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Chapter 27 - Urological Conditions

from Section III - Care of the Elderly by Organ System

Published online by Cambridge University Press:  30 June 2022

By
Tomas L. Griebling  and
Mary H. Palmer
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

Common urological conditions in older adults include hematuria, urinary tract infections, urological malignancies, and conditions that affect male and female genitalia. The incidence and prevalence of most urological conditions increase with advancing age in both men and women, and approximately 20% of all primary care visits include some type of urological complaint. These conditions can cause significant discomfort and pain, affect quality of life, and some conditions potentially lead to hospitalization and death. Prompt evaluation and treatment are required for effective management.

Keywords

urologyagedpost-menopauseurinary tract infectionsprostatic diseasespelvic organ prolapseurinary calculihematuriaurinary cathetersurethral diseases
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 335 - 349
Publisher: Cambridge University Press
Print publication year: 2022

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References

Weiss, J. Commentary on the geriatric healthcare workforce: Leveraging the potential of interprofessional teams. J Am Geriatr Soc. 2019; 67(S2):S409–S411.Google Scholar
Barocas, DA, Boorjian, SA, Alvarez, RD, et al. Microhematuria: AUA/SUFU Guideline. J Urol. 2020 (Oct.); 204(4):778–786.Google Scholar
Ziemba, J, Guzzo, TJ, Ramchandani, P, et al. Evaluation of the patient with asymptomatic microscopic hematuria. Acad Radiol. 2015; 22(8):1034–1037.Google Scholar
Parkin, DM, Hämmerl, L, Ferlay, J, Kantelhardt, EJ. Cancer in Africa 2018: The role of infections. Int J Cancer. 2020; 146(8):2089–2103.Google Scholar
Griebling, TL. Urologic Diseases in America Project: Trends in resource use for urinary tract infections in women. J Urol. 2005; 173:1281–1287.Google Scholar
Griebling, TL. Urologic Diseases in America Project: Trends in resource use for urinary tract infections in men. J Urol. 2005; 173:1288–1294.Google Scholar
Rodriguez-Mañas, L. Urinary tract infections in the elderly: A review of disease characteristics and current treatment options. Drugs Context 2020; 9: 2020–4–13.CrossRefGoogle ScholarPubMed
Cortes-Penfield, NW, Trautner, BW, Jump, RLP. Urinary tract infection and asymptomatic bacteriuria in older adults. Infect Dis Clin North Am. 2017; 31(4):673–688.Google Scholar
Smithson, A, Ramos, J, Niño, E, et al. Characteristics of febrile urinary tract infections in older male adults. BMC Geriatr. 2019; 19(1):334.CrossRefGoogle ScholarPubMed
Caterino, JM, Kline, DM, Leininger, R, et al. Nonspecific symptoms lack diagnostic accuracy for infection in older patients in the emergency department. J Am Geriatr Soc. 2019; 67(3):484–492.Google Scholar
Rodhe, N, Mölstad, S, Englund, L, et al. Asymptomatic bacteriuria in a population of elderly residents living in a community setting: Prevalence, characteristics and associated factors. Fam Pract. 2006; 23:303–307.Google Scholar
Nicolle, LE. Asymptomatic bacteriuria: When to screen and when to treat. Infect Dis Clin North Am. 2003; 17:367–394.Google Scholar
Tal, S, Guller, V, Levi, S, et al. Profile and prognosis of febrile elderly patients with bacteremic urinary tract infection. J Infect. 2005; 50:296–305.Google Scholar
