Urinary Incontinence, Quality of Life, and Risk Factors in a Geriatric Cohort.

The aim of the study was to evaluate the prevalence of urinary incontinence (UI) and its subtypes, associated clinical factors, and impact on quality of life (QoL) in a geriatric population aged 80 years or older.

Male and female residents (inclusion criterion: 80 years or older) of three Viennese senior citizen homes were personally interviewed with the aid of a structured questionnaire based on the Bristol Female Lower Urinary Tract Symptom Questionnaire within a 12-month period. UI was defined as any involuntary loss of urine during the past 4 weeks. Several demographic parameters were obtained additionally.

434 participants with a mean age of 86.8 years (women: 87.6 years; men: 86.1 years) were included. UI was present in 52.5% (57% female vs. 23% male, p < 0.001), stress UI affected 36% (41% female vs. 5% male, p < 0.001), urge UI 38% (40.5% female vs. 23% male, p < 0.01), and mixed UI 28% (24% female vs. 5.0% male, p < 0.01). While the overall prevalence of UI remained rather stable in the four age cohorts (80-84 years, 85-89 years, 90-94 years, >94 years), there was a constant decline of SUI paralleled by an increase of UI and - to a lesser extent - of MUI with age. 36.5% (33% female vs. 57% male) participants did not report any negative impact on QoL, while a severe reduction of QoL was present in 31% of cases (35% female vs. 10.0% male). Risk factors for UI and its subtypes included female sex, reduced/no mobility, hysterectomy, and number of births.

This study provides data on the high prevalence of UI in a low-morbid geriatric cohort and evaluates gender-specific differences in UI prevalence, associated risk factors, and QoL.

Urologia internationalis. 2023 Aug 23 [Epub ahead of print]

Klaus Eredics, Clemens Wehrberger, Leo Edlinger, Ulrik Müller, Michael Rauchenwald, Marlies Wehrberger, Stephan Madersbacher

Department of Urology, Clinic Donaustadt, Vienna, Austria., Department of Internal Medicine/Division of Oncology, Medical University of Graz, Graz, Austria., Department of Urology, Landesklinikum Thermenregion, Baden, Austria., Department of Urology, Clinic Favoriten and Sigmund Freud Private University, Vienna, Austria.

SUFU MyBladder app