The effect of pelvic floor muscles training, bladder exercises and lifestyle modification on urinary incontinence in elderly men (original) (raw)
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Effects of the Training Given to Older Adults on Urinary Incontinence
Ageing International, 2020
This study aims to identify the effects of the pelvic floor strengthening exercises and bladder training given to older adults with urinary incontinence on their incontinence. A randomized controlled trial was conducted between March and June 2017. The target population was 476 people aged 65 and over who were diagnosed with urinary incontinence. The sample was 100 volunteer people who met the research criteria. The data were collected using the Socio-demographic Form and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). The experimental group ICIQ-SF post-test mean score was significantly lower than the control group ICIQ-SF post-test mean score. Urinary incontinence is one of the important geriatric problems whose prevalence has been increasing with ageing. Urinary incontinence treatment should include behavioural treatment together with medicine or surgical treatments. This study found that the training given to older adults had preventive effects on urinary incontinence.
Awarding Pelvic Floor Exercise in Elderly Patients with Urinary Incontinence
Proceedings of the International Conference on Health Informatics and Medical Application Technology, 2019
Changes and degradation in the physical, psychological, social and spiritual well-being of the elderly greatly affects the health status of the elderly. One of the physical changes in the elderly is urinary incontinence. The high incidence of urinary incontienence causes the need for physiotherapy with the pelvic floor excercise method. Pelvic floor exercise method aims to determine the effect of providing pelvic floor exercise to patients with urinary incontinence. This research is a quasi-experimental study using pre-test and post-test one group design. Total samples of 15 people were taken by accidental sampling. Stastical analysis using T-Test. The results obtained p value <α = (0,000 < 0.05)Which means that there is a significant influence on pelvic floor exercise on patients with urinary incontinence in the elderly at Grandmed Hospital. Suggestion for future researchers are expected to use a larger number of samples from this study and a longer reasearch time from this s...
Examining the Role of Non-Surgical Therapy in the Treatment of Geriatric Incontinence
2021
ABSTRACTObjectiveTo examine the role of physical function impairments on the change in urinary incontinence symptoms after pelvic floor muscle training in older women.MethodsThis is a prospective cohort study of 70 community-dwelling women, older than 70 years, with at least moderate incontinence symptoms. A comprehensive assessment of pelvic floor and physical function was done at baseline. Individualized PFM training prescriptions with behavioral management strategies to reduce incontinence episodes were provided for 12 weeks. Baseline physical function was determined using the Short Physical Performance Battery (total score of ≤9/12 defined impairment). A 3-day bladder diary established daily incontinence episodes. The change in urinary incontinence episodes based on presence of physical function impairment was our primary outcome. Descriptive analyses compared important demographic and clinical characteristics. Longitudinal mixed model linear regression analyses were used to ass...
The Efficiency of a Behavioral Intervention Program for Urinary Incontinence in Elderly Females
Background: Urinary incontinence (UI) is a women's health problem that imposes major problems for personal quality of life. Objective: The aim is to determine the effect of a Behavioral Intervention Program on the quality of life of the elderly females with urinary incontinence, who referred to Jahandidegan center in Shiraz-Iran, 2011. Material and methods: The participants consisted of 60 women aged 60-74 years with QUID questionnaire's scores for different types of incontinence (stress score ≥ 4, urge score ≥ 6 and mix score ≥ 10). QUID questionnaire was used for patients with urinary incontinence. It also gave us the possibility to determine the types of urinary incontinence. For matching, we placed an equal numbers of each type of urinary incontinence in each group. Ten subjects from each type were placed in two groups of 30 each (intervention and control groups). Then, incontinence quality of life questionnaire (I-QOL) was used to estimate the impact of incontinence on the participants' quality of life. After the completion of a Behavioral Intervention Program and 2 months later, I-QOL questionnaire was completed by the intervention and control groups. Descriptive statistics, paired t-test and repeated measurement were used to analyze the data. Results: Overall, the program was effective in relieving symptoms by improving quality of life related to urinary incontinence, and this effect continued after a 2 months period. Conclusion: Behavioral therapy was an empowerment mechanism for incontinent women in improving their quality of life. Thus, it is suggested that the health care providers pay more attention to this issue and train women regarding the prevention of urinary incontinence.
