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Erschienen in: Current Geriatrics Reports 3/2017

28.07.2017 | Geriatric Urology (H Richter, Section Editor)

Updates in the Evaluation of Older Women with Pelvic Floor Disorders

verfasst von: Candace Parker-Autry, Jubilee Tan

Erschienen in: Current Geriatrics Reports | Ausgabe 3/2017

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Abstract

Purpose of Review

Pelvic floor disorders (PFDs) are common among older women, and pose a unique challenge to the healthcare provider. The onset of PFDs in older women is gradual resulting from an inter-related process of anatomic, hormonal, and functional changes that occur over time and often impacted by concomitant medical co-morbid conditions. In this evidenced-based review, we provide an update on the epidemiology and provide an evidence-based approach to the evaluation of women with PFDs with a specific focus on the impact of aging.

Recent Findings

Physical function impairment is prevalent among older women with pelvic floor symptoms. The decline in physical function is likely the consequence of global changes in skeletal muscle health with aging, but may uniquely impact the pelvic floor muscle physiology and function.

Summary

Providers caring for older women with PFDs must account for the impact of the aging process on symptom presentation and evaluation.
Literatur
1.
Zurück zum Zitat Dieter AA, Wilkins MF, Wu JM. Epidemiological trends and future care needs for pelvic floor disorders. Curr Opin Obstet Gynecol. 2015;27(5):380–4.CrossRef Dieter AA, Wilkins MF, Wu JM. Epidemiological trends and future care needs for pelvic floor disorders. Curr Opin Obstet Gynecol. 2015;27(5):380–4.CrossRef
2.
Zurück zum Zitat Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311–6.CrossRef Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311–6.CrossRef
3.
Zurück zum Zitat Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol. 2014;123(1):141–8.CrossRef Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol. 2014;123(1):141–8.CrossRef
4.
Zurück zum Zitat English E, Rogo-Gupta L. Impact of distance to treatment center on care seeking for pelvic floor disorders. Female pelvic medicine & reconstructive surgery. 2017; English E, Rogo-Gupta L. Impact of distance to treatment center on care seeking for pelvic floor disorders. Female pelvic medicine & reconstructive surgery. 2017;
5.
Zurück zum Zitat Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, et al. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213–40.CrossRef Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, et al. Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213–40.CrossRef
6.
Zurück zum Zitat Sultan AH, Monga A, Lee J, Emmanuel A, Norton C, Santoro G, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Neurourol Urodyn. 2017;36(1):10–34.CrossRef Sultan AH, Monga A, Lee J, Emmanuel A, Norton C, Santoro G, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Neurourol Urodyn. 2017;36(1):10–34.CrossRef
7.
Zurück zum Zitat Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512–7. 7 e1-2CrossRef Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137(2):512–7. 7 e1-2CrossRef
8.
Zurück zum Zitat Matthews CA, Whitehead WE, Townsend MK, Grodstein F. Risk factors for urinary, fecal, or dual incontinence in the Nurses’ Health Study. Obstet Gynecol. 2013;122(3):539–45.CrossRef Matthews CA, Whitehead WE, Townsend MK, Grodstein F. Risk factors for urinary, fecal, or dual incontinence in the Nurses’ Health Study. Obstet Gynecol. 2013;122(3):539–45.CrossRef
9.
Zurück zum Zitat Wu JM, Matthews CA, Vaughan CP, Markland AD. Urinary, fecal, and dual incontinence in older U.S. adults. J Am Geriatr Soc. 2015;63(5):947–53.CrossRef Wu JM, Matthews CA, Vaughan CP, Markland AD. Urinary, fecal, and dual incontinence in older U.S. adults. J Am Geriatr Soc. 2015;63(5):947–53.CrossRef
10.
