Nonsurgical Treatment of Urinary Incontinence in Elderly Women

被引:20
作者
Parker, William P. [1 ]
Griebling, Tomas Lindor [1 ]
机构
[1] Univ Kansas, Sch Med, Landon Ctr Aging, Dept Urol, Kansas City, KS 66160 USA
关键词
Urinary incontinence; Geriatrics; Elderly women; Nonsurgical; Treatments; RANDOMIZED CONTROLLED-TRIAL; PELVIC FLOOR EXERCISES; LIFE-STYLE FACTORS; MIDDLE-AGED WOMEN; OVERACTIVE BLADDER; STRESS-INCONTINENCE; TRANSDERMAL OXYBUTYNIN; URGE INCONTINENCE; EXTENDED-RELEASE; OLDER WOMEN;
D O I
10.1016/j.cger.2015.07.003
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Urinary incontinence is a prevalent condition in elderly women with significant associated morbidity. Incontinence can by grouped into several types: stress incontinence, urgency incontinence, overflow incontinence, functional incontinence, and mixed urinary incontinence. Careful evaluation, including history and physical examination, is critical to making the correct diagnosis and guiding therapy. A variety of nonsurgical treatments, including behavioral therapies, pelvic floor muscle exercise, medications, and other treatments, are available; can be successful for many older women; and may preclude the need for surgery. Working closely with the patient, understanding her goals of care, and targeting treatments accordingly are essential for success.
引用
收藏
页码:471 / +
页数:16
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