Urinary incontinence in an elderly person has an effect on the patient’s and his/her family’s quality of life as well as on health care costs. It increases the risk of falls and the need for long-term institutional care. The patient is often too embarrassed to seek appropriate help. Various treatment options that either cure or at least ease the situation are available to manage urinary incontinence in an elderly person.

Aging is associated with morphologic and functional alterations of organ systems including the genitourinary tract. Aging of the bladder leads to urgency, frequency, dysuria, recurrent urinary tract infections and incontinence both in aging men and women. These symptoms occur frequently, are very distressing and influence daily life of the aging person. Medication and incontinence devices are a tremendous financial burden on health care systems. This book reviews present knowledge of morphologic and functional alterations of the aging bladder both in men and women, adding new insights in order to optimize therapeutic options for treatment.

This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients.

"This book explores the development and management of health systems and organizations in relation to individuals aged 65 and over"--Provided by publisher.

Abrams’ Urodynamics A complete guide to urodynamic investigation in modern health care Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts: Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls Sections addressing children, women, men, the elderly, and neuropaths Extensive description of International Continence Society (ICS) Standards throughout Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.

Written by international experts, this book presents chapters that cover common geriatric conditions including dementia, depression, delirium, falls, polypharmacy, incontinence, immobility, and medication-related issues, as well as neurological, cardiovascular, and endocrine diseases associated with old age. The book also discusses various aspects of ambulatory, residential, and palliative care for the elderly, in addition to ethical aspects of old age care, advance care planning and living wills. Geriatric medicine is a rapidly growing field in internal medicine. The majority of elderly people now live in developing countries, where there is an urgent need to up-skill healthcare professionals. By presenting problems as they arise and then discussing how to solve them, this book offers a valuable resource for all physicians interested in the care of older people.