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Urinary problems in elderly

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https://www.readbyqxmd.com/read/28335792/can-incontinence-be-cured-a-systematic-review-of-cure-rates
#1
Rob Riemsma, Suzanne Hagen, Ruth Kirschner-Hermanns, Christine Norton, Helle Wijk, Karl-Erik Andersson, Christopher Chapple, Julian Spinks, Adrian Wagg, Edward Hutt, Kate Misso, Sohan Deshpande, Jos Kleijnen, Ian Milsom
BACKGROUND: Incontinence constitutes a major health problem affecting millions of people worldwide. The present study aims to assess cure rates from treating urinary (UI) or fecal incontinence (FI) and the number of people who may remain dependent on containment strategies. METHODS: Medline, Embase, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, and PEDro were searched from January 2005 to June 2015. Supplementary searches included conference abstracts and trials registers (2013-2015)...
March 24, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28288563/is-independence-of-older-adults-safe-considering-the-risk-of-falls
#2
Dorota Talarska, Magdalena Strugała, Marlena Szewczyczak, Sławomir Tobis, Michał Michalak, Izabela Wróblewska, Katarzyna Wieczorowska-Tobis
BACKGROUND: Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group. METHODS: The study included 506 - older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG)...
March 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28256925/markov-chain-decision-model-for-urinary-incontinence-procedures
#3
Sameer Kumar, Nidhi Ghildayal, Neha Ghildayal
Purpose Urinary incontinence (UI) is a common chronic health condition, a problem specifically among elderly women that impacts quality of life negatively. However, UI is usually viewed as likely result of old age, and as such is generally not evaluated or even managed appropriately. Many treatments are available to manage incontinence, such as bladder training and numerous surgical procedures such as Burch colposuspension and Sling for UI which have high success rates. The purpose of this paper is to analyze which of these popular surgical procedures for UI is effective...
March 13, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28145214/-faecolithiasis-straightforward-to-detect-but-often-missed
#4
B Katerberg, F Ter Borg
Faecal impaction is a problem which is becoming more prevalent now that the number of elderly patients is increasing. When not detected and treated inadequately, it can lead to symptoms such as diarrhoea, faecal incontinence and other serious problems like anorexia, vomiting and rectal ulcers with bleeding or even a bowel perforation. We describe two patients with serious and less common complications of faecolithiasis. Patient A, a 79-year-old woman with signs of dementia, presented with faecal incontinence and unexplained worsening of her cognitive symptoms leading to a situation where she could no longer live in her own home...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28133045/-assessment-of-functional-results-after-sphincter-preserving-surgery-in-elderly-patients-with-low-rectal-cancer
#5
Motoi Koyama, Kenta Kitamura, Tomonori Matsumura, Keigo Okada, Satoshi Inose, Eishi Totsuka, Kazuhiro Karikomi, Hiroyuki Suzuki, Naokazu Nakamura, Shigeru Masamura, Tatsushi Suwa, Hajime Morohashi, Yoshiyuki Sakamoto, Kenichi Hakamada
The aim of this study was to evaluate postoperative dysfunction and potential problems after a sphincter-preserving operation in elderly patients with low rectal cancer. METHODS: Between 2000 and 2012, 307 consecutive patients with low rectal cancer underwent curative sphincter-preserving surgery. We evaluated postoperative anal and urinary dysfunction in 190 patients who responded to a questionnaire by mail. RESULTS: After a median follow-up of 5.7 years, there was no significant difference between the elderly and a younger group in the Wexner incontinence score...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28112780/factors-related-to-urinary-incontinence-among-the-malaysian-elderly
#6
S A Eshkoor, T A Hamid, S Shahar, C Y Mun
BACKGROUND: Urinary incontinence is a prevalent condition in the elderly that is the spontaneous leakage of urine. It is an age-related problem and increases especially in people aged above 65 years. It can cause many psychological, behavioral, biological, economic and social effects. The treatment of urinary incontinence can reduce morbidity and mortality. Thus, this study aimed to determine the effects of variables including age, ethnicity, gender, education, marital status, body weight, blood elements and nutritional parameters on urinary incontinence among the Malaysian elderly...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28053897/effects-of-a-supplement-combining-pycnogenol-%C3%A2-and-l-arginine-aspartate-on-lower-urinary-dysfunction-compared-with-saw-palmetto-extract
#7
Hiroshi Yagi, Ryo Sato, Kojiro Nishio, Gaku Arai, Shigehiro Soh, Hiroshi Okada
OBJECTIVES: Lower urinary tract symptoms (LUTS) and sexual dysfunction (SDys) are common problems that affect quality of life (QOL) in elderly men. In addition to prescribed drugs, many over-the-counter medications including supplements are used to treat QOL diseases. Phosphodiesterase inhibitors are reported to be effective for both LUTS and SDys by increasing nitric oxide levels. French maritime pine bark extract Pycnogenol(®), which is a potent nitric oxide donor, is reported to be effective for SDys...
