Abstract
Clinical details were noted and urodynamic studies carried out on 100 elderly patients referred to an incontinence clinic, of whom 48 attended as day patients. Thirty patients had no problem apart from their incontinence, and only 38 had a clinically detectable neurological lesion. The average mental orientation score in 48 of the patients was 7.6, 23 patients scoring the top score of 10. Most patients were mobile without assistance from another person. Patients could be placed into one of four diagnostic groups according to the appearance of the cystometric tracings, but no bladder capacity or pressure was characteristic of any group. The maximum urethral closure pressure and functional profile length were similar for each group within each sex. There was no correlation between clinical and urodynamic findings, yet each of the four diagnostic categories have different therapeutic implications. It is concluded that urodynamic investigation is necessary in elderly incontinent patients before treatment.
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- ANDREW J., NATHAN P. W. LESIONS ON THE ANTERIOR FRONTAL LOBES AND DISTURBANCES OF MICTURITION AND DEFAECATION. Brain. 1964 Jun;87:233–262. doi: 10.1093/brain/87.2.233. [DOI] [PubMed] [Google Scholar]
- Bates P., Bradley W. E., Glen E., Griffiths D., Melchior H., Rowan D., Sterling A., Zinner N., Hald T. The standardization of terminology of lower urinary tract function. J Urol. 1979 May;121(5):551–554. doi: 10.1016/s0022-5347(17)56874-3. [DOI] [PubMed] [Google Scholar]
- Briggs R. S., Castleden C. M., Asher M. J. The effect of flavoxate on uninhibited detrusor contractions and urinary incontinence in the elderly. J Urol. 1980 May;123(5):665–666. doi: 10.1016/s0022-5347(17)56078-4. [DOI] [PubMed] [Google Scholar]
- Brocklehurst J. C., Dillane J. B. Studies of the female bladder in old age. II. Cystometrograms in 100 incontinent women. Gerontol Clin (Basel) 1966;8(5):306–319. doi: 10.1159/000244966. [DOI] [PubMed] [Google Scholar]
- Feneley R. C., Shepherd A. M., Powell P. H., Blannin J. Urinary incontinence: prevalence and needs. Br J Urol. 1979 Dec;51(6):493–496. doi: 10.1111/j.1464-410x.1979.tb03585.x. [DOI] [PubMed] [Google Scholar]
- ISAACS B., WALKEY F. A. A SURVEY OF INCONTINENCE IN ELDERLY HOSPITAL PATIENTS. Gerontol Clin (Basel) 1964;24:367–376. doi: 10.1159/000244850. [DOI] [PubMed] [Google Scholar]
- Jarvis G. J., Millar D. R. Controlled trial of bladder drill for detrusor instability. Br Med J. 1980 Nov 15;281(6251):1322–1323. doi: 10.1136/bmj.281.6251.1322-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Qureshi K. N., Hodkinson H. M. Evaluation of a ten-question mental test in the institutionalized elderly. Age Ageing. 1974 Aug;3(3):152–157. doi: 10.1093/ageing/3.3.152. [DOI] [PubMed] [Google Scholar]
- TANG P. C., RUCH T. C. Non-neurogenic basis of bladder tonus. Am J Physiol. 1955 May;181(2):249–257. doi: 10.1152/ajplegacy.1955.181.2.249. [DOI] [PubMed] [Google Scholar]
- Thomas T. M., Plymat K. R., Blannin J., Meade T. W. Prevalence of urinary incontinence. Br Med J. 1980 Nov 8;281(6250):1243–1245. doi: 10.1136/bmj.281.6250.1243. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Torrens M. J., Collins C. D. The urodynamic assessment of adult enuresis. Br J Urol. 1975 Aug;47(4):433–440. doi: 10.1111/j.1464-410x.1975.tb04002.x. [DOI] [PubMed] [Google Scholar]
- Yarnell J. W., St Leger A. S. The prevalence, severity and factors associated with urinary incontinence in a random sample of the elderly. Age Ageing. 1979 May;8(2):81–85. doi: 10.1093/ageing/8.2.81. [DOI] [PubMed] [Google Scholar]