title: [Urinary incontinence in the elderly: what can and should be done?].
abstract: The demographic development of society shows a clear increase in the elderly population in the coming decades, which will result in an increasing prevalence of urinary incontinence. Diagnosis and treatment of many patients is not carried out for a myriad of reasons and thus incontinence care is often inadequate. A detailed medical history is the basis of identification of the problem and underpins the effective diagnostic and therapeutic management of the problem. In this context, the algorithms based on the national and international guidelines and age-specific characteristics should be considered. The initial focus should be on conservative management. In a few cases of elderly patients, invasive diagnostics using urodynamics or cystoscopy might be indicated. The increased use of medication in the elderly both from an etiological and therapeutic point of view, especially in terms of drug/drug interactions requires special consideration. In particular cognitive impairment using pharmacological approaches should be avoided. Although incontinence surgery of the patient applies less often with increasing age it still plays a role in the appropriate selection of treatment.
authors: Klinik für Urologie, Universitätsklinikum Tübingen, Hoppe-Seyler-Straße 3, 72072 Tübingen, Deutschland.
authors: B
authors: B
authors: Amend
authors: S
authors: S
authors: Kruck
authors: J
authors: J
authors: Bedke
authors: R
authors: R
authors: Ritter
authors: L
authors: L
authors: Arenas da Silva
authors: C
authors: C
authors: Chapple
authors: A
authors: A
authors: Stenzl
authors: K-D
authors: KD
authors: Sievert
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D001905:Botulinum Toxins / Q000627:therapeutic use*; D018680:Cholinergic Antagonists / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking / Q000379:methods*; D010347:Patient Care Planning / Q000458:organization & administration*; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control*
chemical_list: D018680:Cholinergic Antagonists; D001905:Botulinum Toxins
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