Urological Problems In Senior Citizens Especially Women:

Published by: ABP Live

Urinary Incontinence:

It is a common issue among senior women, manifesting in two primary types: stress incontinence, where leakage occurs during activities like coughing or lifting, and urge incontinence, characterized by a sudden, intense urge to urinate .

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Weak pelvic floor muscles, menopause-related changes, and certain medications are main causes, and a few symptoms would involve frequent urine leakage, strong urges to urinate, and occasional accidents.

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Overactive Bladder (OAB):

It presents with symptoms such as frequent urination, urgency, and incontinence . This condition results from aging bladder muscles, nerve damage, or underlying health conditions, disrupting daily activities and sleep, thus reducing the quality of life.

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Urinary Tract Infections (UTIs):

These are marked by a burning sensation during urination, a frequent urge to urinate, and cloudy urine. These infections are typically caused by bacterial infections, a shorter urethra in women, and post-menopausal changes.

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The risk of UTIs increases with age due to changes in the urinary system. In women over 65, up to 10% experience at least one UTI per year, with the incidence rising to 30-50% for those in long-term care facilities.

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Pelvic Organ Prolapse:

It involves symptoms like pressure in the pelvic area, urinary leakage, and discomfort. This condition is caused by the weakening of pelvic muscles due to childbirth, aging, and hormonal changes, leading to incontinence and affecting bowel function.

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Chronic Kidney Disease (CKD):

In senior women, it can lead to symptoms such as fatigue, swelling in the feet and ankles, and changes in urination. Causes include diabetes, high blood pressure, and age-related decline in kidney function. Early detection is crucial for managing the progression of CKD.

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Interstitial Cystitis:

It is characterized by chronic pelvic pain, frequent urination, and discomfort resulting from bladder inflammation and possibly nerve issues. This condition is challenging to diagnose and is often misdiagnosed, leading to chronic discomfort.

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Vaginal Atrophy:

It involves symptoms of dryness, burning, and discomfort during urination, primarily due to reduced estrogen levels post-menopause. Hormone therapy and lubricants can alleviate these symptoms.

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Bladder Cancer:

In senior women, it presents with symptoms such as blood in urine, frequent urination, and pelvic pain. It is caused by smoking, chemical exposure, and aging. Early screening and treatment are vital for managing this condition effectively.

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Inputs By:

Dr Manasa T, Consultant – Urology Department, Ramaiah Memorial Hospital

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