[The value of a clinical test for the evaluation of bladder-sphincter function in the management of urinary disorders of the elderly].
The authors report the value of a clinical test for the evaluation of vesico-sphincteric function in the demonstration of urinary disorders in the elderly. This simple, inexpensive test which can be performed at the patient's bedside, was performed in 175 elderly patients with a mean age of 81.2 years, mostly suffering from urinary incontinence (66.2%) and mostly (80%) derived from intermediate and long-term geriatric units. The mechanisms most often detected was detrusor instability (41% of patients). Cystomanometric data, obtained in 80 patients, were analysed and compared retrospectively with the data of the test: they demonstrated a good correlation in terms of evaluation of detrusor stability. As part of the overall management, this test constitutes a real diagnostic tool available to nursing staff, particularly in geriatric institutions not equipped with more specialised investigations.
Combes
T
T
Service de Rééducation et Moyen Séjour, Hôpital Corentin-Celton, Issy-Les-Moulineaux.
Coulomb
Y
Y
Beguin
A M
AM
Samson
M
M
D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D011312:Pressure; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000503:physiopathology*; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000503:physiopathology; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology
Intérêt d'un test clinique d'évaluation de la fonction vésico-spinctérienne dans la prise en charge des troubles urinaires du sujet âgé.