Tatiana V Sanses1, Bela Kudish2, Jack M Guralnik3. 1. Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland, Baltimore, MD. 2. Urogynecology Center for Women, Department of Obstetrics and Gynecology, Florida Hospital, Orlando, FL. 3. Division of Epidemiology and Public Health, University of Maryland, Baltimore, MD.
Abstract
PURPOSE OF THE REVIEW: To describe current understanding and the relationship between urinary incontinence (UI), mobility limitations, and disability in older women with pelvic floor disorders. RECENT FINDINGS: UI is a prevalent pelvic floor disorder in older women and is considered to be one of the most common geriatric problems. There is no clear classification of UI as a disease versus UI as a geriatric syndrome in the current literature. Since the disability is also prevalent in older women, an evaluation of the relationship between UI and disability, may improve ourunderstanding of UI as a disease or a geriatric syndrome. This relationship may be classified through different pathways. Some evidence suggests that mobility disabilities and UI in older women may have bidirectional pathophysiologic mechanisms through generalized muscle dysfunction. SUMMARY: Expanding research on the mechanisms of UI, mobility limitations, and disability in older women as well as their associations will enhance our insight into clinical, pharmacological, environmental, behavioral, and rehabilitative interventions. It will also lead to improved measures for prevention and treatment UI in older women. Thus, understanding UI, mobility limitations, and disability can have substantial implications for both clinical work and research in this area.
PURPOSE OF THE REVIEW: To describe current understanding and the relationship between urinary incontinence (UI), mobility limitations, and disability in older women with pelvic floor disorders. RECENT FINDINGS: UI is a prevalent pelvic floor disorder in older women and is considered to be one of the most common geriatric problems. There is no clear classification of UI as a disease versus UI as a geriatric syndrome in the current literature. Since the disability is also prevalent in older women, an evaluation of the relationship between UI and disability, may improve ourunderstanding of UI as a disease or a geriatric syndrome. This relationship may be classified through different pathways. Some evidence suggests that mobility disabilities and UI in older women may have bidirectional pathophysiologic mechanisms through generalized muscle dysfunction. SUMMARY: Expanding research on the mechanisms of UI, mobility limitations, and disability in older women as well as their associations will enhance our insight into clinical, pharmacological, environmental, behavioral, and rehabilitative interventions. It will also lead to improved measures for prevention and treatment UI in older women. Thus, understanding UI, mobility limitations, and disability can have substantial implications for both clinical work and research in this area.
Authors: Anne M Suskind; Peggy M Cawthon; Sanae Nakagawa; Leslee L Subak; Ilse Reinders; Suzanne Satterfield; Steve Cummings; Jane A Cauley; Tamara Harris; Alison J Huang Journal: J Am Geriatr Soc Date: 2016-12-05 Impact factor: 5.562
Authors: Andrea L Rosso; Charles B Eaton; Robert Wallace; Rachel Gold; Marcia L Stefanick; Judith K Ockene; J David Curb; Yvonne L Michael Journal: J Am Geriatr Soc Date: 2013-03-01 Impact factor: 5.562
Authors: T M Johnson; J E Kincade; S L Bernard; J Busby-Whitehead; I Hertz-Picciotto; G H DeFriese Journal: J Am Geriatr Soc Date: 1998-06 Impact factor: 5.562
Authors: Maria L Nieto; Cassandra Kisby; Catherine A Matthews; Jennifer M Wu Journal: Female Pelvic Med Reconstr Surg Date: 2016 Jan-Feb Impact factor: 2.091
Authors: Bernard T Haylen; Dirk de Ridder; Robert M Freeman; Steven E Swift; Bary Berghmans; Joseph Lee; Ash Monga; Eckhard Petri; Diaa E Rizk; Peter K Sand; Gabriel N Schaer Journal: Neurourol Urodyn Date: 2010 Impact factor: 2.696
Authors: Derik L Davis; Andrew Roberts; Rodolfo Calderon; Shihyun Kim; Alice S Ryan; Tatiana V D Sanses Journal: Skeletal Radiol Date: 2022-07-27 Impact factor: 2.128