Overactive bladder syndrome in older people

• The overactive bladder symptom complex (OAB) is the commonest cause of urinary incontinence in older people, and is usually due to underlying detrusor overactivity, and as such is a treatable condition. Older people are a heterogeneous group, which includes fit community-dwelling individuals and those with significant medical comorbidity; thus the requirements of care for this group are many and varied. The International Continence Society definition of the frail elderly, those aged >65 years with continence problems, who by virtue of comorbidity are house-bound or living in an institution, is clearly not applicable to all. However, many conditions begin to appear in later life and practitioners need to be aware of the need to manage these, and their treatment, when dealing with older people. Studies of medication for OAB have included the elderly and there is evidence of an equivalent benefit in younger people. The impact of treatment on the cognitively impaired and those receiving acetylcholinesterase inhibitors is discussed.

Nyckelord

Aged

Aged

80 and over

Cholinesterase Inhibitors/adverse effects/*therapeutic use

Cognition Disorders/*complications

Drug Therapy

Combination

Female

Humans

Male

Muscarinic Antagonists/adverse effects/*therapeutic use

Treatment Outcome

Urinary Bladder

Overactive/complications/*drug therapy

Urinary Incontinence/*drug therapy/etiology

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)