title: [Geriatric urology: special features of palliative long-term urinary bladder drainage in the context of the Geriatric I's].
abstract: In situations at the interface of urology and geriatric medicine the palliative management of geriatric patients with urinary incontinence of voiding dysfunction occupies a central position. Influencing factors that need to be considered by the surgically active urologist are not only the high age and the thus associated vulnerability of the geriatric patient but also other aspects such as the patient's wishes, the expectations of care-giving relatives and the sexual situation. In this light a strict and individually adapted indication for placing a palliative indwelling catheter is mandatory. First of all, all other treatment options should be explored, for the placement itself particularly sparing and low-risk procedures such as suprapubic catheter placement in nephrostomy technique should be employed. After placement of the catheter special attention must be paid to the hygienic care of the deviation in order to avoid complications and subsequent diseases.
authors.affiliation: Urologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Witten, Germany. awiedemann@diakonie-ruhr.de
authors.forename: A
authors.initials: A
authors.lastname: Wiedemann
authors.forename: I
authors.initials: I
authors.lastname: Füsgen
mesh_terms: D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects; D015897:Comorbidity; D003299:Cooperative Behavior; D003559:Cystostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D004868:Equipment Failure; D006801:Humans; D033183:Interdisciplinary Communication; D008134:Long-Term Care; D008297:Male; D010166:Palliative Care; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011470:Prostatic Hyperplasia / Q000150:complications; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D014549:Urinary Incontinence / Q000628:therapy*