Skip to main content

Urodynamic findings in aging people

  • Chapter
The Aging Bladder

Abstract

Lower urinary tract dysfunction is a major cause of morbidity and decreased quality of life in elderly men and women . A number of studies have shown that the prevalence and bothersomeness of lower urinary tract symptoms (LUTS) in crease with age (Hampel et al. 1997, Haidinger et al. 1999, Koskimaki et al. 1998). Urinary incontinence is the most common problem and is reported to affect 15–35% of community dwelling individuals and 22–90% of residents in nursing homes (Fantl et al. 1996, Schmidbauer et al. 2001, Chiarelli and Brown 1999, Damian et al. 19981. Despite these figures, many patients avoid discussing their problems with family members or health care professionals for being too emharrassed or having low expectations of treatment (Rovner et al. 2002, Roberts et al. 1998). Many doctors do not investigate their patients’ urinary problems. This situation is unfortunate as with proper evaluation much can be done to alleviate lower urinary tract symptoms. Moreover, complications may arise from neglected or improperly treated voiding dysfunction, including urinary tract infections, urinary retention, and even upper urinary tract damage.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abrams PH, Farrar DL Turner WR, Whiteside CG, Feneley RC (1979) The results of prostatectomy: a symptomatic and urodynamic analysis of 152 patients. J Urol 121: 640–642

    PubMed  CAS  Google Scholar 

  2. Andersen JT, Jacobsen O, Worm-Petersen J, Hald T (1978) Bladder function in healthy elderly males. Scand J Urol Nephrol 12: 123–127

    Article  PubMed  CAS  Google Scholar 

  3. Bonde HV, Sejr T, Erdmann L, Meyhoff HH, Lendorf A, Rosenkilde P, Bodker A, Nielsen MB (1996) Residual urine in 75-year-old men and women. A normative population study. Scand J Urol Nephrol 30: 89–91

    Article  PubMed  CAS  Google Scholar 

  4. Boone TB (1996a) Urodynamics I. Urol Clin North Am 23: 171–336

    Article  Google Scholar 

  5. Boone TB (1996b) Urodynamics II. Urol Clin North Am 23: 337–520

    Article  Google Scholar 

  6. Castleden CM Duffin HM Asher MJ 1981 Clinical and urodynamic studies in 100 elderly incontinent patients. Br Med J Clin Res Ed 282 1103–110

    Article  CAS  Google Scholar 

  7. Chiarelli P, Brown WJ (1999) Leaking urine in Australian women: prevalence and associated conditions. Women Health 29: 1–13

    PubMed  CAS  Google Scholar 

  8. Cockett AT, Khoury S, Aso Y (1993) Proceedings of the 2nd International Consultation on Benign Prostatic Hyperplasia (BPH). Scientific Communications International Ltd: Je

    Google Scholar 

  9. Constantiu CE Christensen LL 1996 Urethral pressures in the study of female incontinence. In Raz S ed Female urology. W.B. Saunders Philadelphia pp 115–131

    Google Scholar 

  10. Cundiff GW, Harris RL, Coates KW, Bump RC (1997) Clinical predictors of urinary incontinence in women. Am J Obstet Gynecol 177: 262–266

    Article  PubMed  CAS  Google Scholar 

  11. Damian J, Martin-Moreno JM, Lobo F, Bonache J, Cervino L Redondo-Marquez L, Martinez-Agullo E (1998) Prevalence of urinary incontinence among Spanish older people living at home. Eur Ural 34: 333–338

    Article  CAS  Google Scholar 

  12. Diokno AC, Normolle DP, Brown MB, Herzog AR (1990) Urodynamic tests for female geriatric urinary incontinence. Urology 36: 431–439

    Article  PubMed  CAS  Google Scholar 

  13. Drach GW, Layton TN, Binard WJ (1979) Male peak urinary flow rate: relationships to volume voided and age. J Urol 122: 210–214

    PubMed  CAS  Google Scholar 

  14. Fantl JA, Newman DK, Colling J, DeLancey JO, Keeys C, Loughery R, McDowell BJ, Norton P, Ouslander T, Schnelle J, Staskin D, Tries J, Urich V, Whitmore KE, Weiss BD, Whitmore KE (1996) Urinary incontinence in adults: Acute and chronic management. Clinical Practice Guideline 2. Rockville, MD: U.S. Department of Health and Human Services. Clinical Practice Guidelines, Public Health Service, Agency for Health Care Policy and Research

    Google Scholar 

  15. Gomes CM, Trigo-Rocha F, Arap MA, Arap S (2001) Bladder outlet obstruction and urodynamic evaluation in patients with benign prostatic hyperplasia. Braz J Urol 27: 575–588

    Google Scholar 

  16. Gormley EA, Griffiths DJ, McCracken PN, Harrison GM, McPhee MS (1993) Effect of transurethral resection of the prostate on detrusor instability and urge incontinence in elderly males. Neurourol Urodyn 12: 445–453

    Article  PubMed  CAS  Google Scholar 

  17. Griffiths DJ, Harrison G, Moore K, McCracken P (1996) Variability of post-void residual urine volume in the elderly. Urol Res 24: 23–26

    Article  PubMed  CAS  Google Scholar 

  18. Griffiths DJ, McCracken PN, Harrison GM, Gormley EA (1992) Characteristics of urinary incontinence in elderly patients studied by 24-hour monitoring and urodynamic testing. Age Aging 21: 195–201

    Article  CAS  Google Scholar 

  19. Griffiths DJ, McCracken PN, Harrison GM, Gormley EA, Moore KN (2002) Urge incontinence and impaired detrusor contractility in the elderly. Neurourol Urodyn 21: 126–131

