Current Geriatrics Reports

, Volume 6, Issue 3, pp 149–157 | Cite as

Updates in the Evaluation of Older Women with Pelvic Floor Disorders

  • Candace Parker-AutryEmail author
  • Jubilee Tan
Geriatric Urology (H Richter, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Geriatric Urology


Purpose of Review

Pelvic floor disorders (PFDs) are common among older women, and pose a unique challenge to the healthcare provider. The onset of PFDs in older women is gradual resulting from an inter-related process of anatomic, hormonal, and functional changes that occur over time and often impacted by concomitant medical co-morbid conditions. In this evidenced-based review, we provide an update on the epidemiology and provide an evidence-based approach to the evaluation of women with PFDs with a specific focus on the impact of aging.

Recent Findings

Physical function impairment is prevalent among older women with pelvic floor symptoms. The decline in physical function is likely the consequence of global changes in skeletal muscle health with aging, but may uniquely impact the pelvic floor muscle physiology and function.


Providers caring for older women with PFDs must account for the impact of the aging process on symptom presentation and evaluation.


Urinary incontinence Evaluation Aging Older women 


Compliance with Ethical Standards

Conflict of Interest

Candace Parker-Autry and Jubilee Tan declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of OB/GYN, UrologyWake Forest School of MedicineWinston-SalemUSA
  2. 2.Department of UrologyUniversity of Alabama at BirminghamBirminghamUSA

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