Zurück zum Zitat Markland AD, Goode PS, Burgio KL, Redden DT, Richter HE, Sawyer P, et al. Correlates of urinary, fecal, and dual incontinence in older African-American and white men and women. J Am Geriatr Soc. 2008;56(2):285–90.CrossRef Markland AD, Goode PS, Burgio KL, Redden DT, Richter HE, Sawyer P, et al. Correlates of urinary, fecal, and dual incontinence in older African-American and white men and women. J Am Geriatr Soc. 2008;56(2):285–90.CrossRef
11.
Zurück zum Zitat Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. An international Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(4):655–84.CrossRef Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. An international Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016;27(4):655–84.CrossRef
12.
Zurück zum Zitat Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186(6):1160–6.CrossRef Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186(6):1160–6.CrossRef
13.
Zurück zum Zitat Swift S, Woodman P, O'Boyle A, Kahn M, Valley M, Bland D, et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005;192(3):795–806.CrossRef Swift S, Woodman P, O'Boyle A, Kahn M, Valley M, Bland D, et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005;192(3):795–806.CrossRef
14.
Zurück zum Zitat Dua A, Radley S, Jones G, Farkas A. The personal impact of pelvic floor symptoms and their relationship to age. Int Urogynecol J. 2014;25(1):117–21. A prospective study evaluating pelvic floor symptoms among young and older community-dwelling women utilizing validated questionnaires to determine bother and impact of quality of life CrossRef Dua A, Radley S, Jones G, Farkas A. The personal impact of pelvic floor symptoms and their relationship to age. Int Urogynecol J. 2014;25(1):117–21. A prospective study evaluating pelvic floor symptoms among young and older community-dwelling women utilizing validated questionnaires to determine bother and impact of quality of life CrossRef
15.
Zurück zum Zitat Wieslander CK. Clinical approach and office evaluation of the patient with pelvic floor dysfunction. Obstet Gynecol Clin N Am. 2009;36(3):445–62.CrossRef Wieslander CK. Clinical approach and office evaluation of the patient with pelvic floor dysfunction. Obstet Gynecol Clin N Am. 2009;36(3):445–62.CrossRef
16.
Zurück zum Zitat Dugan E, Cohen SJ, Bland DR, Preisser JS, Davis CC, Suggs PK, et al. The association of depressive symptoms and urinary incontinence among older adults. J Am Geriatr Soc. 2000;48(4):413–6.CrossRef Dugan E, Cohen SJ, Bland DR, Preisser JS, Davis CC, Suggs PK, et al. The association of depressive symptoms and urinary incontinence among older adults. J Am Geriatr Soc. 2000;48(4):413–6.CrossRef
17.
Zurück zum Zitat Erekson EA, Ciarleglio MM, Hanissian PD, Strohbehn K, Bynum JP, Fried TR. Functional disability among older women with fecal incontinence. Am J Obstet Gynecol. 2015;212(3):327–e1-7.CrossRef Erekson EA, Ciarleglio MM, Hanissian PD, Strohbehn K, Bynum JP, Fried TR. Functional disability among older women with fecal incontinence. Am J Obstet Gynecol. 2015;212(3):327–e1-7.CrossRef
18.
Zurück zum Zitat Pizarro-Berdichevsky J, Clifton MM, Goldman HB. Evaluation and management of pelvic organ prolapse in elderly women. Clin Geriatr Med. 2015;31(4):507–21. A comprehensive review of pelvic organ prolapse staging of severity, symptom profile, physical examination diagnosis, and management options CrossRef Pizarro-Berdichevsky J, Clifton MM, Goldman HB. Evaluation and management of pelvic organ prolapse in elderly women. Clin Geriatr Med. 2015;31(4):507–21. A comprehensive review of pelvic organ prolapse staging of severity, symptom profile, physical examination diagnosis, and management options CrossRef
19.
Zurück zum Zitat Yip SO, Dick MA, AM MP, Martin DK, Ciarleglio MM, Erekson EA. The association between urinary and fecal incontinence and social isolation in older women. Am J Obstet Gynecol. 2013;208(2):146–e1-7.CrossRef Yip SO, Dick MA, AM MP, Martin DK, Ciarleglio MM, Erekson EA. The association between urinary and fecal incontinence and social isolation in older women. Am J Obstet Gynecol. 2013;208(2):146–e1-7.CrossRef
20.
