title: [Geriatric urology -- incontinence in the elderly].
abstract: Urinary incontinence is a major problem in elderly patients. Severe underreporting of symptoms in combination with a reluctance of health professionals to ask about continence problems lead to a relevant illness burden. Individual psychological distress and reduction in self-perceived quality of life ending in social isolation cause significant subsequent morbidity. Therefore active case finding for continence-problems is an important obligation for health care providers, since effective pharmacological, non-pharmacological and surgical treatment-options are available. A combination of different therapeutic modalities often leads to an appreciable improvement of the symptoms, and sometimes a cure even in old patients. Therapeutic options and prognosis of different treatment approaches should be discussed in an unbiased manner with patients.
authors.affiliation: Klinik für Altersmedizin und Frührehabilitation, Ruhr-Universität Bochum, Marienhospital Herne, Herne. christoph.friedrich@ruhr-uni-bochum.de
authors.forename: C
authors.initials: C
authors.lastname: Friedrich
authors.forename: L
authors.initials: L
authors.lastname: Pientka
authors.forename: J
authors.initials: J
authors.lastname: Pannek
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D004599:Electric Stimulation Therapy; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D017698:Postmenopause; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D012189:Retrospective Studies; D012737:Sex Factors; D012934:Social Isolation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology / Q000601:surgery / Q000628:therapy; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology / Q000523:psychology / Q000601:surgery
chemical_list: D004967:Estrogens