A current perspective on geriatric lower urinary tract dysfunction

Jung, Ha Bum; Kim, Hyung Jee; Cho, Sung Tae

doi:10.4111/kju.2015.56.4.266

Cited by 40 publications

(21 citation statements)

References 81 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In health care, assessment of older women's overall health status is important, as PFDs are relatively common and there are various methods to prevent and treat them A C C E P T E D M A N U S C R I P T (Krhut et al 2017). In general, it is important to bear in mind that in older people, good functional ability also promotes continence and maintenance of good pelvic muscle tone (Gibson & Wagg 2014, Jung et al 2015.…”

Section: Resultsmentioning

confidence: 99%

Pelvic floor disorders and health-related quality of life in older women: Results from the Women’s Gynaecological Health study in Lieto, Finland

Eloranta

Rantanen

Kauppila

et al. 2019

Archives of Gerontology and Geriatrics

View full text Add to dashboard Cite

Objective: The aim of this study was to analyse the prevalence of pelvic floor disorders and to describe health-related quality of life(HRQoL)among older women. We also compared participants' HRQoL with the age-matched general female population and analysed factors associated with HRQoL.Study design: This is a population-based study of a cohort of women born in 1948 and in 1950 (n = 143) which is also part of the Women's Gynaecological Health study in Lieto, Finland. Methods: The data were collected by questionnaires which pertained to socio-demographics, healthrelated variables, pelvic floor disorders and HRQoL (15D). Linear model was conducted to estimate a model of factors that associated with HRQoL. Results: The prevalence of urinary incontinence, faecal incontinence and pelvic organ prolapse was 50%, 13% and 12%, respectively. The overall HRQoL score of the study cohort is broadly similar to that of the agematched general Finnish female population (mean±SD15D scores 0.905±0.084 vs 0.912±0.077). Higher number of medications was the most important explanatory factor for lower HRQoL. Conclusion: Urinary incontinence was common; however, the impact on HRQoL was minor. The overall HRQoL score of the study cohort was broadly similar to that of age-matched general female population. Women who used a higher number of medications had lower HRQoL compared to women who used fewer medications.

show abstract

Section: Resultsmentioning

confidence: 99%

Pelvic floor disorders and health-related quality of life in older women: Results from the Women’s Gynaecological Health study in Lieto, Finland

Eloranta

Rantanen

Kauppila

et al. 2019

Archives of Gerontology and Geriatrics

View full text Add to dashboard Cite

show abstract

“…[50] In addition, there was a higher possibility of urinary problems in patients with MS with a higher age. In this regard, the studies by Jung2015 and McGrother2006 suggested that age can determine numerous and various bladder dysfunctions [51,52] . Yet, Koldewijn1995 found that age is not an influencing factor on clinical or urodynamic profile [53] .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Quality of Life among Patients with Multiple Sclerosis and voiding dysfunction: A Cross-Sectional Study

Nazari

Shaygannejad²,

Sichani

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Evaluating the usefulness of treatment requires a direct measurement of the healthrelated quality of life (QOL). Therefore, this study was carried out aiming to determine the QOL of patients with MS and voiding dysfunction .Materials and Methods: This cross-sectional study was carried out using multi-stage random cluster sampling method on 602 patients with MS in Isfahan, Iran. All data were collected through interviews using standard questionnaires including International Prostate Symptom Score (IPSS), and the Multiple Sclerosis Quality of Life-54 (MSQOL-54). Data were analyzed using descriptive and inferential statistical tests.Results: The prevalence rate of mixed, irritative, and obstructive urinary symptoms was 52.2%, 25.5%, and 6.5%, respectively. The mixed symptom had the highest prevalence among men and women with rates of 56.5% and 51.1%, respectively. The prevalence of irritative and obstructive symptoms was, respectively, higher and statistically significant among women alone and men alone (P < 0.05). The prevalence of irritative symptoms was higher among patients with MS, EDSS score ≤ 3, disease duration of less than 5 years, and with clinically isolated syndrome. In addition, the prevalence of mixed symptoms was higher among patients with MS of over 30 years of age with a Pre-high school degree, severe disability, disease duration of over 10 years, and progressive MS; the difference was statistically significant (P < 0.05). There was a difference in the combined dimensions of physical and mental health of QOL between the two groups with and without urinary symptoms (P < 0.05). Logistic regression analysis revealed that there was a higher probability of a urinary problems among patients with MS and high age [3.273 (1.083-9.860); P = 0.035].Conclusions: Mixed urinary symptoms are highly prevalent among MS patients and affect QOL dimensions. In order to improve QOL, more attention and focus should be paid to urinary problems in MS patients.

show abstract

“…Firstly, urinary incontinence was too often managed using urological interventions. Current literature recommend that geriatric patients be treated using behavior modification or bladder relaxant medication [21011]. Special undergarments such as diapers are only useful for patients with refractory incontinence [12].…”

Section: Discussionmentioning

confidence: 99%

“…Dementia, stroke, cerebral infarction, and spinal disc herniation are common diagnoses in geriatric hospitals, and these conditions cause concomitant neurogenic bladder and other voiding difficulties [12]. In addition, most patients in geriatric hospitals have difficulty walking or are bedridden [3456], which also contributes to the prevalence of urologic diseases.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research

et al. 2017

View full text Add to dashboard Cite

PurposeWe aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea.Materials and MethodsQuestionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas.ResultsThe study was carried out from July to December 2014; 75.6% of patients (1,858/2,458) and 77.5% (779/1,031) of medical personnel responded to our survey. All surveys and interviews were performed by urology specialists, fellows, residents, or nurses. The hospitals included in the study had an average of 215.2 beds (range, 110–367), 189.1 patients (range, 90–345), and 40.2 nurses (range, 10–83). The average number of physicians was 6.2 (range, 3–11), but none of these were certified urologists. Only 4 hospitals provided consultation services for urological disorders. In total, 64% of patients had urological disorders, although only 20.7% of patients were receiving medication. Most patients were being treated using urological interventions; diapers (49.7%), indwelling catheters (19.5%), clean intermittent catheters (12.2%), and external collection urinary drainage (7.9%). However, most interventions were inadequately implemented, and only 17% of the patients had been examined by a certified urologist. Urological complications were found in 20.2% of patients, and secondary complications occurred in 18.8%. Excluding redundant cases, the total prevalence of urological complications was 39.0%.ConclusionsUrologic diseases are poorly managed, and no certified urologists work in geriatric hospitals. Therefore, more designated urologists are needed in geriatric hospitals.

show abstract

A current perspective on geriatric lower urinary tract dysfunction

Cited by 40 publications

References 81 publications

Pelvic floor disorders and health-related quality of life in older women: Results from the Women’s Gynaecological Health study in Lieto, Finland

Pelvic floor disorders and health-related quality of life in older women: Results from the Women’s Gynaecological Health study in Lieto, Finland

Evaluation of Quality of Life among Patients with Multiple Sclerosis and voiding dysfunction: A Cross-Sectional Study

Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research

Contact Info

Product

Resources

About