Management of Overactive Bladder in Older Women

Pratt, Toya; Suskind, Anne M.

doi:10.1007/s11934-018-0845-5

Cited by 37 publications

(30 citation statements)

References 68 publications

(68 reference statements)

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“…In frailty, many changes in the urinary system due to aging may be more serious. For example, a study evaluating frailty with low gate speed found that overactive bladder was higher in frail patients, regardless of age [28].…”

Section: Discussionmentioning

confidence: 99%

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Soysal¹,

Smıth

Dutoglu

et al. 2020

Geriatrik Bilimler Dergisi

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Aim: The aim of this study was to demonstrate the relationship between nocturia and geriatric syndromes, and comprehensive geriatric assessment parameters (CGA) in older men.Material and Methods: A total of 397 older outpatient men who had undergone CGA were included in this cross-sectional study. For the nocturia variable, the question, ‘Generally, during the past 30 days, how many times did you usually urinate after you have gone to sleep at night until the time you got up in the morning?’’ was used.Results: The mean age of patients was 75.6 ± 8.1. There was a significant positive correlation between the frequency of nocturia and number of drugs, Timed-up Go, and Insomnia severity score (p<0.05), while there was a significant negative correlation between Mini Nutritional Assessment, Basic activities of daily living (BADL) and Tinetti total score, and hand grip strength (p<0.05). The prevalence of patients with 0, ≥1, ≥2, ≥3, and ≥4 nocturnal episodes was 11.6%, 88.4%, 70.5%, 47.3% and 25.4%, respectively. Patients with nocturia ≥2 had lower MNA scores and had a higher fall risk, depression, and dynapenia compared to patients with nocturia ≤1. There were higher rates of insomnia, depression, frailty, dynapenia, lower BADL and nutritional status with ≥3 nocturia episodes compared to ≤ 2 nocturia episodes (p<0.05).Conclusions: Nocturia is common and associated with dynapenia, insomnia, frailty, polypharmacy, incontinence, increased fall risk and depression in older men. Therefore, nocturia is important for geriatric practice and ≥3 nocturia episodes may be used as a marker of poor health status in older men.

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Section: Discussionmentioning

confidence: 99%

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Soysal¹,

Smıth

Dutoglu

et al. 2020

Geriatrik Bilimler Dergisi

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“…Moreover, with aging, neurological, anatomical, and biochemical changes occur in the bladder function and these changes may predispose the patients to the development of OAB symptoms. 40 The increased prevalence in elderly people has been largely associated with age-related changes in the lower urinary tract (inhibited detrusor contractions, reduced bladder filling sensation and bladder capacity, and higher postvoiding residual volumes). 41 Since our patient group consists of young patients, age-related changes are not expected.…”

Section: Discussionmentioning

confidence: 99%

The relationship between overactive bladder and attachment: A preliminary study

Işık

Demir

2021

Neurourology and Urodynamics

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Aim There are strong relationships between overactive bladder (OAB) and psychological factors. The aim of this study was to examine the relationship between OAB and attachment. Methods Patients who presented with OAB symptoms and were first diagnosed with OAB were included in the study. Patient and control groups were matched in terms of age and gender. A urological and psychiatric examination was performed on each participant. The severity of patients’ OAB symptoms was assessed using the Overactive Bladder‐V8 Questionnaire (OAB‐v8). The characteristics of attachment patterns were evaluated using The Close Relationships Scale Revised. Results The OAB and control groups included 41 and 43 participants, respectively. No significant difference was found between the two groups with regard to alcohol abuse, daily cigarette consumption, marital status, and gender. The prevalence of anxious attachment was significantly higher in the OAB group than in the control group (p < 0.001), whereas no significant difference was found with regard to avoidant attachment (p = 0.18). A significant relationship was found between the OAB‐v8 score and anxious attachment in OAB patients (r = 0.50; p < 0.001). Conclusions Our findings suggest that insecure attachment, especially anxious attachment is associated with OAB and the severity of OAB symptoms. More extensive and longitudinal studies can better show the relationship between attachment and OAB. Future research may focus on the possibility of causality between attachment and OAB.

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“…There is significant overlap in the diagnosis of OAB and the genitourinary syndrome of menopause, and the use of vaginal oestrogen in this setting is efficacious in the treatment of urinary incontinence by improving urinary urgency, frequency and bladder capacity. 12 Care should be taken when prescribing topical oestrogen for patients with a history of breast or endometrial malignancy.…”

Section: Treatment Of Oabmentioning

confidence: 99%