Urinary incontinence and voiding dysfunction in elderly men

Griebling, Tomas L.

doi:10.1007/s11884-008-0035-2

Cited by 5 publications

(6 citation statements)

References 49 publications

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“…identified increased BMI and high blood pressure as vascular risk factors for UUI [ 68 ]. At 43%, UUI was the most frequently documented type of established UI in this review [ 31 – 33 , 40 , 42 , 46 – 48 , 51 , 54 , 59 , 65 , 67 – 69 , 72 , 73 , 75 ]. Detrusor overactivity (DO) ranked first in the other medically-related risk factors category/third overall [ 35 , 39 , 40 , 51 , 54 , 55 , 57 , 71 , 72 , 74 ] and was associated with UUI [ 40 , 51 , 72 ] and nocturnal enuresis [ 39 ].…”

Section: Results/evidence Synthesismentioning

confidence: 99%

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A scoping review of risk factors for urinary incontinence in older men

Olagundoye,

Odusanya,

Kung

et al. 2023

BMC Geriatr

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Background Most epidemiological studies have not systematically identified or categorized risk factors for urinary incontinence (UI) in older men, despite a higher prevalence than in younger men. Considering the burden of UI, an understanding of risk factors can inform cost-effective prevention/treatment programs. This scoping review aimed to identify and categorise risk factors for UI in older men, identify gaps in the evidence, and opportunities for future research. Methods The Joanna Briggs Institute (JBI) method for scoping reviews guided the conduct and reporting of this review alongside the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping reviews checklist. JBI’s Population, Concept, and Context approach framed the inclusion criteria (all evidence sources on UI risk factors that included older men [65 +]). We employed JBI’s three-step search strategy, which included a limited initial search in Ovid MEDLINE, a detailed comprehensive database search, and a search of reference lists of included studies, Google Scholar and grey literature. There were no restrictions on language, study type, or publication date. Two independent reviewers screened, selected, and extracted eligible studies. Data were analyzed using descriptive statistics and qualitative content analysis. Results Forty-seven articles that met the inclusion criteria identified 98 risk factors across six categories. Behavioural risk factors, reported by only two studies, were the least investigated of all the categories, whereas medical factors/diseases were the most investigated. No genetic factors were documented. The top five risk factors were increasing age/advanced age (n = 12), Benign Prostatic Hyperplasia (n = 11), Diabetes Mellitus (n = 11), Detrusor overactivity (n = 10), limitation in physical function/ADL disability (n = 10), increased Body Mass Index (BMI)/overweight/obesity (n = 8), Dementia (n = 8), and Parkinson’s disease (n = 7). Conclusion There is a dearth of evidence to describe the role behavioural risk factors have in UI in older men. These factors may play a role in health promotion and disease prevention in this area. Registration A protocol detailing the methods was developed and published, and is registered in the Open Science Framework [Feb 07 2023; https://osf.io/xsrge/].

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Section: Results/evidence Synthesismentioning

confidence: 99%

“…Institutionalisation increased UI prevalence following facility admission [ 72 ]. For NH, urinary incontinence is a quality of care indicator and a high prevalence of UI is often regarded as a sign of poor quality care [ 61 , 89 ].…”

Section: Discussionmentioning

confidence: 99%

A scoping review of risk factors for urinary incontinence in older men

Olagundoye,

Odusanya,

Kung

et al. 2023

BMC Geriatr

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“…For example, the most common procedure codes were endoscopic examinations of the bladder and urethral catheterisations of the bladder, and the most common primary diagnosis codes were for disorders of the urinary system. There are several physiological changes that occur in men as they get older and lead to alterations in lower urinary tract function, making urinary disorders in elderly men common ( Dubeau, 2006 ; Griebling, 2008 ). Many prostate cancer survivors are likely to be closely monitored in urology clinics for many years after initial diagnosis – often an extended period of either ‘active surveillance' or ‘watchful waiting' is pursued, especially if the cancer is less aggressive and treatment is not immediately necessary ( Cancer Research UK, 2010a ).…”

