[Urinary incontinence in the elderly: clinical and urodynamic review of 195 cases].
One hundred ninety-five male and female patients over 65 years old presenting with urinary incontinence were evaluated by clinical and urodynamics. Urinary incontinence was in the form of urgency-incontinence in 68% of the cases, incontinence at cough in 26%, and urinary incontinence which the patient referred to no specific situation in 6%. Among the different urodynamics data, bladder instability was the most common (73%). Urinary stress incontinence was observed in 35% of the cases. Bladder instability was demonstrated in 77% of the cases with urgency-incontinence and in 69% of the cases with incontinence not referred to a specific situation. All the male patients with lower urinary tract obstruction had urgency-incontinence. Stress incontinence was demonstrated in 60% of the cases with incontinence at cough. Stress incontinence was not observed in male patients without associated diseases. The associated neurological disorder was accompanied by bladder hyperreflexia in 90% of the cases. A prior adenomectomy or hysterectomy was associated with a greater number of cases with stress urinary incontinence, accounting for 62% in both males and females.
Salinas Sánchez
J
J
Servicio de Urología, Hospital Clínico de San Carlos, Universidad Complutense, Madrid, España.
Virseda
M
M
Verdejo
C
C
Gil
P
P
Cruz
A
A
Prieto
L
L
Paez
A
A
Ribera
J M
JM
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D012737:Sex Factors; D014549:Urinary Incontinence / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology*; D014563:Urodynamics
Incontinencia urinaria en el anciano: revisión clínica y urodinámica de 195 casos.