Authors: Carlos Verdejo Jesús Salinas Miguel Virseda José María Adot Lourdes Rexach José Manuel Ribera
Publish Date: 2007/01/31
Volume: 36, Issue: 1, Pages: 1-5
Abstract
Overactive bladder is the most frequent type of urinary incontinence in the elderly its main symptoms are frequency urgency and urgeincontinence The diagnosis is based on urodynamic testing however a few years ago Abrams and Wein proposed a new clinical approach to overactive bladder Aims The main aims of this study were firstly to determine the prevalence of overactive bladder in elderly patients with established urinary incontinence secondly to describe the main clinical features of this condition and finally to describe its urodynamic patterns Methods A retrospective study of the medical records and urodynamic data of 682 older patients with urinary incontinence who underwent urodynamic testing Results The sample included 682 patients 350 men and 332 women with a mean age of 7324 years The most frequent symptoms were frequency urgeincontinence and incontinence at cough Mixed types of overactive bladder were more common than isolated overactive bladder bladder outlet obstruction was associated chiefly with overactive bladder A postvoiding residual urine over 100 ml was found in 136 patients 20 of the entire sample In this subgroup the urinary symptoms were similar to those of the rest of the sample Conclusion Our results suggest that the urodynamic study is very useful in identifying the type of urinary incontinence
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