Zurück zum Zitat Thiagamoorthy G, Cardozo L, Srikrishna S, Toozs-Hobson P, Robinson D. Management of prolapse in older women. Post Reprod Health. 2014;20(1):30–5.CrossRef Thiagamoorthy G, Cardozo L, Srikrishna S, Toozs-Hobson P, Robinson D. Management of prolapse in older women. Post Reprod Health. 2014;20(1):30–5.CrossRef
21.
Zurück zum Zitat Wagg A, Chen L, Kirschner-Hermanns R, et al. Incontinence in the frail elderly In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence ICUD-EAU 2013. p. 1001–100. Wagg A, Chen L, Kirschner-Hermanns R, et al. Incontinence in the frail elderly In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence ICUD-EAU 2013. p. 1001–100.
22.
Zurück zum Zitat Johnson TM 2nd, Kincade JE, Bernard SL, Busby-Whitehead J, Hertz-Picciotto I, DeFriese GH. The association of urinary incontinence with poor self-rated health. J Am Geriatr Soc. 1998;46(6):693–9.CrossRef Johnson TM 2nd, Kincade JE, Bernard SL, Busby-Whitehead J, Hertz-Picciotto I, DeFriese GH. The association of urinary incontinence with poor self-rated health. J Am Geriatr Soc. 1998;46(6):693–9.CrossRef
23.
Zurück zum Zitat Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194(5):1455–61.CrossRef Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194(5):1455–61.CrossRef
24.
Zurück zum Zitat Doumouchtsis SK, Chrysanthopoulou EL. Urogenital consequences in ageing women. Best Pract Res Clin Obstet Gynaecol. 2013;27(5):699–714.CrossRef Doumouchtsis SK, Chrysanthopoulou EL. Urogenital consequences in ageing women. Best Pract Res Clin Obstet Gynaecol. 2013;27(5):699–714.CrossRef
25.
Zurück zum Zitat Morrison A, Levy R. Fraction of nursing home admissions attributable to urinary incontinence. Value Health. 2006;9(4):272–4.CrossRef Morrison A, Levy R. Fraction of nursing home admissions attributable to urinary incontinence. Value Health. 2006;9(4):272–4.CrossRef
26.
Zurück zum Zitat Grover M, Busby-Whitehead J, Palmer MH, Heymen S, Palsson OS, Goode PS, et al. Survey of geriatricians on the effect of fecal incontinence on nursing home referral. J Am Geriatr Soc. 2010;58(6):1058–62.CrossRef Grover M, Busby-Whitehead J, Palmer MH, Heymen S, Palsson OS, Goode PS, et al. Survey of geriatricians on the effect of fecal incontinence on nursing home referral. J Am Geriatr Soc. 2010;58(6):1058–62.CrossRef
27.
Zurück zum Zitat Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the prevalence of pelvic floor disorders in U.S. women: 2010 to 2050. Obstet Gynecol. 2009;114(6):1278–83.CrossRef Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the prevalence of pelvic floor disorders in U.S. women: 2010 to 2050. Obstet Gynecol. 2009;114(6):1278–83.CrossRef
28.
Zurück zum Zitat Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ, et al. National Institutes of Health state-of-the-science conference statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med. 2008;148(6):449–58.CrossRef Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ, et al. National Institutes of Health state-of-the-science conference statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med. 2008;148(6):449–58.CrossRef
29.
Zurück zum Zitat Gebhart JB, Rickard DJ, Barrett TJ, Lesnick TG, Webb MJ, Podratz KC, et al. Expression of estrogen receptor isoforms alpha and beta messenger RNA in vaginal tissue of premenopausal and postmenopausal women. Am J Obstet Gynecol. 2001;185(6):1325–30. discussion 30-1CrossRef Gebhart JB, Rickard DJ, Barrett TJ, Lesnick TG, Webb MJ, Podratz KC, et al. Expression of estrogen receptor isoforms alpha and beta messenger RNA in vaginal tissue of premenopausal and postmenopausal women. Am J Obstet Gynecol. 2001;185(6):1325–30. discussion 30-1CrossRef
30.
Zurück zum Zitat Xie Z, Shi H, Zhou C, Dong M, Hong L, Jin H. Alterations of estrogen receptor-alpha and -beta in the anterior vaginal wall of women with urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2007;134(2):254–8.CrossRef Xie Z, Shi H, Zhou C, Dong M, Hong L, Jin H. Alterations of estrogen receptor-alpha and -beta in the anterior vaginal wall of women with urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2007;134(2):254–8.CrossRef
31.
