Published in:
01-06-2017 | Geriatric Urology (H Richter, Section Editor)
The Relationship Between Urinary Incontinence, Mobility Limitations, and Disability in Older Women
Authors:
Tatiana V. Sanses, Bela Kudish, Jack M. Guralnik
Published in:
Current Geriatrics Reports
|
Issue 2/2017
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Abstract
Purpose of Review
This paper describes current understanding and the relationship between urinary incontinence (UI), mobility limitations, and disability in older women with pelvic floor disorders.
Recent Findings
UI is a prevalent pelvic floor disorder in older women and is considered to be one of the most common geriatric problems. There is no clear classification of UI as a disease versus UI as a geriatric syndrome in the current literature. Since the disability is also prevalent in older women, an evaluation of the relationship between UI and disability may improve our understanding of UI as a disease or a geriatric syndrome. This relationship may be classified through different pathways. Some evidence suggests that mobility disabilities and UI in older women may have bidirectional pathophysiologic mechanisms through generalized muscle dysfunction.
Summary
Expanding research on the mechanisms of UI, mobility limitations, and disability in older women as well as their associations will enhance our insight into clinical, pharmacological, environmental, behavioral, and rehabilitative interventions. It will also lead to improved measures for UI prevention and treatment in older women. Thus, understanding UI, mobility limitations, and disability can have substantial implications for both clinical work and research in this area.