Clinical and Cystometric Characteristics of Continent and Incontinent Noninstitutionalized Elderly

No AccessJournal of Urology1 Sep 1988Clinical and Cystometric Characteristics of Continent and Incontinent Noninstitutionalized Elderly Ananias C. Diokno, Morton B. Brown, Bruce M. Brock, A. Regula Herzog, and Daniel P. Normolle Ananias C. DioknoAnanias C. Diokno More articles by this author , Morton B. BrownMorton B. Brown More articles by this author , Bruce M. BrockBruce M. Brock More articles by this author , A. Regula HerzogA. Regula Herzog More articles by this author , and Daniel P. NormolleDaniel P. Normolle More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)41720-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A survey of the clinical and cystometric characteristics of continent and incontinent elderly subjects living in a community has not been reported previously. Household respondents identified initially from a random probability sample were invited to undergo a free clinic evaluation followed by an invitation to free urodynamic testing. Of the 1,955 household respondents 456 women and 298 men attended the clinic. From this group 169 women and 94 men accepted the urodynamic invitation. Cystometric studies reveal a significant difference between the over-all prevalence of uninhibited detrusor contraction between genders, 7.9 per cent for women and 35 per cent for men. The occurrence of uninhibited detrusor contractions is more prevalent among incontinent than continent subjects and this difference is marginally significant. There is no significant association between uninhibited detrusor contractions and symptoms of difficult bladder emptying, irritative symptoms, voiding frequency, nocturia and urodynamic diagnosis of outlet obstruction (normal or high pressure and poor flow) but there were significant associations with responses to questions about the delay in getting to a toilet. The mean bladder capacities of men and women do not differ significantly between the different age groups but the capacity is significantly smaller for those with uninhibited detrusor contractions. The post-void residual urine volume shows no association with the continence status. These findings raise questions regarding our conventional thinking as to the etiology of uninhibited detrusor contractions, especially in men, and of urinary incontinence in general. © 1988 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGriebling T (2018) Re: Urinary Incontinence and Prevalence of High Depressive Symptoms in Older Black versus White WomenJournal of Urology, VOL. 194, NO. 3, (734-734), Online publication date: 1-Sep-2015.Jura Y, Townsend M, Curhan G, Resnick N and Grodstein F (2018) Caffeine Intake, and the Risk of Stress, Urgency and Mixed Urinary IncontinenceJournal of Urology, VOL. 185, NO. 5, (1775-1780), Online publication date: 1-May-2011.Danforth K, Townsend M, Curhan G, Resnick N and Grodstein F (2018) Type 2 Diabetes Mellitus and Risk of Stress, Urge and Mixed Urinary IncontinenceJournal of Urology, VOL. 181, NO. 1, (193-197), Online publication date: 1-Jan-2009.Townsend M, Curhan G, Resnick N and Grodstein F (2018) Oral Contraceptive Use and Incident Urinary Incontinence in Premenopausal WomenJournal of Urology, VOL. 181, NO. 5, (2170-2175), Online publication date: 1-May-2009.Jackson S and Fihn S (2018) Exogenous Estrogen and Urinary IncontinenceJournal of Urology, VOL. 181, NO. 5, (1989-1991), Online publication date: 1-May-2009.Townsend M, Danforth K, Rosner B, Curhan G, Resnick N and Grodstein F (2018) Physical Activity and Incident Urinary Incontinence in Middle-Aged WomenJournal of Urology, VOL. 179, NO. 3, (1012-1017), Online publication date: 1-Mar-2008.Mueller E, Kenton K, Mahajan S, FitzGerald M and Brubaker L (2018) Urodynamic Prolapse Reduction Alters Urethral Pressure but Not Filling or Pressure Flow ParametersJournal of Urology, VOL. 177, NO. 2, (600-603), Online publication date: 1-Feb-2007.Kitta T, Kakizaki H, Furuno T, Moriya K, Tanaka H, Shiga T, Tamaki N, Yabe I, Sasaki H and Nonomura K (2018) Brain Activation During Detrusor Overactivity in Patients With Parkinson’s Disease: A Positron Emission Tomography StudyJournal of Urology, VOL. 175, NO. 3, (994-998), Online publication date: 1-Mar-2006.Pfisterer M, Griffiths D, Rosenberg L, Schaefer W and Resnick N (2018) The Impact of Detrusor Overactivity on Bladder Function in Younger and Older WomenJournal of Urology, VOL. 175, NO. 5, (1777-1783), Online publication date: 1-May-2006.ROSENBERG L, GRIFFITHS D and RESNICK N (2018) FACTORS THAT DISTINGUISH CONTINENT FROM INCONTINENT OLDER ADULTS WITH DETRUSOR OVERACTIVITYJournal of Urology, VOL. 174, NO. 5, (1868-1872), Online publication date: 1-Nov-2005.MILLER K, DuBEAU C, BERGMANN M, GRIFFITHS D and RESNICK N (2018) QUEST FOR A DETRUSOR OVERACTIVITY INDEXJournal of Urology, VOL. 167, NO. 2 Part 1, (578-585), Online publication date: 1-Feb-2002.HYMAN M, GROUTZ A and BLAIVAS J (2018) DETRUSOR INSTABILITY IN MEN: CORRELATION OF LOWER URINARY TRACT SYMPTOMS WITH URODYNAMIC FINDINGSJournal of Urology, VOL. 166, NO. 2, (550-553), Online publication date: 1-Aug-2001.KAWAUCHI A, TANAKA Y, SOH J, UKIMURA O, KOJIMA M and MIKI T (2018) CAUSES OF NOCTURNAL URINARY FREQUENCY AND REASONS FOR ITS INCREASE WITH AGE IN HEALTHY OLDER MENJournal of Urology, VOL. 163, NO. 1, (81-84), Online publication date: 1-Jan-2000.CHOE J, GALLO M and STASKIN D (2018) A PROVOCATIVE MANEUVER TO ELICIT CYSTOMETRIC INSTABILITY: MEASURING INSTABILITY AT MAXIMUM INFUSIONJournal of Urology, VOL. 161, NO. 5, (1541-1544), Online publication date: 1-May-1999.KIRSCHNER-HERMANNS R, SCHERR P, BRANCH L, WETLE T and RESNICK N (2018) ACCURACY OF SURVEY QUESTIONS FOR GERIATRIC URINARY INCONTINENCEJournal of Urology, VOL. 159, NO. 6, (1903-1908), Online publication date: 1-Jun-1998.Elbadawi A, Hailemariam S, Yalla S and Resnick N (2018) Structural Basis of Geriatric Voiding Dysfunction. 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Volume 140Issue 3September 1988Page: 567-571 Advertisement Copyright & Permissions© 1988 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Ananias C. Diokno More articles by this author Morton B. Brown More articles by this author Bruce M. Brock More articles by this author A. Regula Herzog More articles by this author Daniel P. Normolle More articles by this author Expand All Advertisement PDF downloadLoading ...