Zurück zum Zitat Robinson D, Cardozo LD. The role of estrogens in female lower urinary tract dysfunction. Urology. 2003;62(4 Suppl 1):45–51.CrossRef Robinson D, Cardozo LD. The role of estrogens in female lower urinary tract dysfunction. Urology. 2003;62(4 Suppl 1):45–51.CrossRef
32.
Zurück zum Zitat Aikawa K, Sugino T, Matsumoto S, Chichester P, Whitbeck C, Levin RM. The effect of ovariectomy and estradiol on rabbit bladder smooth muscle contraction and morphology. J Urol. 2003;170(2 Pt 1):634–7.CrossRef Aikawa K, Sugino T, Matsumoto S, Chichester P, Whitbeck C, Levin RM. The effect of ovariectomy and estradiol on rabbit bladder smooth muscle contraction and morphology. J Urol. 2003;170(2 Pt 1):634–7.CrossRef
33.
Zurück zum Zitat Stenberg A, Heimer G, Ulmsten U. The prevalence of urogenital symptoms in postmenopausal women. Maturitas. 1995;22(Suppl):S17–20.CrossRef Stenberg A, Heimer G, Ulmsten U. The prevalence of urogenital symptoms in postmenopausal women. Maturitas. 1995;22(Suppl):S17–20.CrossRef
34.
Zurück zum Zitat Zoubina EV, Mize AL, Alper RH, Smith PG. Acute and chronic estrogen supplementation decreases uterine sympathetic innervation in ovariectomized adult virgin rats. Histol Histopathol. 2001;16(4):989–96.PubMed Zoubina EV, Mize AL, Alper RH, Smith PG. Acute and chronic estrogen supplementation decreases uterine sympathetic innervation in ovariectomized adult virgin rats. Histol Histopathol. 2001;16(4):989–96.PubMed
35.
Zurück zum Zitat Alperin M, Cook M, Tuttle LJ, Esparza MC, Lieber RL. Impact of vaginal parity and aging on the architectural design of pelvic floor muscles. Am J Obstet Gynecol. 2016;215(3):312. e1-9CrossRef Alperin M, Cook M, Tuttle LJ, Esparza MC, Lieber RL. Impact of vaginal parity and aging on the architectural design of pelvic floor muscles. Am J Obstet Gynecol. 2016;215(3):312. e1-9CrossRef
36.
Zurück zum Zitat Word RA, Pathi S, Schaffer JI. Pathophysiology of pelvic organ prolapse. Obstet Gynecol Clin N Am. 2009;36(3):521–39.CrossRef Word RA, Pathi S, Schaffer JI. Pathophysiology of pelvic organ prolapse. Obstet Gynecol Clin N Am. 2009;36(3):521–39.CrossRef
37.
Zurück zum Zitat Cook MS, Bou-Malham L, Esparza MC, Alperin M. Age-related alterations in female obturator internus muscle. Int Urogynecol J. 2017;28(5):729–34.CrossRef Cook MS, Bou-Malham L, Esparza MC, Alperin M. Age-related alterations in female obturator internus muscle. Int Urogynecol J. 2017;28(5):729–34.CrossRef
38.
Zurück zum Zitat Fox JC, Fletcher JG, Zinsmeister AR, Seide B, Riederer SJ, Bharucha AE. Effect of aging on anorectal and pelvic floor functions in females. Dis Colon Rectum. 2006;49(11):1726–35.CrossRef Fox JC, Fletcher JG, Zinsmeister AR, Seide B, Riederer SJ, Bharucha AE. Effect of aging on anorectal and pelvic floor functions in females. Dis Colon Rectum. 2006;49(11):1726–35.CrossRef
39.
Zurück zum Zitat Madersbacher S, Pycha A, Schatzl G, Mian C, Klingler CH, Marberger M. The aging lower urinary tract: a comparative urodynamic study of men and women. Urology. 1998;51(2):206–12.CrossRef Madersbacher S, Pycha A, Schatzl G, Mian C, Klingler CH, Marberger M. The aging lower urinary tract: a comparative urodynamic study of men and women. Urology. 1998;51(2):206–12.CrossRef
40.
Zurück zum Zitat Pfisterer MH, Griffiths DJ, Schaefer W, Resnick NM. The effect of age on lower urinary tract function: a study in women. J Am Geriatr Soc. 2006;54(3):405–12.CrossRef Pfisterer MH, Griffiths DJ, Schaefer W, Resnick NM. The effect of age on lower urinary tract function: a study in women. J Am Geriatr Soc. 2006;54(3):405–12.CrossRef
41.
Zurück zum Zitat Resnick NM, Yalla SV. Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients. JAMA. 1987;257(22):3076–81.CrossRef Resnick NM, Yalla SV. Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients. JAMA. 1987;257(22):3076–81.CrossRef
42.
Zurück zum Zitat Smith PP. Aging and the underactive detrusor: a failure of activity or activation? Neurourol Urodyn. 2010;29(3):408–12.PubMed Smith PP. Aging and the underactive detrusor: a failure of activity or activation? Neurourol Urodyn. 2010;29(3):408–12.PubMed
43.