January 2017: Journal of Traditional and Complementary Medicine
https://www.readbyqxmd.com/read/28017477/executive-summary-of-the-diagnosis-and-treatment-of-urinary-tract-infection-guidelines-of-the-spanish-society-of-clinical-microbiology-and-infectious-diseases-seimc
#8
Marina de Cueto, Luis Aliaga, Juan-Ignacio Alós, Andres Canut, Ibai Los-Arcos, Jose Antonio Martínez, Jose Mensa, Vicente Pintado, Dolors Rodriguez-Pardo, Jose Ramon Yuste, Carles Pigrau
Most urinary tract infections (UTI) are uncomplicated infections occurring in young women. An extensive evaluation is not required in the majority of cases, and they can be safely managed as outpatients with oral antibiotics. Escherichia coli is by far the most common uropathogen, accounting for >80% of all cases. Other major clinical problems associated with UTI include asymptomatic bacteriuria, and patients with complicated UTI. Complicated UTIs are a heterogeneous group associated with conditions that increase the risk of acquiring infection or treatment failure...
December 22, 2016: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/27989612/psychological-stress-in-geriatric-patients-with-genito-urinary-cancers
#9
Désirée Louise Dräger, Chris Protzel, Oliver W Hakenberg
BACKGROUND: Two-thirds of all cancer cases affect patients who are older than 65years, yet the specific conditions of the treatment and supportive care in this age group are poorly studied. There are limited data on the specific psycho-oncological problems in elderly patients with genito-urinary cancers. The aim of this study was to investigate the psychosocial needs of elderly patients with genito-urinary tumors using screening questionnaires and to use such screening questionnaires for an in-patient psychosocial treatment program...
December 15, 2016: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/27784873/atp-release-from-bladder-urothelium-and-serosa-in-a-rat-model-of-partial-bladder-outlet-obstruction
#10
Kazuhiro Shiina, Ken-Ichiro Hayashida, Kazuo Ishikawa, Masahito Kawatani
Overactive bladder is one of the major health problem especially in elderly people. Adenosine triphosphate (ATP) is released from urinary bladder cells and acts as a smooth muscle contraction and sensory signal in micturition but little is known about the role of ATP release in the pathophysiology of overactive bladder. To assess the relationship between ATP and overactive bladder, we used a partial bladder outlet obstruction (pBOO) model in rats. The bladder caused several changes by pBOO: An increase in bladder weight, hypertrophy of sub-urothelium and sub-serosal area, and frequent non-voiding bladder contraction during urine storage...
2016: Biomedical Research
https://www.readbyqxmd.com/read/27722105/hematuria-without-chyluria-it-could-still-be-due-to-filarial-etiology
#11
Vijaya Lakshmi Nag, Manodeep Sen, Nihar Ranjan Dash, R Bansal, Manoj Kumar, Anand Kumar Maurya
There are few reports of "microfilaria in the urine." We report an elderly woman with gross hematuria who was being investigated for urinary tract tuberculosis. Three consecutive urine samples showed microfilaria of Wuchereria bancrofti. However, she did not have chyluria. Treatment with diethylcarbamazine cleared up the hematuria within 3 days. Chyluria, hematuria, and hematochyluria are problems of Bancroftian filariasis reported worldwide. The literature review was made to present a simplified way for management...
July 2016: Tropical Parasitology
https://www.readbyqxmd.com/read/27596848/-nitroxoline-an-option-for-the-antibiotic-treatment-of-urinary-tract-infections
#12
H Hof, D Bertsch, D Passek, R Schwarz
BACKGROUND: Resistance of uropathogenic bacteria against the common antibiotics is considerable-especially in the elderly. OBJECTIVES: In Germany nitroxoline is licensed for the treatment of acute urinary tract infections and for prophylaxis of recurrent infections. What is the actual resistance pattern of uropathogenic bacteria? MATERIALS AND METHODS: The in vitro susceptibility of 477 uropathogenic bacteria from patients in 2015 was determined by means of the agar diffusion method...
February 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27561366/management-of-lower-urinary-tract-symptoms-associated-with-benign-prostatic-hyperplasia-in-elderly-patients-with-a-new-diagnostic-therapeutic-and-care-pathway
#13
Antonio Carbone, Andrea Fuschi, Samer Fathi Al Rawashdah, Yazan Al Salhi, Gennaro Velotti, Andrea Ripoli, Domenico Autieri, Giovanni Palleschi, Antonio Luigi Pastore
INTRODUCTION: Benign prostatic hyperplasia (BPH) resulting in lower urinary tract symptoms (LUTS) is a widespread disease that strongly interferes with the quality of life (QoL) of elderly males. It represents a real clinical and socio-economic problem may be due to the lack of a diagnostic, therapeutic and care pathway (DTCP) tool for LUTS/BPH that considers elderly people population in its whole complexity. The aim of this study was to evaluate the clinical effectiveness of the proposed DTCP LUTS/BPH tool...
September 2016: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/27554370/pharmacological-treatment-of-post-prostatectomy-incontinence-what-is-the-evidence
#14
Anja Løvvik, Stig Müller, Hitendra R H Patel
Urinary incontinence is a common and debilitating problem, and post-prostatectomy incontinence (PPI) is becoming an increasing problem, with a higher risk among elderly men. Current treatment options for PPI include pelvic floor muscle exercises and surgery. Conservative treatment has disputable effects, and surgical treatment is expensive, is not always effective, and may have complications. This article describes the prevalence and causes of PPI and the current treatment methods. We conducted a search of the PUBMED database and reviewed the current literature on novel medical treatments of PPI, with special focus on the aging man...
