Neurourology pp 511-515 | Cite as


  • Marcio A. Averbeck
  • Helmut Madersbacher


Dementia is a pathological, neurodegenerative process leading to progressive decline in cognitive and functional abilities. It has multiple causes, diverse manifestations, and heterogeneity with respect to the impact of sex or gender on prevalence, risk factors, and outcomes. LUTS in dementia patients can be caused by the dementia itself, by the neurological and urological pharmacotherapy, and by the ageing bladder or comorbidities. Overall, urinary incontinence affects around 50% of men and 60% of women with dementia, inevitably occurring in advanced stages of disease. The degree of incontinence is strongly associated with patient’s general status and ambulation. Although LUTS are highly prevalent in dementia patients, high-quality data to guide the choice of treatment strategies in this population are lacking. The extensive and aggressive therapy of LUTS should be reserved for those with good general status and ambulation. Behavioural therapy, including toilet training and prompted voiding, may be especially useful in patients with unawareness UI.


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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  • Marcio A. Averbeck
    • 1
  • Helmut Madersbacher
    • 2
  1. 1.Video-Urodynamics Unit, Department of UrologyMoinhos de Vento HospitalPorto AlegreBrazil
  2. 2.Department of UrologyUniversity HospitalInnsbruckAustria

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