domingo, 28 de abril de 2013

URINARY INCONTINENCE IN THE ELDERLY.


"Involuntary loss of urine, objectively demonstrable, which causes a social or hygienic problem as it comes at a time and place unfit"



It is a dysfunction in both healthy people as associated with different diseases that is originated by different causes, is a major health problem by psychological, social and economic connotation although his prognosis is not serious.

The most important risk factor is age although there are a number of factors that can maximize.

All studies on the quality of life of people suffering from this show that is lower than those without incontinence.

It highlights different types of urinary incontinence:

- In effort or stress

- Urgency

- Overflow

- Functional

- Mixed



It is diagnosed by: clinical background asking questions to investigate which factors predispose and trigger the incontinence; urinal analysis, questionnaires, physical examination and most special procedures performed by the specialty of urology and gynecology.


Treatment:

- Note that the patient is informed of the possibilities of healing that exist
- The patient should take extra hygiene
- Explain the patient self-training measures as habits, routine to evacuate ...
- Rehabilitation of the muscle of the pelvic floor
- Medication
- Surgery


BIBLIOGRAPHY:

- Monitoring for five years of urinary incontinence in the elderly in a Spanish rural population. Atención Primaria, Volume 35, Issue 2, Pages 67-74 F. Gavira Iglesias, J.M. Caridad y Ocerín, J.B. Guerrero Muñoz, M. López Pérez, M. Romero López, M.V. Pavón ArangurenHelp

- EAU guidelines on Urinary Incontinence Urologic Spanish Proceedings, Volume 35, Issue 7, Pages 373-388 J.W. Thüroff, P. Abrams, K.-E. Andersson, W. Artibani, C.R. Chapple, M.J. Drake, C. Hampel, A. Neisius, A. Schröder, A. Tubaro

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