Section: Discussionmentioning

confidence: 99%

A person-time analysis of hospital activity among cancer survivors in England

2011

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Background:There are around 2 million cancer survivors in the UK. This study describes the inpatient and day case hospital activity among the population of cancer survivors in England. This is one measure of the burden of cancer on the individual and the health service.Methods:The national cancer registry data set for England (1990–2006) is linked to the NHS Hospital Episode Statistics (HES) database. Cohorts of survivors were defined as those people recorded in the cancer registry data with a diagnosis of breast, colorectal, lung or prostate cancer before 2007. The person-time of prevalence in 2006 for each cohort of survivors was calculated according to the cancer type, sex, age and time since diagnosis. The corresponding HES episodes of care in 2006 were used to calculate the person-time of admitted hospital care for each cohort of survivors. The average proportion of time spent in hospital by survivors in each cohort was calculated as the summed person-time of hospital activity divided by the summed person-time of prevalence. The analysis was conducted separately for cancer-related episodes and non-cancer-related episodes.Results:Lung cancer survivors had the highest intensity of cancer-related hospital activity. For all cancers, cancer-related hospital activity was highest in the first year following diagnosis. Breast and prostate cancer survivors had peaks of cancer-related hospital activity in the relatively young and relatively old age groups. The proportion of time spent in hospital for non-cancer-related care was much lower than that for cancer-related care and increased gradually with age but was generally constant regardless of time since diagnosis.Conclusion:The person-time approach used in this study is more revealing than a simple enumeration of cancer survivors and hospital admissions. Hospital activity among cancer survivors is highest soon after diagnosis. The effect of age on the amount of hospital activity is different for each type of cancer.

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“…It is defi ned as complaints of any involuntary urine loss (5) . It is a common problem that can aff ect people of all age ranges, but its prevalence is higher in the female popula on and increases as age advances (6)(7)(8) .…”

Section: Introductionmentioning

confidence: 99%

“…That is so because the changes deriving from the aging process and health crisis events can enhance the development of urinary incon nence in old age (6,9) . It should be highlighted that the aging process as an isolated phenomenon is not a cause, but induces anatomical and func onal altera ons predisposing to the problem (7) .…”

Section: Introductionmentioning

confidence: 99%

Atuação do enfermeiro no manejo da incontinência urinária no idoso: uma revisão integrativa

Silva¹,

D’Elboux

2012

Rev. esc. enferm. USP

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RESUMOEste estudo teve como obje vo verifi car quais são as estratégias u lizados pelos enfermeiros para o manejo da incon nência urinária (IU) em idosos. Realizou-se um estudo de revisão integra va da literatura nas seguintes bases de dados: WEB OF SCIENCE, MEDLINE, SCOPUS e CINAHL, no período de 2006 a 2010. Foram encontradas 186 publicações, e, após a exclusão daquelas com duplicidade e a leitura cuidadosa dos trabalhos na íntegra, a amostra cons tuiu-se de sete ar gos. A maior parte das pesquisas aborda a incon nência urinária de uma maneira geral, sem caracterização quanto ao seu po ou queixas presentes nos sujeitos da pesquisa. Apenas um trabalho referia-se ao manejo de incon nência urinária em idosos com demência e outro especifi cou o po (bexiga hipera va). Diante disso, destaca-se a necessidade de realizar pesquisas clínicas sobre o manejo da incon nência urinária realizado por enfermeiros, visando o fornecimento de evidências cien fi cas para o embasamento dessa prá ca. DESCRITORES Idoso Incon nência urinária Terapêu ca Cuidados de enfermagem Revisão ABSTRACTThe objective of this study was to verify the strategies that nurses use to manage urinary incontinence (UI) in the elderly. An integrative literature review was performed on the following databases: WEB OF SCIENCE, MEDLINE, SCOPUS and CI-NAHL, in the period from 2006 to 2010. A total of 186 articles were located, and after excluding duplicates and performing a careful reading of the full articles, the sample was comprised of seven articles. Most studies utilize an overall approach to urinary incontinence, without characterizing the type or the subjects' claims. Only one study addressed the management of urinary incontinence in the elderly with dementia; another specified the type (hyperactive bladder). Therefore, there is a need for further clinical nursing studies regarding the management of urinary incontinence, aiming to provide scientific evidence to support this practice. DESCRIPTORS Aged Urinary incon nence Therapeu cs Nursing care Review RESUMENSe obje vó verifi car cuáles son las estrategias u lizadas por enfermeros para el manejo de la incon nencia urinaria (IU) en ancianos. Se realizó estudio de revisión integra va de literatura, en las bases de datos WEB OF SCIENCE, MEDLINE, SCO-PUS y CINAHL, en período de 2006 a 2010. Fueron encontradas 186 publicaciones; una vez excluidas las duplicadas y efectuada la lectura integral de los trabajos, la muestra se cons tuyó de 7 ar culos. La mayoría de las inves gaciones aborda la IU de un modo general, sin caracterización de pología o quejas expresadas por los sujetos inves gados. Apenas un trabajo se refería al manejo de IU en ancianos con demencia y otro especifi có el po (vejiga hiperac va). Frente a eso, se destaca la necesidad de realizar inves gaciones clínicas sobre el manejo de la IU realizadas por enfermeros, apuntando a ofrecer evidencias cien fi cas que sirvan de base a esta prác ca.

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Urinary incontinence and voiding dysfunction in elderly men

Cited by 5 publications

References 49 publications

A scoping review of risk factors for urinary incontinence in older men

A scoping review of risk factors for urinary incontinence in older men

A person-time analysis of hospital activity among cancer survivors in England

Atuação do enfermeiro no manejo da incontinência urinária no idoso: uma revisão integrativa

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