 2007;53(12):28–32.

    PubMed  Google Scholar 

  66. Wagg A, Gibson W, Ostaszkiewicz J, et al. Urinary incontinence in frail elderly persons: report from the 5th international consultation on incontinence. Neurourol Urodyn. 2014;34:398–406.

    Article  PubMed  Google Scholar 

  67. Eustice S, Roe B, Patterson J. Prompted voiding for the management of urinary incontinence in adults. Cochrane Database Syst Rev.2000;(2): CD002113.

    Google Scholar 

  68. DuBeau CE, Kuchel GA, Johnson 2nd T, Palmer MH, Wagg A. Incontinence in the frail elderly: report from the 4th international consultation on incontinence. Neurourol Urodyn. 2010;29(1):165–78.

    Article  PubMed  Google Scholar 

  69. Ostaszkiewicz J, Johnston L, Roe B. Habit retraining for the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;(2):CD002801.

    Google Scholar 

  70. Ostaszkiewicz J, Johnston L, Roe B. Timed voiding for the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;(1):CD002802.

    Google Scholar 

  71. Fink HA, Taylor BC, Tacklind JW, Rutks IR, Wilt TJ. Treatment interventions in nursing home residents with urinary incontinence: a systematic review of randomized trials. Mayo Clin Proc. 2008;83(12):1332–43.

    Article  PubMed  Google Scholar 

  72. Ouslander JG, Griffiths PC, McConnell E, Riolo L, Kutner M, Schnelle J. Functional incidental training: a randomized, controlled, crossover trial in Veterans Affairs nursing homes. J Am Geriatr Soc. 2005;53(7):1091–100.

    Article  PubMed  Google Scholar 

  73. Holroyd-Leduc JM, Straus SE. Management of urinary incontinence in women: scientific review. JAMA. 2004;291(8):986–95.

    Article  CAS  PubMed  Google Scholar 

  74. Hay-Smith EJ, Herderschee R, Dumoulin C, et al. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011;12:CD009508. doi:10.1002/14651858.CD009508.

  75. Qaseem A, Dallas P, Forciea MA, et al. Nonsurgical management of urinary incontinence in women: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014;161(6):429–40.

    Article  PubMed  Google Scholar 

  76. Nygaard IE, Kreder KJ, Lepic MM, Fountain KA, Rhomberg AT. Efficacy of pelvic floor muscle exercises in women with stress, urge, and mixed urinary incontinence. Obstet Gynecol. 1996;174(1):120–5.

    CAS  Google Scholar 

  77. Herderschee R, Hay-Smith EJ, Herbison GP, et al. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011;7:CD009252. doi:10.1002/14651858.CD009252.

  78. Herbison GP, Dean N. Weighted vaginal cones for urinary incontinence. Cochrane Database Syst Rev. 2013;7:CD002114. doi:10.1002/14651858.CD002114.pub2.

  79. Dumoulin C, Hay-Smith EJ, Mac Habée-Séguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2014;5:CD005654. doi:10.1002/14651858.CD005654.pub3.

  80. Dumoulin C, Hay-Smith J, Habee-Seguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version cochrane systematic review with meta-analysis. Neurourol Urodyn. 2015;34(4):300–8.

    Article  PubMed  Google Scholar 

  81. Anderson CA, Omar MI, Campbell SE, et al. Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev. 2015;1:CD001843. doi: 10.1002/14651858.CD001843.pub5.

  82. Berghmans B, Hendriks E, Bernards A, et al. Electrical stimulation with non-implanted electrodes for urinary incontinence in men. Cochrane Database Syst Rev. 2013;6:CD001202. doi:10.1002/14651858.CD001202.pub5.

  83. Ayeleke RO, Hay-Smith EJ, Omar MI. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database Syst Rev. 2015;11:CD010551. doi:10.1002/14651858.CD010551.pub3.

  84. Hollingsworth JM, Wilt TJ. Lower urinary tract symptoms in men. BMJ. 2014;349:g4474.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Macdiarmid SA. Concomitant medications and possible side effects of antimuscarinic agents. Rev Urol. 2008;10(2):92–8.

    PubMed  PubMed Central  Google Scholar 

  86. Chughtai B, Levin R, De E. Choice of antimuscarinic agents for overactive bladder in the older patient: focus on darifenacin. Clin Interv Aging. 2008;3(3):503–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  87. Hesch K. Agents for treatment of overactive bladder: a therapeutic class review. Proc (Baylor Univ Med Cent). 2007;20(3):307–14.

    Google Scholar 

  88. Samuelsson E, Odeberg J, Stenzelius K, et al. Effect of pharmacological treatment for urinary incontinence in the elderly and frail elderly: a systematic review. Geriatr Gerontol Int. 2015;15(5):521–34.

    Article  PubMed  Google Scholar 

  89. Shamliyan T, Wyman J, Kane RL. Nonsurgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness. Rockville: Agency for Healthcare Research and Quality (US); 2012. Report No.: 11(12)-EHC074-EF.

    Google Scholar 

  90. Martin-Merino E, Garcia-Rodriguez LA, Masso-Gonzalez EL, Roehrborn CG. Do oral antimuscarinic drugs carry an increased risk of acute urinary retention? J Urol. 2009;182(4):1442–8.

