'Overactive bladder': Main urinary symptoms and urodynamic patterns in the elderly

Autor: Lourdes Rexach, Jesús Salinas, Miguel Virseda, Carlos Verdejo, José Manuel Ribera, José María Adot
Rok vydání: 2004
Předmět:
Zdroj: International Urology and Nephrology. 36:1-5
ISSN: 1573-2584
0301-1623
DOI: 10.1007/s11255-004-4652-1
Popis: Overactive bladder is the most frequent type of urinary incontinence in the elderly; its main symptoms are frequency, urgency and urge-incontinence. The diagnosis is based on urodynamic testing; however, a few years ago Abrams and Wein proposed a new clinical approach to overactive bladder. Aims: The main aims of this study were: firstly to determine the prevalence of overactive bladder in elderly patients with established urinary incontinence; secondly, to describe the main clinical features of this condition; and finally to describe its urodynamic patterns. Methods: A retrospective study of the medical records and urodynamic data of 682 older patients with urinary incontinence who underwent urodynamic testing. Results: The sample included 682 patients (350 men, and 332 women), with a mean age of 73.24 years. The most frequent symptoms were: frequency; urge-incontinence and incontinence at cough. Mixed types of overactive bladder were more common than isolated overactive bladder; bladder outlet obstruction was associated chiefly with overactive bladder. A postvoiding residual urine over >100 ml was found in 136 patients (20 of the entire sample). In this subgroup, the urinary symptoms were similar to those of the rest of the sample. Conclusion: Our results suggest that the urodynamic study is very useful in identifying the type of urinary incontinence.
Databáze: OpenAIRE
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