Voiding Dysfunction and Urinary Incontinence

  • Neil M. Resnick


Urinary incontinence affects 15% to 30% of community-dwelling elderly persons,1,2 one third of older individuals in acute care settings,3,4 and roughly half of institutionalized elderly patients.5 Its burden is substantial and must be measured in medical, psychosocial, and economic terms.6 Medically, individuals are predisposed to perineal rashes, pressure sores, urinary tract infections, urosepsis, falls, and fractures. Another unappreciated complication is recurrent lower-limb cellulitis. This occurs when incontinent individuals’ shoes are chronically soaked by urine, become hardened, and abrade the feet; it is especially apt to occur in individuals with impaired peripheral sensation.


Urinary Incontinence Lower Urinary Tract Outlet Obstruction Stress Incontinence Detrusor Overactivity 
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© Springer Science+Business Media New York 1990

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  • Neil M. Resnick

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