Pelvic sensation in the elderly

It is well known that histological and neurological changes occur with ageing, including in the pathways running afferent stimuli and sensation. The sensory function in the lower urinary tract (LUT) will become different and lead to e.g. bladder underactivity and overactivity symptoms. The gastroenterological innervation and sensation also change with impact on defecation control. Pelvic floor sensation and genital sensation change with ageing. All can account for symptoms and signs. But the many health issues in ageing people must be taken into account. If an elderly wet him/herself or develops fecal incontinence this should not immediately be attributed to "he/she is old". The reality is much more "he/she may be sick". Such attitude is more correct and proper investigation may detect treatable causes which can make the approach more accurate and treatment possible in several cases.