Gultan Kaptan
Ä°stanbul Arel University, Turkey
Title: THE IMPACT OF URINARY INCONTINENCE ON QUALITY OF LIFE AND PSYCHOSOCIAL HEALTH IN THE ELDERLY
Biography
Biography: Gultan Kaptan
Abstract
Urinary incontinence (UI) is the involuntary or uncontrollable loss of urine. It is a common and difficult problem for aging adults. It is a problem that affects up to 30% of older persons living outside of hospitals or nursing homes, and is particularly common among elderly women and men. In the elderly, UI can be an important factor in the decision to place an elderly person in a nursing home, in most cases due to the caregiver stress. For those in nursing homes or other long term care facilities, the percentages are even greater. Incontinence can range from minor, occasional dribbling, to occasional unwanted loss of bladder control, to the complete inability to hold one\'s urine There is an increasing prevalence of bladder control problems as the American population ages and the other countries. Simultaneously, there is increasing attention to maintaining an active, fit lifestyle. These two epidemiologic factors ensure that obstetrician-gynecologists will be providing care to women with urinary incontinence. Urinary incontinence is a common disorder affecting millions of American women. Although not painful or life-threatening, urinary incontinence has an insidious way of affecting quality of life. Physicians who identify and treat urinary incontinence may be able to limit these deleterious effects for their patients. There are several causes of urinary incontinence. The most common forms are stress incontinence, wherein urine loss occurs simultaneous with increases in intra-abdominal pressure. Another common form of urinary incontinence is caused by detrusor overactivity. This is essentially untimely contractions of the bladder resulting in urine loss. Typically, this is associated with an overwhelming urge to urinate that cannot be suppressed or delayed. The loss of urine is unpredictable, and the volume lost tends to be moderate or large, simulating voluntary voiding. Combined forms of detrusor overactivity and stress incontinence are common, existing in an estimated one third of women with urinary incontinence.