[Urinary incontinence in the elderly. 1: Forms of urinary incontinence--basic diagnosis--additional diagnosis].
Every geriatric patient should routinely be questioned about possible urinary incontinence. The basic diagnostic work-up comprises the clinical history, wherever indicated a geriatric assessment, a nursing care history, a physical examination and a micturition protocol. Furthermore, determination of postvoid residual urine, laboratory investigations and a urine-analysis should be done in all patients. Ultrasonography of the urinary tract is a simple non-invasive procedure that can exclude the presence of large tumors, stones in the bladder and urinary retention. Only selected patients require a greater diagnostic effort prior to treatment, for example, urologic and/or gynecologic investigations or a urodynamic evaluation.
Modell-projekt der Robert-Bosch-Stiftung: Kontinenzberatungsstelle am Bethanien-Krankenhaus, Heidelberg.
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Pfisterer
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Kuno
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Müller
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Oster
D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D010348:Patient Care Team; D014549:Urinary Incontinence / Q000145:classification / Q000175:diagnosis / Q000209:etiology*