Urinary incontinence in frail elderly persons: Report from the 5th International Consultation on Incontinence.
BACKGROUND
Evidence based guidelines for the management of frail older persons with urinary incontinence are rare. Those produced by the International Consultation on Incontinence represent an authoritative set of recommendations spanning all aspects of management.


OBJECTIVE
To update the recommendations of the 4th ICI.


METHODS
A series of systematic reviews and evidence updates were performed by members of the working group in order to update the 2009 recommendations. The resulting guidelines were presented at the 2012 meeting of the European Associatioon of Urology.


RESULTS
Along with the revision of the treatment algorithm and accompanying text. There have been significant advances in several areas including pharmacological treatment of overactive bladder.


CONCLUSIONS
The committee continue to notes the relative paucity of data concerning frail older persons and draw attention to knowledge gaps in this area.
University of Alberta, Edmonton, Alberta, Canada.
Adrian
A
Wagg
Division of Geriatric Medicine, University of Alberta, Edmonton, Alberta, Canada.
William
W
Gibson
Deakin University, Melbourne, Australia.
Joan
J
Ostaszkiewicz
Emory University, Atlanta, Georgia.
Theodore
T
Johnson
Geriatric Medicine, University of Birmingham Center for Aging, Birmingham, Alabama.
Alayne
A
Markland
The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Mary H
MH
Palmer
Division of Geriatrics, University of Connecticut Health Center, Farmington, Connecticut.
George
G
Kuchel
Royal Prince Alfred Hospital Balmain, NSW, Australia.
George
G
Szonyi
Department of Neuro-Urology, University Hospital Bonn, Bonn, Germany.
Ruth
http://orcid.org/0000-0002-2960-9931
R
Kirschner-Hermanns
D000368:Aged; D000369:Aged, 80 and over; D003226:Congresses as Topic; D019468:Disease Management; D016330:Frail Elderly; D006801:Humans; D008019:Life Style; D017410:Practice Guidelines as Topic; D053201:Urinary Bladder, Overactive / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000628:therapy*; D053202:Urinary Incontinence, Urge / Q000628:therapy*; D016055:Urinary Retention / Q000628:therapy*; D064804:Urological Agents / Q000627:therapeutic use*
D064804:Urological Agents
behavioral management; frail older persons; older people; overactive bladder; stress urinary incontinence; urinary incontinence; urinary retention