6 responses to “Geriatric urinary incontinence: just ask!”

  1. The information definitely helps to shape my approach to UI and management.

  2. This was well presented and made the issue more clear.
    I would like to see more evaluation of Mirabegron and the frail elderly, especially those with mild to moderate dementia. As noted, this population is unlikely to respond to non-pharmacologic treatment.
    Non-pharmacologic treatment is unlikely to be available in rural settings, so unfortunately pharmacotherapy may be the only solution.

  3. Thanks for a good update on the treatment options for geriatric UI! Please also consider referring your patients to a pelvic floor physiotherapist to assess and retrain the pelvic floor muscles. Physiotherapists also provide education on bladder training, urge suppression techniques, and functional use of the pelvic floor to prevent leakage.

  4. Very well written article! Underscores the importance of education for primary care providers in order to overcome hesitancy to open the conversation. As eluded to in the text, Nurse Continence Advisors and Pelvic Floor Physiotherapists are an invaluable resource. It is unfortunate that these resources are severely lacking in BC and form an impediment to care.

  5. This an informative and helpful post – so clear and easy to follow step by step process of “Geriatric urinary incontinence”.

  6. Ouslander in 1995 Ann Intern Med RCT showed that treating bacteriuria in long-term care patients does not benefit urinary incontinence.

    NICE, American College of Physicians and UpToDate do not consider oxybutinin to be meaningfully more harmful than the other antimuscarinic drugs, which are far more expensive and no more effective.

    That Pfizer is a very effective marketing machine.

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