Challenges in the Detection and Diagnosis of Bladder Dysfunction: Optimal Strategies for the Primary Care Physician

[摘要] Bladder dysfunction is a common condition that affects millions of persons and is particularly common in the elderly. It has been estimated that 15% to 30% of all older persons living in the community and at least one half of those being managed in long-term care facilities have urinary incontinence.1 Urinary incontinence has a significant negative impact on quality of life and may result in serious complications, including urinary tract infections, cellulitis, pressure ulcers, loss of sleep, depression, sexual impairment, and falls and fractures.1–3 Although the pathophysiology of bladder dysfunction remains incompletely understood, there have been important advances in both the evaluation and management of patients with this condition. The 6 articles comprising this supplement summarize the age-related changes in the bladder that may lead to lower urinary tract symptoms (LUTS), challenges involved in detection and diagnosis of bladder dysfunction, new approaches to differential diagnosis, and treatment options for patients with this condition.

[学科分类] 基础医学