Maki, KC, Kaspar, KL, Khoo, C, et al. Consumption of a cranberry juice beverage lowered the number of clinical urinary tract infection episodes in women with a recent history of urinary tract infections. Am J Clin Nutr. 2016; 103(6):1434–1142.Google Scholar
Murina, F, Vicariotto, F, Lubrano, C. Efficacy of an orally administered combination of Lactobacillus paracasei LC11, cranberry and D-mannose for the prevention of uncomplicated, recurrent urinary tract infections in women. Urologia. 2020 (Sep. 20):391560320957483.Google Scholar
Letica-Kriegel, AS, Salmasian, H, Vawdrey, DK, et al. Identifying the risk factors for catheter-associated urinary tract infections: A large cross-sectional study of six hospitals. BMJ Open. 2019; 9(2):e022137.CrossRefGoogle ScholarPubMed
Averch, TD, Stoffel, J, Goldman, HB, et al. AUA white paper on catheter associated urinary tract infections: Definitions and significance in the urological patient. Urol Pract. 2015; 2:321–328.Google Scholar
Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA, and The Healthcare Infection Control Practices Advisory Committee. Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009. Last update 2019. Centers for Disease Control and Prevention. www.cdc.gov/infectioncontrol/guidelines/cauti.Google Scholar
Kachru, N, Holmes, HM, Johnson, ML, Chen, H, Aparasu, RR. Comparative risk of adverse outcomes associated with nonselective and selective antimuscarinic medications in older adults with dementia and overactive bladder. Int J Geriatr Psychiatry. 2020 (Nov. 9); 36(5):684–696. doi: 10.1002/gps.5467.Google Scholar
Pearle, MS, Calhoun, EA, Curhan, GC, et al. Urologic Diseases in America Project: Urolithiasis. J Urol. 2005; 173:848–857.CrossRefGoogle ScholarPubMed
Wang, S, Zhang, Y, Zhang, X, et al. Upper urinary tract stone compositions: The role of age and gender. Int Braz J Urol. 2020; 46(1):70–80.Google Scholar
Wong, YV, Cook, P, Somani, BK. The association of metabolic syndrome and urolithiasis. Int J Endocrinol. 2015; 570674. doi: 10.1155/2015/570674.Google Scholar
Siegel, RL, Miller, KD, Jemal, A. Cancer statistics, 2020. CA Cancer J Clin. 2020; 70(1):7–30.Google Scholar
Daneshmand, S, Bazargani, ST, Bivalacqua, TJ, et al. Blue light cystoscopy for the diagnosis of bladder cancer: Results from the US prospective multicenter registry. Urol Oncol. 2018; 36(8):361.e1–361.e6.Google Scholar
Fontana, PP, Gregorio, SA, Rivas, JG, et al. Perioperative and survival outcomes of laparoscopic radical cystectomy for bladder cancer in patients over 70 years. Cent European J Urol. 2015; 68(1):24–29.Google Scholar
Prayer Galetti, T, Soligo, M, Morlacco, A, et al. Morbidity, mortality, and quality assessment following open radical cystectomy in elderly patients with bladder cancer. Aging Clin Exp Res. 2020 (Jun. 13); 33(4):1049–1061. doi: 10.1007/s40520-020-01613-0.Google Scholar
Vuichoud, C, Loughlin, KR. Benign prostatic hyperplasia: Epidemiology, economics and evaluation. Can J Urol. 2015; 22 (Suppl. 1):1–6.Google Scholar
Xiong, Y, Zhang, Y, Li, X, Qin, F, Yuan, J. The prevalence and associated factors of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in aging males. Aging Male. 2020; 23(5):1432–1439. doi: 10.1080/13685538.2020.1781806Google Scholar
Tikkinen, KA, Auvinen, A, Johnson, TM 2nd, et al. A systematic evaluation of factors associated with nocturia: The population-based FINNO study. Am J Epidemiol. 2009; 170:361–368.Google Scholar
