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Medical Evaluation of Causes of Lower Urinary Tract Symptoms and Urinary Incontinence in Older People

Dillon, Louise MB BS(hons), FRACP; Fonda, David MB BS, FRACP

Topics in Geriatric Rehabilitation: June 2000 - Volume 15 - Issue 4 - p 1-15
Urinary Incontinence: Evaluation
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The common problems of lower urinary tract symptoms and urinary incontinence are ideally addressed in a multidisciplinary setting. This article describes pathophysiologic and age-related changes to micturition as well as causes of transient and established incontinence and nocturia. It includes a description of the process of assessment, guidelines for a detailed history and examination and bladder charting, and it concludes with basic and subsequent evaluation. Goals of treatment change according to patient needs, while assessment varies in depth depending on a patient's functional state. It is hoped that the end result for all patients is independent, dependent, or social continence or a combination of these.

Consultant Geriatrician; Aged Care Services; Caulfield General Medical Centre; Caulfield, Victoria; Australia (Dillon)

Director; Aged Care Services; Caulfield General Medical Centre; Caulfield, Victoria; Australia (Fonda)

The authors would like to acknowledge Ms. Louise Carey for her invaluable administrative assistance

Copyright © 2000 by Aspen Publishers, Inc.