Urinary incontinence in the elderly

The International Continence Society defines urinary incontinence as involuntary leakage of urine that cannot be consciously controlled. Urinary incontinence often occurs when pressure is placed on the abdomen, such as when coughing, laughing or exercising. For some people, urine leaks when they feel an urgent need to urinate but cannot reach the toilet in time. Urinary incontinence can develop progressively over time.

Treatment and ways to improve urinary incontinence in the elderly

There are now several treatments for incontinence. One option is biofeedback, which uses sensors to help patients perceive signals from their bodies. This therapy can help patients regain control of the bladder and urethral muscles. Other methods patients can try in daily life include:

1. Pelvic floor muscle exercises

Also known as Kegel exercises, these exercises work the muscles that control the flow of urine and make them stronger. Strengthening the pelvic floor muscles continuously for six to eight weeks can usually improve urine leakage.

2. Schedule urination times

Go to the toilet at set times, for example once every hour, and then gradually extend the interval. This approach can help patients control their bladder. Combined with biofeedback therapy and Kegel exercises, it can help patients manage urinary incontinence more effectively.

3. Change your lifestyle

Losing weight, quitting smoking, drinking less alcohol, reducing caffeine intake (tea, coffee and soft drinks), avoiding heavy lifting, preventing constipation and drinking less water before bed can all help control urinary incontinence.

Early signs that an elderly person's health is deteriorating

• Limited mobility, unsteady walking and frequent falls
• Urinary and faecal incontinence
• Declining cognitive ability
• Frailty, reduced physical strength or weakness
• Muscle atrophy

Sources

rapper.ntuh.gov.tw
commonhealth.com.tw, CommonHealth Magazine
helloyishi.com.tw