Table 26.3—Age-Related Changes Potentially Resulting in Urinary Incontinence
|
Change |
Predisposition |
Type of Urinary Incontinence |
|
Atrophic vaginitis and urethritis |
Decreased urethral mucosal seal, irritation, UTI |
Urge and stress UI |
|
Benign prostatic hyperplasia |
Prostatic hyperplasia or outlet obstruction or both with frequency, urgency, nocturia, DO |
Urge or “overflow” UI |
|
Decreased ability to postpone voiding |
Frequency, urgency, nocturia |
New or worsening urge, stress, mixed UI |
|
Decreased detrusor contractility |
Decreased flow rate, elevated postvoid residual, hesitancy |
“Overflow” UI, DHIC |
|
Decreased total bladder capacity |
Frequency, urgency, nocturia |
New or worsening urge, stress, mixed UI |
|
DO (~ 20% of healthy, continent persons) |
Frequency, urgency, nocturia |
Urge and mixed UI, DHIC |
|
Increased postvoid residual (< 50 mL) |
Frequency, nocturia |
New or worsening urge, stress, mixed UI |
|
More urine output later in the day |
Nocturia |
Nocturnal UI |
NOTE: DHIC = detrusor hyperactivity with impaired contractility; DO = detrusor overactivity; UI = urinary incontinence; UTI = urinary tract infection.