Causes of urinary incontinence in the elderly include the effects of age, food, disease, and medications. The main treatment options for urinary incontinence in the elderly include general treatment, medication, surgery, other treatments, and etiologic treatments.
1.Causes.
(1) Age: With age, the bladder forcing muscle, the capacity of the bladder, and the ability to delay urination decrease.
(2) Food: Alcohol, caffeine, carbonated beverages, chocolate, red peppers, etc.
(3) Diseases: urinary tract infection, constipation, prostate disease, stones, multiple sclerosis, Parkinson’s, etc.
(4) Drugs: such as diazepam, ethanol, amitriptyline can affect urination.
2.Treatment.
(1) General treatment: adjust the time and amount of drinking water for patients to urinate at the proper time. Strengthen the pelvic floor muscle exercise. You can also try to prompt urination before incontinence.
(2) Medication: cholinergic receptor antagonists such as oxybutynin can relieve bladder overactivity; alpha receptor blockers such as terazosin can be used to treat mild to moderate prostatic hyperplasia.
(3) Surgical treatment: commonly used surgical procedures include transvaginal urethral tension-free suspension and prostatectomy.
(4) Other treatments: intermittent catheterization, urinary catheter, indwelling catheter and so on.
(5) Etiologic treatment: patients with stress incontinence can exercise the pelvic floor muscles; prostate hyperplasia patients with incontinence preferred surgical treatment and so on.
The above drugs should be used under the guidance of a doctor. Elderly urinary incontinence may also be caused by other factors, requiring different treatment methods, it is recommended that patients go to the regular hospital in time for treatment.