Urinary incontinence among older adults

Abstract

Urinary incontinence is common among older adults in both community and institutional settings. Less than half of older adults with urinary incontinence bring up this problem to their provider. Understanding the urinary and non-urinary causes of incontinence, as well as the appropriate screening and evaluation processes, will help clinicians provide optimal care to their patients. This chapter reviews the evidence-based treatment options available, both non-pharmacologic and pharmacologic. While many patients with urinary incontinence are treated by their primary care provider, recommendations are provided for when patients with urinary incontinence would benefit from referrals to specialists and an overview of anticipated specialist treatments.