Park, S, Ryu, JM, Lee, M. Quality of life in older adults with benign prostatic hyperplasia. Healthcare (Basel). 2020; 8(2):158.Google Scholar
MacDonald, R, Brasure, M, Dahm, P, et al. Efficacy of newer medications for lower urinary tract symptoms attributed to a benign prostatic hyperplasia: A systematic review. Aging Male. 2019; 22(1):1–11.Google Scholar
Bortnick, E, Brown, C, Simma-Chiang, V, Kaplan, SA. Modern best practice in the management of benign prostatic hyperplasia in the elderly. Ther Adv Urol. 2020; 12:1756287220929486.Google Scholar
Christou, CD, Tsinopoulos, I, Ziakas, N, Tzamalis, A. Intraoperative floppy iris syndrome: Updated perspectives. Clin Ophthalmol. 2020; 14:463–471.Google Scholar
Ooi, SL, Pak, SC. Serona repens for lower urinary tract symptoms / benign prostatic hyperplasia: Current evidence and its clinical implications in naturopathic medicine. J Altern Complement Med. 2017; 23(8):599–606.Google Scholar
Russo, A, Capogrosso, P, La Croce, G, et al. Serona repens, selenium and lycopene to manage lower urinary tract symptoms suggestive for benign prostatic hyperplasia. Expert Opin Drug Saf. 2016; 15(12):1661–1670.CrossRefGoogle Scholar
Foster, HE, Dahm, P, Kohler, TS, et al. Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA Guideline Amendment 2019. J Urol. 2019; 202(3):592–598.Google Scholar
Haibin, W, Lin, Q, Junxiu, W, et al. Transurethral laser versus open simple prostatectomy for large volume prostates: A systematic review and meta-analysis of randomized controlled trials. Lasers Med Sci. 2020; 36:1191–1200. doi: 10.1007/s10103-020-03153-5.Google Scholar
Srinivasan, A, Wang, R. An update on minimally invasive surgery for benign prostatic hyperplasia: Techniques, risks, and efficacy. World J Mens Health. 2020; 38(4):402–411.CrossRefGoogle ScholarPubMed
Tamalunas, A, Westhofen, T, Schott, M, et al. The clinical value of holmium laser enucleation of the prostate in octogenarians. Low Urin Tract Symptoms. 2020; 13(2):279–285. doi: 10.1111/luts.12366.Google Scholar
Roehrborn, CG, Barkin, J, Gange, SN, et al. Five year results of the prospective randomized controlled prostatic urethral L.I.F.T study. Can J Urol. 2017; 24(3):8802–8813.Google ScholarPubMed
Porpiglia, F, Fiori, C, Amparore, D, et al. Second-generation of temporary implantable nitinol device for the relief of lower urinary tract symptoms due to benign prostatic hyperplasia: Results of a prospective, multicentre study at 1 year of follow-up. BJU Int. 2019; 123(6):1061–1069.Google Scholar
Amparore, D, De Cillis, S, Volpi, G, et al. First- and second-generation temporary implantable nitinol devices as minimally invasive treatments for BPH-related LUTS: Systematic review of the literature. Curr Urol Rep. 2019; 20(8):47.Google Scholar
Bouhadana, D, Nguyen, DD, Zorn, KC, Elterman, DS, Bhojani, N. Patient perspective on benign prostatic hyperplasia surgery: A focus on sexual health. J Sex Med. 2020; 17(10):2108–2112.Google Scholar
Coker, TJ, Dierfeldt, DM. Acute bacterial prostatitis: Diagnosis and management. Am Fam Physician. 2016; 93(2):114–120.Google Scholar
Wagenlehner, FM, Weidner, W, Pilatz, A, Naber, KG. Urinary tract infections and bacterial prostatitis in men. Curr Opin Infect Dis. 2014; 27(1):97–101.Google Scholar
Offenbacher, J, Barbera, A. Penile emergencies. Emerg Med Clin North Am. 2019; 37(4):583–592.Google Scholar
Fergus, KB, Lee, AW, Baradaran, N, et al. Pathophysiology, clinical manifestations, and treatment of lichen sclerosus: A systematic review. Urology. 2020; 135:11–19.Google Scholar
Williams, JC, Morrison, PM, Richardson, JR. Paraphimosis in elderly men. Am J Emerg Med. 1995; 13:351–353.Google Scholar
Chung, PH, Han, TM, Rudnik, B, Das, AK. Peyronie’s disease: What do we know and how do we treat it? Can J Urol. 2020; 27(S3):11–19.Google Scholar
El-Sakka, AI. Medical, non-invasive, and minimally invasive treatment for Peyronie’s disease: A systematic review. Andrology. 2020; 9(2):511–528. doi: 10.1111/andr.12927.Google Scholar
Alom, M, Meng, Y, Sharma, KL, et al. Safety and efficacy of collagenase Clostridium histolyticum in Peyronie’s disease men with ventral curvatures. Urology. 2019; 129:119–125.Google Scholar
Nguyen, HMT, Yousif, A, Chung, A, et al. Safety and efficacy of collagenase Clostridium histolyticum in the treatment of acute phase Peyronie’s disease: A multi-institutional analysis. Urology. 2020; 145:147–151.CrossRefGoogle ScholarPubMed
Viers, BR, Pagliara, TJ, Rew, CA, et al. Urethral reconstruction in aging male patients. Urology. 2018; 113:209–214.Google Scholar
Conces, MR, Williamson, SR, Montironi, R, et al. Urethral caruncle: Clinicopathologic features of 41 cases. Hum Pathol. 2012; 43(9):1400–1404.Google Scholar
Ozkurkcugil, C, Ozkan, L, Tarcan, T. The effect of asymptomatic urethral caruncle on micturition in women with urinary incontinence. Korean J Urol. 2010; 51:257–259.Google Scholar
Ljungqvist, L, Peeker, R, Fall, M. Female urethral diverticulum: 26-year follow-up of a large series. J Urol. 2007; 177:219–224.Google Scholar
Sun, Y, Tang, C, Li, N, et al. Risk factors of postoperative sexual function in patients with urethral diverticulum and their partners: A cohort study of 83 women. Int Braz J Urol. 2019; 45(6):1216–1226.Google Scholar
Wong, MJ, Wong, K, Rezvan, A, et al. Urogenital fistula. Female Pelvic Med Reconstr Surg. 2012; 18(2):71–78.Google Scholar
Li, D, Bai, W. Application of conjugated estrogen cream in the treatment of postmenopausal atrophic vaginitis. Pharm Sci. 2018; 31(5(Special)):2283–2286.Google Scholar
Pérez-López, FR, Vieira-Baptista, P. Lichen sclerosus in women: A review. Climacteric. 2017; 20(4):339–347.Google Scholar
Tannenbaum, C, Corcos, J, Assalian, P. The relationship between sexual activity and urinary incontinence in older women. J Am Geriatr Soc. 2006; 54:1220–1224.Google Scholar
Griebling, TL. The impact of urinary incontinence on sexual health in older adults. J Am Geriatr Soc. 2006; 54:1290–1292.Google Scholar
Burkhalter, JE, Margolies, L, Siggurdsson, HO, et al. The National LGBT Cancer Action Plan: A White Paper of the 2014 National Summit on Cancer in the LGBT Community. LGBT Health. 2016; 3(1):19–31.Google Scholar
Sinclair, CT, Kalendar-Rich, JL, Griebling, TL, Porter-Williamson, K. Palliative care of urologic patients at end of life. Clin Geriatr Med. 2015; 31(4):667–678.Google Scholar
Gerharz, EW, Emberton, M. Quality of life research in urology. World J Urol. 1999; 17:191–192.Google Scholar
Sánchez-García, S, Gallegos-Carrillo, K, Espinel-Bermudez, MC, et al. Comparison of quality of life among community-dwelling older adults with the frailty phenotype. Qual Life Res. 2017; 26(10):2693–2703.CrossRefGoogle ScholarPubMed

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