Age and ageing, 2015
urinary incontinence (UI) is a common symptom among older people, with a higher prevalence among frail older persons living in nursing homes. Despite consequences such as reduced health and quality of life, many older people do not seek help for their symptoms, resulting in missed opportunity for treatment. the aim of this study was to investigate the evidence and the effect of conservative treatment of UI and the quality of life among older and frail older persons. a systematic review of randomised controlled studies and prospective, non-randomised studies was conducted, evaluating interventions of conservative treatment of UI in an older population (65 years or older). A total of 23 studies fulfilled the inclusion criteria and 9 were of high or moderate quality. Fourteen studies were of low quality and were therefore excluded from the analysis. documented and effective conservative treatments are available even for older persons with UI. Pelvic muscle exercise, physical training i...
Assessment of the Severity of Urinary Incontinence Among Elderly Women
Journal of Clinical and Laboratory Research, 2024
Background: The International Continence Society (ICS) defines urinary incontinence (UI) as the complaint of any involuntary leakage of urine. It is a distressing and debilitating condition that is becoming more prevalent as our population ages. Pathophysiology of urinary incontinence during menopause the ovaries stop producing considerable quantities of estrogen; hence the symptoms and problems associated with estrogen deficiency occur gradually. Among the changes is reduction in the integrity of the pelvic floor, changes in the rate of different types of collagens and the preferential atrophy of type II muscle fibers, atrophy of urinary-genital tract which may be associated with problems such as urinary urgency, urinary frequency, nocturia, stress incontinence, urge incontinence, burning upon urination and an increased prevalence of urinary tract infections. Aim of the study: The study aimed to assess severity of urinary incontinence among elderly women. Design: A descriptive study design was utilized in this study. Sample: A purposive sample of 100 women diagnosed with stress urinary incontinence. Setting: gynecological and urological outpatient clinics Beni-Suef university hospital. Tools: (1) A structured interviewing questionnaire sheet was developed by the researcher in the Arabic language. It was containing of two parts; (1) personal characteristics data of the study women such, (2) urinary incontinence history; (2) The International Consultation on Incontinence Modular Questionnaire ICIQ-SF. Results: The mean weight of the studied sample was 82.680±11.8815, mean height was 160.420±2.8610, and mean of BMI was 32.1224±4.47973. It indicates that 42% of the study sample their frequency of urination was every 3-6 hours, 75% of them had a completely empty bladder after voiding, 37% did not used sanitary towel for urine leakage. Conclusion: Based on the results of the study; It can be concluded that most of elderly women suffer from sever urinary incontinence. Recommendations: Replication of the present study under different circumstances (sampling and setting) is recommended to validate its results.
Nursing Outlook, 2011
This systematic literature review aimed to identify conservative interventions for reducing urinary incontinence (UI) in non-institutionalized frail older adults. Randomized and quasi-experimental studies published in English reporting outcomes on UI frequency, severity, or quality of life were included and rated for quality. Studies reporting improvements over 50% in UI outcomes were considered clinically significant. Seven studies with 683 participants (75% female) were eligible. Multicomponent behavioral interventions including pelvic floor muscle exercises and bladder training had the strongest evidence for reducing UI. The evidence supporting comprehensive geriatric assessment with multicomponent behavioral interventions, pattern urge response training, and toilet skills was limited. There is insufficient evidence to derive firm conclusions regarding the use of conservative interventions. Clinical trials are needed on a variety of interventions to guide practice on UI prevention and management in frail community-dwelling older adults.
Evaluation of a behavioral treatment for female urinary incontinence
Clinical Interventions in Aging, 2011
Urinary incontinence is a medical, psychological, social, economic, and hygienic problem. Although it is difficult to state its prevalence, all authors agree that it is related to age and gender. This study aimed to carry out a urinary incontinence behavioral treatment in order to reduce urine leakages in 14 participants recruited from a senior center. The program consists of daily training of the pelvic floor muscles with a weekly control by a supervisor during a 2-month period and follow-up of results 2 months after the last control session. Urinary incontinence episodes were reduced by 75.67% after program completion. It appears that pelvic floor muscles training, carried out under controlled and constant supervision, significantly reduces urinary leakage. Moreover, maintaining this improvement after treatment depends on the continuation of the exercises as well as on the urinary leakage frequency baseline and the urinary leakage frequency during the last treatment session.