Zurück zum Zitat Miller M. Nocturnal polyuria in older people: pathophysiology and clinical implications. J Am Geriatr Soc. 2000;48(10):1321–9.CrossRef Miller M. Nocturnal polyuria in older people: pathophysiology and clinical implications. J Am Geriatr Soc. 2000;48(10):1321–9.CrossRef
44.
Zurück zum Zitat Shah BJ, Chokhavatia S, Rose S. Fecal incontinence in the elderly: FAQ. Am J Gastroenterol. 2012;107(11):1635–46. An evidenced-based review of the epidemiology, pathophysiology, evaluation, and management of fecal incontinence in the geriatric population CrossRef Shah BJ, Chokhavatia S, Rose S. Fecal incontinence in the elderly: FAQ. Am J Gastroenterol. 2012;107(11):1635–46. An evidenced-based review of the epidemiology, pathophysiology, evaluation, and management of fecal incontinence in the geriatric population CrossRef
45.
Zurück zum Zitat Thekkinkattil DK, Lim M, Finan PJ, Sagar PM, Burke D. Awareness of investigations and treatment of faecal incontinence among the general practitioners: a postal questionnaire survey. Color Dis. 2008;10(3):263–7.CrossRef Thekkinkattil DK, Lim M, Finan PJ, Sagar PM, Burke D. Awareness of investigations and treatment of faecal incontinence among the general practitioners: a postal questionnaire survey. Color Dis. 2008;10(3):263–7.CrossRef
46.
Zurück zum Zitat Bliss DZ, AM, Whitehead WE, et al. Assessment and conservative management of faecal incontinence and quality of life in adults In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence ICUD-EAU 2013. p. 1443–86. Bliss DZ, AM, Whitehead WE, et al. Assessment and conservative management of faecal incontinence and quality of life in adults In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence ICUD-EAU 2013. p. 1443–86.
47.
Zurück zum Zitat Nicholas JA, Hall WJ. Screening and preventive services for older adults. Mt Sinai J Med. 2011;78(4):498–508.CrossRef Nicholas JA, Hall WJ. Screening and preventive services for older adults. Mt Sinai J Med. 2011;78(4):498–508.CrossRef
48.
Zurück zum Zitat Norton C, Whitehead WE, Bliss DZ, Harari D, Lang J. Conservative Management of Fecal Incontinence in Adults Committee of the International Consultation on Incontinence. Management of fecal incontinence in adults. Neurourol Urodyn. 2010;29(1):199–206.CrossRef Norton C, Whitehead WE, Bliss DZ, Harari D, Lang J. Conservative Management of Fecal Incontinence in Adults Committee of the International Consultation on Incontinence. Management of fecal incontinence in adults. Neurourol Urodyn. 2010;29(1):199–206.CrossRef
49.
Zurück zum Zitat Talley NJ, Fleming KC, Evans JM, O'Keefe EA, Weaver AL, Zinsmeister AR, et al. Constipation in an elderly community: a study of prevalence and potential risk factors. Am J Gastroenterol. 1996;91(1):19–25.PubMed Talley NJ, Fleming KC, Evans JM, O'Keefe EA, Weaver AL, Zinsmeister AR, et al. Constipation in an elderly community: a study of prevalence and potential risk factors. Am J Gastroenterol. 1996;91(1):19–25.PubMed
50.
Zurück zum Zitat Lucas MG, Bosch RJ, Burkhard FC, Cruz F, Madden TB, Nambiar AK, et al. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2012;62(6):1130–42.CrossRef Lucas MG, Bosch RJ, Burkhard FC, Cruz F, Madden TB, Nambiar AK, et al. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2012;62(6):1130–42.CrossRef
51.
Zurück zum Zitat Rao SS, Go JT. Update on the management of constipation in the elderly: new treatment options. Clin Interv Aging. 2010;5:163–71.CrossRef Rao SS, Go JT. Update on the management of constipation in the elderly: new treatment options. Clin Interv Aging. 2010;5:163–71.CrossRef
52.
Zurück zum Zitat Wagg A, Gibson W, Ostaszkiewicz J, Johnson T 3rd, Markland A, Palmer MH, et al. Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol Urodyn. 2015;34(5):398–406. Evidence-based guidelines for the management of frail older persons with urinary incontinence CrossRef Wagg A, Gibson W, Ostaszkiewicz J, Johnson T 3rd, Markland A, Palmer MH, et al. Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol Urodyn. 2015;34(5):398–406. Evidence-based guidelines for the management of frail older persons with urinary incontinence CrossRef