    Article  PubMed  Google Scholar 

  91. Fullhase C, Chapple C, Cornu JN, et al. Systematic review of combination drug therapy for non-neurogenic male lower urinary tract symptoms. Eur Urol. 2013;64(2):228–43.

    Article  PubMed  Google Scholar 

  92. Pagoria D, O’Connor RC, Guralnick ML. Antimuscarinic drugs: review of the cognitive impact when used to treat overactive bladder in elderly patients. Curr Urol Rep. 2011;12(5):351–7.

    Article  PubMed  Google Scholar 

  93. Gray SL, Anderson ML, Dublin S, et al. Cumulative use of strong anticholinergics and incident dementia: a prospective cohort study. JAMA Intern Med. 2015;175(3):401–7.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Myrbetriq- Food and Drug Administration. 2012 highlights of prescribing information. http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/202611s000lbl.pdf. Accessed 26 April 2015.

  95. van Kerrebroeck P, Chapple C, Drogendijk T, et al. Combination therapy with solifenacin and tamsulosin oral controlled absorption system in a single tablet for lower urinary tract symptoms in men: efficacy and safety results from the randomised controlled NEPTUNE trial. Eur Urol. 2013;64(6):1003–12.

    Article  PubMed  Google Scholar 

  96. Miller JM, Ashton-Miller JA, DeLancey JO. A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI. J Am Geriatr Soc. 1998;46(7):870–4.

    Article  CAS  PubMed  Google Scholar 

  97. Friedman B. Conservative treatment for female stress urinary incontinence: simple, reasonable and safe. Can Urol Assoc J. 2012;6(1):61–3.

    PubMed  PubMed Central  Google Scholar 

  98. Rogers RG. Clinical practice. Urinary stress incontinence in women. N Engl J Med. 2008;358(10):1029–36.

    Article  CAS  PubMed  Google Scholar 

  99. Lipp A, Shaw C, Glavind K. Mechanical devices for urinary incontinence in women. Cochrane Database Syst Rev. 2014;(12):CD001756.

    Google Scholar 

  100. Suckling J, Lethaby A, Kennedy R. Local oestrogen for vaginal atrophy in postmenopausal women. Cochrane Database Syst Rev. 2006;(4):CD001500.

    Google Scholar 

  101. Lee YK, Chung HH, Kim JW, Park NH, Song YS, Kang SB. Vaginal pH-balanced gel for the control of atrophic vaginitis among breast cancer survivors: a randomized controlled trial. Obstet Gynecol. 2011;117(4):922–7.

    Article  PubMed  Google Scholar 

  102. Abrams P, Andersson KE, Birder L, et al. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213–40.

    Article  CAS  PubMed  Google Scholar 

  103. Wood LN, Anger JT. Urinary incontinence in women. BMJ. 2014;349:g4531.

    Article  PubMed  Google Scholar 

  104. Amundsen CL, Webster GD. Sacral neuromodulation in an older, urge-incontinent population. Am J Obstet Gynecol. 2002;187(6):1462–5. discussion 1465.

    Article  PubMed  Google Scholar 

  105. Cornu JN, Peyrat L, Haab F. Update in management of male urinary incontinence: injectables, balloons, minimally invasive approaches. Curr Opin Urol. 2013;23(6):536–9.

    Article  PubMed  Google Scholar 

  106. Garely AD, Noor N. Diagnosis and surgical treatment of stress urinary incontinence. Obstet Gynecol. 2014;124(5):1011–27.

    Article  PubMed  Google Scholar 

  107. Herschorn S, Steele DJ, Radomski SB. Followup of intraurethral collagen for female stress urinary incontinence. J Urol. 1996;156(4):1305–9.

    Article  CAS  PubMed  Google Scholar 

  108. Kirchin V, Page T, Keegan PE, Atiemo K, et al. Urethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev. 2012;2:CD003881. doi:10.1002/14651858.CD003881.pub3.

  109. Lapitan MC, Cody JD. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev. 2012;(6):CD002912.

    Google Scholar 

  110. The James Buchanan Brady Urological Institute, The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System therapy for stress incontinence. http://urology.jhu.edu/incontinence/stress_incontinence.php. Accessed 21 May 2015.

  111. James MH, McCammon KA. Artificial urinary sphincter for post-prostatectomy incontinence: a review. Int J Urol. 2014;21(6):536–43.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Geriatrics, Department of Medicine, San Francisco Veterans Affairs Medical Center;, University of California, San Francisco, 4150 Clement Street, Box 181G, San Francisco, CA, 94121, USA

    Amy Hsu

  2. Department of Urology, University of California, San Francisco, 400 Parnassus, Box 0738, San Francisco, CA, 94123, USA

    Anne M. Suskind

  3. Department of Medicine, University of California, San Francisco, 1545 Divisadero Street, Box 0320, San Francisco, CA, 94115-1732, USA

    Alison J. Huang

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  1. 10th Fl, CHICAGO, Illinois, USA

    Lee Ann Lindquist

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Hsu, A., Suskind, A.M., Huang, A.J. (2016). Urinary Incontinence Among Older Adults. In: Lindquist, L. (eds) New Directions in Geriatric Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-28137-7_4

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  • DOI: https://doi.org/10.1007/978-3-319-28137-7_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28135-3

  • Online ISBN: 978-3-319-28137-7

  • eBook Packages: MedicineMedicine (R0)

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