title: New horizons: urinary incontinence in older people.
abstract: Urinary incontinence is a common complaint in older people, and is associated with significant impact on the individual, their carers and the wider healthcare system. As the numbers of frail elderly people increase, so will the burden of incontinence. This review examines recent developments in research into the aetiology, physiology, pathology and treatment of urinary incontinence and lower urinary tract symptoms in older people, and explores potential future developments which might reduce or ameliorate both urinary incontinence and its effects on frail older people. These include increasing understanding of the importance of central control of continence, the role of the urothelium as a sensory organ, novel targets for pharmacological treatments and surgical and invasive interventions.
authors: Division of Geriatric Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors: William
authors: W
authors: Gibson
authors: Adrian
authors: A
authors: Wagg
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D005260:Female; D016330:Frail Elderly; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000187:drug effects* / Q000294:innervation / Q000601:surgery*; D053201:Urinary Bladder, Overactive / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D014549:Urinary Incontinence / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics / Q000187:drug effects; D013520:Urologic Surgical Procedures; D064804:Urological Agents / Q000627:therapeutic use*; D019459:Urothelium / Q000187:drug effects / Q000294:innervation / Q000601:surgery
chemical_list: D064804:Urological Agents
keywords: ageing; frailty; old age; over active bladder; urinary incontinence