53.
Zurück zum Zitat Sanses TV, Schiltz NK, Couri BM, Mahajan ST, Richter HE, Warner DF, et al. Functional status in older women diagnosed with pelvic organ prolapse. Am J Obstet Gynecol. 2016;214(5):613. e1-7 CrossRef Sanses TV, Schiltz NK, Couri BM, Mahajan ST, Richter HE, Warner DF, et al. Functional status in older women diagnosed with pelvic organ prolapse. Am J Obstet Gynecol. 2016;214(5):613. e1-7 CrossRef
54.
Zurück zum Zitat Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–8.CrossRef Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–8.CrossRef
55.
Zurück zum Zitat Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119–26.CrossRef Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119–26.CrossRef
56.
Zurück zum Zitat Kunkle CM, Abernethy MG, Van Tongeren LR, Fashokun TB, Wright EJ, Chen CC. Prevalence of cognitive impairment in older women with pelvic floor disorders. Int Urogynecol J. 2017. Kunkle CM, Abernethy MG, Van Tongeren LR, Fashokun TB, Wright EJ, Chen CC. Prevalence of cognitive impairment in older women with pelvic floor disorders. Int Urogynecol J. 2017.
57.
Zurück zum Zitat Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol Urodyn. 2017;36(2):221–44.CrossRef Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol Urodyn. 2017;36(2):221–44.CrossRef
58.
Zurück zum Zitat Landi F, Cesari M, Russo A, Onder G, Lattanzio F, Bernabei R, et al. Potentially reversible risk factors and urinary incontinence in frail older people living in community. Age Ageing. 2003;32(2):194–9.CrossRef Landi F, Cesari M, Russo A, Onder G, Lattanzio F, Bernabei R, et al. Potentially reversible risk factors and urinary incontinence in frail older people living in community. Age Ageing. 2003;32(2):194–9.CrossRef
59.
Zurück zum Zitat Dumoulin C, Hunter KF, Moore K, Bradley CS, Burgio KL, Hagen S, et al. Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: summary of the 5th International Consultation on Incontinence. Neurourol Urodyn. 2016;35(1):15–20.CrossRef Dumoulin C, Hunter KF, Moore K, Bradley CS, Burgio KL, Hagen S, et al. Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: summary of the 5th International Consultation on Incontinence. Neurourol Urodyn. 2016;35(1):15–20.CrossRef
60.
Zurück zum Zitat Bharucha AE, Fletcher JG, Melton LJ 3rd, Zinsmeister AR. Obstetric trauma, pelvic floor injury and fecal incontinence: a population-based case-control study. Am J Gastroenterol. 2012;107(6):902–11.CrossRef Bharucha AE, Fletcher JG, Melton LJ 3rd, Zinsmeister AR. Obstetric trauma, pelvic floor injury and fecal incontinence: a population-based case-control study. Am J Gastroenterol. 2012;107(6):902–11.CrossRef
61.
Zurück zum Zitat Giri A, Hartmann KE, Hellwege JN, Velez Edwards DR, Edwards TL. Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies. Am J Obstet Gynecol. 2017; Giri A, Hartmann KE, Hellwege JN, Velez Edwards DR, Edwards TL. Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies. Am J Obstet Gynecol. 2017;
62.
Zurück zum Zitat Blaivas JG, Zayed AA, Labib KB. The bulbocavernosus reflex in urology: a prospective study of 299 patients. J Urol. 1981;126(2):197–9.CrossRef Blaivas JG, Zayed AA, Labib KB. The bulbocavernosus reflex in urology: a prospective study of 299 patients. J Urol. 1981;126(2):197–9.CrossRef
63.
Zurück zum Zitat Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008;299(12):1446–56.CrossRef Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008;299(12):1446–56.CrossRef
64.
Zurück zum Zitat Goode PS, Burgio KL, Richter HE, Markland AD. Incontinence in older women. JAMA. 2010;303(21):2172–81.CrossRef Goode PS, Burgio KL, Richter HE, Markland AD. Incontinence in older women. JAMA. 2010;303(21):2172–81.CrossRef
Metadaten
Titel
Updates in the Evaluation of Older Women with Pelvic Floor Disorders
verfasst von
Candace Parker-Autry
Jubilee Tan
Publikationsdatum
28.07.2017
Verlag
Springer US
Erschienen in
Current Geriatrics Reports / Ausgabe 3/2017
Elektronische ISSN: 2196-7865
DOI
https://doi.org/10.1007/s13670-017-0208-y

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