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Neurourol Urodyn. 2015 Jun;34(5):398-406. doi: 10.1002/nau.22602. Epub 2014 Apr 2.

Urinary incontinence in frail elderly persons: Report from the 5th International Consultation on Incontinence.

Author information

1
University of Alberta, Edmonton, Alberta, Canada.
2
Division of Geriatric Medicine, University of Alberta, Edmonton, Alberta, Canada.
3
Deakin University, Melbourne, Australia.
4
Emory University, Atlanta, Georgia.
5
Geriatric Medicine, University of Birmingham Center for Aging, Birmingham, Alabama.
6
The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
7
Division of Geriatrics, University of Connecticut Health Center, Farmington, Connecticut.
8
Royal Prince Alfred Hospital Balmain, NSW, Australia.
9
Department of Neuro-Urology, University Hospital Bonn, Bonn, Germany.

Abstract

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.

AIMS:

To update the recommendations of the 4th ICI.

MATERIALS AND 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.

DISCUSSION:

The committee continue to notes the relative paucity of data concerning frail older persons and draw attention to knowledge gaps in this area.

KEYWORDS:

behavioral management; frail older persons; older people; overactive bladder; stress urinary incontinence; urinary incontinence; urinary retention

PMID:
24700771
DOI:
10.1002/nau.22602
[Indexed for MEDLINE]
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