August 2016: Drugs & Aging
https://www.readbyqxmd.com/read/27525808/the-burden-of-comorbidity-is-associated-with-antibiotic-resistance-among-institutionalized-elderly-with-urinary-infection-a-retrospective-cohort-study-in-a-single-italian-nursing-home-between-2009-and-2014
#15
Alice Laudisio, Felice Marinosci, Antonella Gemma, Isaura Rossi Bartoli, Nicola Montenegro, Raffaele Antonelli Incalzi
Urinary tract infections (UTIs), which are common among nursing home patients, are associated with adverse outcomes and increased healthcare costs. Antibiotic resistance is an emerging problem, associated with excess morbidity and mortality; it has been suggested that this condition might be more prevalent among subjects with comorbid conditions. The aim of this study was to assess the association, if any, of antibiotic resistance with the burden of comorbidity in elderly with UTIs. This retrospective study enrolled 299 patients with culture-positive UTI consecutively admitted to the nursing home of the "Fondazione San Raffaele Cittadella della Carità", Taranto, Italy, which includes 80 beds under the direction of two geriatricians...
August 15, 2016: Microbial Drug Resistance: MDR: Mechanisms, Epidemiology, and Disease
https://www.readbyqxmd.com/read/27489221/geriatric-problems-correlated-with-cognitive-decline-using-a-screening-test-named-dr-superman-for-comprehensive-geriatric-assessment-in-elderly-inpatients
#16
Nayuta Namioka, Hirofumi Sakurai, Hideyuki Terayama, Toshihiko Iwamoto, Teruaki Fujihira, Hiromi Tsugehara, Akihiko Tsuchida, Haruo Hanyu
AIM: We have recently developed and validated a screening test for comprehensive geriatric assessment (CGA). We investigated the prevalence of geriatric problems in elderly inpatients using CGA, and determined the relationship between geriatric problems and cognitive decline. METHODS: We enrolled consecutive elderly inpatients aged >65 years who were admitted to all of the hospital departments at Tokyo Medical University Hospital, Tokyo, Japan, between July and December 2013...
August 4, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27418814/the-effect-of-nocturia-on-sleep-quality-and-daytime-function-in-patients-with-lower-urinary-tract-symptoms-a-cross-sectional-study
#17
I-Hung Shao, Chia-Chen Wu, Hueih-Shing Hsu, Shyh-Chyi Chang, Hsu-Hsiang Wang, Heng-Chang Chuang, Yuan-Yun Tam
BACKGROUND: Nocturia has been proven to have a negative impact on the quality of life and sleep quality in general elderly population. However, there are limited studies on the quantitative effect of nocturia on sleep quality and daytime dysfunction, specifically in patients with lower urinary tract symptoms. PATIENTS AND METHODS: During March 1, 2015 to December 31, 2015, a total of 728 patients who visited our urology department due to voiding dysfunction and experienced nocturia at least once per night were enrolled...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27386426/domestic-elder-abuse-in-yazd-iran-a-cross-sectional-study
#18
Mohammad Ali Morowatisharifabad, Hassan Rezaeipandari, Ali Dehghani, Ahmad Zeinali
BACKGROUND: Social changes due to urbanism, acculturation, and fading of values have led to some challenges in family relationships, including domestic elder abuse. This study was conducted to determine elder abuse status in Yazd, Iran. METHODS: This cross-sectional study was conducted on 250 elderly people over 60 years in Yazd in 2014-2015. Clustered random sampling was used to recruit the participants from 10 clusters in Yazd (25 individuals from each cluster)...
2016: Health Promotion Perspectives
https://www.readbyqxmd.com/read/27326404/treatment-of-bladder-cancer-in-the-elderly
#19
REVIEW
Annette Erlich, Alexandre R Zlotta
As the population ages and life expectancy increases in the human population, more individuals will be diagnosed with bladder cancer (BC). The definition of who is elderly is likely to change in the future from the commonly used cut-off of ≥75 years of age. Physiological rather than chronological age is key. BC care in the elderly is likely to become a very common problem in daily practice. Concerns have been raised that senior BC patients are not given treatments that could cure their disease. Clinicians lack quantitative and reliable estimates of competing mortality risks when considering treatments for BC...
June 2016: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/27190532/clinical-experiences-of-korean-medicine-treatment-against-urinary-bladder-cancer-in-general-practice
#20
Taeyeol Park, Sanghun Lee
Urinary bladder cancer (UBC) is one of the most common cancers, with 1 out of every 26 men and 1 out of every 80 women worldwide developing the disease during their lifetime. Moreover, it is a disease that predominantly affects the elderly and is becoming a major health problem as the elderly population continues to rapidly increase. In spite of the rapid development of medical science, the 5-year survival rate has remained around 75% since the 1990s, and the FDA has approved no new drugs for UBC over the last 10 years...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
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