Beyond the Bladder: Management of Urinary Incontinence in Older Women

2007 ◽  
Vol 50 (3) ◽  
pp. 720-734 ◽  
Author(s):  
CATHERINE E. DuBEAU
2021 ◽  
Vol 14 (2) ◽  
pp. 169-175
Author(s):  
Tomasz Wiatr ◽  
Piotr Chłosta

Urinary incontinence urinary incontinence is common among women and contributes to decreased quality of life. Several effective treatment options are available for the most common types of urinary incontinence (stress, urge, and mixed), including lifestyle modification and behavioral technique, drug therapy, and minimally invasive procedures. Most women improve with treatment, and urinary incontinence is not an inevitable part of aging. To maximize the opportunity for successful treatment, it is essential to align the therapeutic approach with patient goals and expectations for care, including an assessment of patient-driven priorities regarding potential adverse effects, costs, and expected benefit of different treatment approaches. There are many unique challenges in treating an overactive bladder in older women, such as functional and cognitive impairment, multimorbidity, polypharmacy, and estrogen deficiency, all of which contribute to treating symptoms in older women. This review highlights the current understanding of age-related changes in bladder function and proposes specific clinical considerations for overactive bladder management specific to older women.


Author(s):  
Thais Sousa Rodrigues Guedes ◽  
Marcello Barbosa Otoni Gonçalves Guedes ◽  
Hévila Kilvia Miguel de Oliveira ◽  
Rodrigo Lopes Soares ◽  
Vitor Leandro da Cunha ◽  
...  

Low- and moderate-impact physical activity (PA) is associated with the prevention of urinary incontinence (UI). The objective of the cross-sectional study presented herein is to analyze the factors associated with UI in physically older active women who participate in senior community groups. The variable UI was measured by the International Consultation Incontinence Questionnaire Short Form (ICIQ-SF). Socioeconomic variables were also collected, along with data on life habits and clinical history. The multivariate analysis employed Poisson’s Regression with robust variance for factors associated with UI. Of the 106 participants evaluated, 54.7% presented UI, of which stress incontinence was more frequent, with 40.6%. UI presented a statistically significant association with dizziness/loss of balance during Activities of Daily Living (ADL) (prevalence ratio-PR 1.48; 95% CI 1.06–2.07) and nocturia (PR 1.63; 95% CI 1.05–2.55). Despite PA being a protection factor, UI presented an elevated prevalence in the older population, and therefore, other biological, social, and cultural aspects could also contribute to the occurrence of UI in this age group. Moreover, physically active older women with UI presented nocturia and dizziness/loss of balance during ADL, regardless of education levels and the number of births. These findings can help improve multi-professional programs aimed at promoting, preventing, and managing UI in the public.


2004 ◽  
Vol 171 (3) ◽  
pp. 1165-1171 ◽  
Author(s):  
ANANIAS C. DIOKNO ◽  
CAROLYN M. SAMPSELLE ◽  
A. REGULA HERZOG ◽  
T.E. RAGHUNATHAN ◽  
SANDRA HINES ◽  
...  

2021 ◽  
Vol 28 (1) ◽  
pp. 17-24
Author(s):  
Mariana Mihaĺová ◽  
Magdaléna Hagovská ◽  
Katarína Oravcová ◽  
Ján Švihra

2021 ◽  
Vol 23 (4) ◽  
pp. 1-4
Author(s):  
Mark Greener

Up to three-quarters of older women in residential care may have urinary incontinence, which increases their risk of numerous psychological and physical problems. Mark Greener recommends that care homes seek medical advice for people with suspected urinary incontinence, detailing the growing range of treatments to alleviate this distressing problem.


2021 ◽  
Vol 23 (3) ◽  
pp. 213-225
Author(s):  
Min Ryu ◽  
Haeyun Shin ◽  
Miseon Bang ◽  
Suhye Kwon

Purpose: The purpose of the study was to understand and describe the experiences of urinary incontinence in older women in urban areas.Methods: Data were collected through individual in-depth interviews of 8 older women with urinary incontinence in urban areas from September 2020 to March 2021. The transcribed data were analyzed using Colaizzi's phenomenological six-step method.Results: Four theme clusters emerged: Urinary incontinence as an uninvited visitor in old age; The heavy daily pain urinary incontinence causes; Self-help efforts to cope with urinary incontinence; and A mind to hold on to the present condition so as not to deteriorate.Conclusion: This study provided an in-depth understanding of older women’s experiences with urinary incontinence in urban areas. Based on the results of this study, efforts should be made to develop and provide emotional and psychological support and prevention education programs that can adequately support older women with urinary incontinence in urban areas.


2008 ◽  
Vol 56 (7) ◽  
pp. 1191-1198 ◽  
Author(s):  
Karen L. Lifford ◽  
Mary K. Townsend ◽  
Gary C. Curhan ◽  
Neil M. Resnick ◽  
Francine Grodstein

Sign in / Sign up

Export Citation Format

Share Document