Erschienen in:
01.11.2018 | Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)
Management of Overactive Bladder in Older Women
verfasst von:
Toya S. Pratt, Anne M. Suskind
Erschienen in:
Current Urology Reports
|
Ausgabe 11/2018
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Abstract
Purpose of review:
This review will highlight our current understanding of age-related changes in bladder function and propose important clinical considerations in the management of overactive bladder (OAB) specific to older women.
Recent findings:
Frailty, functional and cognitive impairment, multimorbidity, polypharmacy, estrogen deficiency, and remaining life expectancy are important clinical factors to consider and may impact OAB symptom management in older women. Third-line therapies, particularly PTNS, may be preferable over second-line therapy in some cases.
Summary:
Due to the complexity within this population, the standard treatment algorithms may not be applicable, thus a broader, more holistic focus is recommended when managing OAB in older women.