    Article  PubMed  Google Scholar 

  20. Haidinger G, Madersbacher S, Waldhoer T, Lunglmayr G, Vutuc C (1999) The prevalence of lower urinary tract symptoms in Austrian males and associations with sociodemographic variables. Eur J Epidemiol 15: 717–722

    Article  PubMed  CAS  Google Scholar 

  21. Hampel C, Wienhold D, Benken C, Eggersmann C, Thüroff JW (1997) Definition of overactive bladder and epidemiology of urinary incontinence. Urology 50: 4–14

    Article  PubMed  CAS  Google Scholar 

  22. Homma Y, Imajo C, Takahashi S, Kawabe K, Aso Y (1994) Urinary symptoms and urodynamics in a normal elderly population. Scand J Urol Nephrol 157 [Suppl]: 27–30

    Google Scholar 

  23. Koskimaki J, Hakama M, Huhtala H, Tammela TL (1998) Prevalence of lower urinary tract symptoms in Finnish men: a population-based study. Br J Ural 81: 364–369

    Article  CAS  Google Scholar 

  24. Madersbacher S, Pycha A, Klingler CH, Mian C, Djavan B, Stulnig T, Marberger M (1999a) Interrelationships of bladder compliance with age, detrusor instability, and obstruction in elderly men with lower urinary tract symptoms. Neurourol Urodyn 18: 3–15

    Article  CAS  Google Scholar 

  25. Madersbacher S, Pycha A, Klingler CH, Schatzl G, Marberger M (1999b) The International Prostate Symptom score in both sexes: a urodynamics-based comparison. Neurourol Urodyn 18: 173–182

    Article  CAS  Google Scholar 

  26. Madersbacher S, Pycha A, Schatzl G, Mian C, Klingler CH, Marberger M (1998) The aging lower urinary tract: a comparative uradynamic study of men and women. Uralogy 51: 206–212

    Article  CAS  Google Scholar 

  27. McGuire EJ, Cespedes RD, O’Connell HE (1996 ) Leak-point pressures. Urol Clin North Am 23: 253–262

    Article  PubMed  CAS  Google Scholar 

  28. Mundy AR, Stephenson TP, Wein AT (1994) Urodynamics: principles, practice and application. Churchill Livingstone Edinburgh

    Google Scholar 

  29. Nager CW, Schulz JA, Stanton SL, Monga A (2001) Correlation of urethral closure pressure, leak-point pressure and incontinence severity measures. Int Urogynecol J Pelvic Floor Dysfunct 12: 395–400

    Article  PubMed  CAS  Google Scholar 

  30. Nitti VW (1998) Practical urodynamics. W.B. Saunders Company Philadelphia, Pennsylvania

    Google Scholar 

  31. Nitti VW, Tu LM, Gitlin J (1999) Diagnosing bladder outlet obstruction in women. J Uro1 161: 1535–1540

    Article  CAS  Google Scholar 

  32. Payne CK (1998) Epidemiology, pathophysiology, and evaluation of urinary incontinence and overactive bladder. Urology 51: 3–10

    Article  PubMed  CAS  Google Scholar 

  33. Resnick NM (1984) Urinary incontinence in the elderly. Med Grand Rounds 3: 281–290

    Google Scholar 

  34. Resnick NM, Elbadawi A, Yalla SV (1995) Age and the lower urinary tract: What is normal? Neurourol Urodyn 14: 577–579

    Google Scholar 

  35. Resnick NM, Yalla SV (1987) Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients. JAMA 257: 3076–3081

    Article  PubMed  CAS  Google Scholar 

  36. Roberts RO, Jacobsen SJ, Rhodes T, Reilly WT, Girman CJ, Talley NJ, Lieber MM (1998) Urinary incontinence in a community-based cohort: prevalence and healthcare-seeking. J Am Geriatr Soc 46: 467–4

    PubMed  CAS  Google Scholar 

  37. Rosier PF, de laRosette JJ, Wijkstra H, van Kerrebroeck PE, Debruyne FM (1995) Is detrusor instability in elderly males related to the grade of obstruction? Neurourol Urodyn 14: 625–633

    Article  PubMed  CAS  Google Scholar 

  38. Rovner ES, Gomes CM, Trigo-Rocha F, Arap S, Wein AJ (2002) Evaluation and treatment of the overactive bladder. Rev Hosp Clin 57: 39–48

    Article  Google Scholar 

  39. Schmidbauer J, Temml C, Schatzl G, Haidinger G, Madersbacher S (2001) Risk factors for urinary incontinence in both sexes. Analysis of a health screening project. Eur Uro1 39: 565–570

    Article  CAS  Google Scholar 

  40. Sullivan MP, Comiter CV, Yalla SV (1996) Micturitional urethral pressure profilometry. Urol Clin North Am 23: 263–278

    Article  PubMed  CAS  Google Scholar 

  41. Tammela TL, Schäfer W, Barrett OM, Abrams P, Hedlund H, Rollema HJ, Matos FA, Nordling J, Bruskewitz R, Miller P, Kirby R, Andersen JT, Jacobsen C, Gormley GJ, Malice MP, Bach MA (1999) Repeated pressure-flow studies in the evaluation of bladder outlet obstruction due to benign prostatic enlargement. Finasteride Urodynamics Study Group. Neurourol Urodyn 18: 17–24

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Flavio Trigo Rocha M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Wien

About this chapter

Cite this chapter

Rocha, F.T., Gomes, C.M., Arap, S. (2004). Urodynamic findings in aging people. In: Plas, E., Pflüger, H., Maier, U., Hübner, W.A. (eds) The Aging Bladder. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0631-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-0631-0_10

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83858-7

  • Online ISBN: 978-3-7091-0631-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics