Urinary Incontinence in Elderly Men: Update on Evaluation and Treatment
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Purpose of Review
To provide an overview of the appropriate evaluation of elderly men with urinary incontinence and an updated review of treatment options available to these patients.
Adding pelvic floor physical therapy to bladder training exercises is more effective for treating overactive bladder than bladder training alone. Beta-3 adrenergic agonists are a safe and effective alternative to anticholinergic therapy in older adults. Sacral neuromodulation is safe and effective in older adults and may benefit men with incomplete bladder emptying. A de-obstructing surgery may benefit men with both underactive bladder and bladder outlet obstruction, given that a majority will recover detrusor function following intervention. In post prostatectomy incontinence, the artificial urinary sphincter is more effective in men with moderate to severe incontinence, though it is associated with a higher rate of complications.
Many options are available to the elderly male patient with urinary incontinence. Careful consideration of patient’s functional status, frailty, mental health status, and social support systems are needed to guide the appropriate treatment options.
KeywordsGeriatric urology Urinary incontinence Elderly incontinence Urinary incontinence treatment Urinary incontinence evaluation
Activities of daily living
Artificial urinary sphincter
Bladder outlet obstruction
Benign prostatic hyperplasia
Post prostatectomy incontinence
Percutaneous tibial nerve stimulation
Post void residual
Stress urinary incontinence
Transurethral resection of prostate cancer
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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