Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jan;40(1):38-54.
doi: 10.1002/nau.24549. Epub 2020 Oct 21.

Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence

William Gibson  1 , Theodore Johnson  2 , Ruth Kirschner-Hermanns  3 , George Kuchel  4 , Alayne Markland  5 , Susie Orme  6 , Joan Ostaszkiewicz  7 , George Szonyi  8 , Jean Wyman  9 , Adrian Wagg  1
Affiliations
Review

Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence

William Gibson et al. Neurourol Urodyn. 2021 Jan.

Abstract

Background: Evidence-based guidelines for the management of frail older persons with urinary incontinence are rare. Those produced by the International Consultation on Incontinence represent an authoritative set of recommendations spanning all aspects of management.

Aims: To summarize the available evidence relating to the management of urinary incontinence in frail older people published since the 5th International Consultation on Incontinence.

Materials and methods: A series of systematic reviews and evidence updates were performed by members of the working group to update the 2012 recommendations.

Results: Along with the revision of the treatment algorithm and accompanying text, there have been significant advances in several areas of the management of lower urinary tract symptoms in frail older people.

Discussion: The committee continues to note the relative paucity of data concerning frail older persons and draw attention to knowledge gaps and research opportunities. Clinicians treating older people with lower urinary tract symptoms should use the available evidence from studies of older people combined with careful extrapolation of those data from younger subjects. Due consideration to an individual's frailty and wishes is crucial.

Keywords: International Consultation; geriatrics; incontinence; lower urinary tract symptoms.

PubMed Disclaimer

References

REFERENCES

    1. Wagg A, Gibson W, Ostaszkiewicz J, et al. Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol Urodyn. 2015;34(5):398-406.
    1. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-M156.
    1. Baltes PB, Smith J. New frontiers in the future of aging: from successful aging of the young old to the dilemmas of the fourth age. Gerontology. 2003;49(2):123-135.
    1. Thom DH, Haan MN, Van Den Eeden SK. Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing. 1997;26(5):367-374.
    1. Wang C-J, Hung C-H, Tang T-C, et al. Urinary incontinence and its association with frailty among men aged 80 years and older in Taiwan: a cross-sectional study. Rejuvenation Res. 2016;20:111-117.

LinkOut - more resources