Updated guideline on urinary incontinence in geriatric patients

Incontinence is still a taboo topic. But especially older people accidentally lose urine. The Working Group on Incontinence of the German Society for Geriatrics (DGG) has therefore issued an updated guideline on urinary incontinence in geriatric patients.

Various triggers for incontinence. Picture: Bilderzwerg - Fotolia

It is estimated that about 40% of over-70s are incontinent in Germany. According to study authors, a geriatric patient is characterized by vulnerability, multi-morbidity and is significantly older than 65+, over 80 years old. They have therefore carefully examined all study results, whether they are relevant for geriatric patients at all. For example, surgical high-end methods such as sacral neuromodulation ("bladder pacemaker") would not be suitable for geriatric patients.

Especially important is toilet training. Under this collective term fall various methods. This can be going to the toilet at fixed times. But even the regular question of whether the person feels urinary urgency, is an important intervention measure.

Focus on drug side effects
Another focus of the guideline is the study of side effects of drugs. For example, certain antidepressants can block the bladder. But even classic drugs for incontinence should be used wisely in geriatric patients. Some of these so-called anticholinergics change cognition and can lead to an increased risk of falling. The new guideline can be found here. (Pm)