Geriatric Urology, An Issue of Clinics in Geriatric Medicine

Tomas L Griebling

Description

This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients.

Sujets

• Médecine
• Spécialités médicales
• Médecine Générale
• Medical
• Geriatrics

Informations

• Publié par: Elsevier
• Date de parution: 07 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323393355
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Geriatric Urology
Clinics in Geriatric Medicine
Editor
Tomas Lindor Griebling, MD, MPH
The Landon Center on Aging, School of Medicine, The University of Kansas, Kansas City, KS, USA

Clinics Review Articles

www.geriatric.theclinics.com

November 2015 Volume 31 Number 4
Table of Contents
Cover image
Title page
Copyright
Contributors
Editor
Authors
Forthcoming Issue
Forthcoming Issues
Recent Issues
Preface: Urologic Issues in Geriatric Health Care
Nonsurgical Treatment of Urinary Incontinence in Elderly Women
Key points
Introduction
Management goals
Clinical evaluation
Pharmacologic therapies
Nonpharmacologic strategies
Self-management strategies
Clinical follow-up
Summary and recommendations
References
Outcomes of Surgery for Stress Urinary Incontinence in the Older Woman
Key points
Critical need for age-related outcomes
Perioperative considerations and evaluation in older women
Surgical interventions and outcomes
Age-related surgical outcomes
Summary/Need for further investigation
References
Evaluation and Management of Pelvic Organ Prolapse in Elderly Women
Key points
Introduction
Patient evaluation
Pelvic organ prolapse treatment options
Summary/discussion
References
Underactive Bladder in Older Adults
Key points
Introduction
Red flags of underactive bladder
Causes of underactive bladder
Epidemiology
The unrecognized problem
Contributing factors and pathophysiology
Progression of overactive bladder to underactive bladder
Clinical evaluation
Evaluation of underactive bladder
Underactive bladder questionnaire
Therapeutic directions
Cholinesterase inhibitors
Prostaglandin E2 and Prostaglandin receptors
Sacral neuromodulation
Stem cell therapy for underactive bladder
Education and next step
Summary
References
Translational Research and Functional Changes in Voiding Function in Older Adults
Key points
Introduction
Functional aging-related voiding changes
Animal models of aging-related bladder dysfunction
Risk factors
Summary
References
Functional Brain Imaging and the Neural Basis for Voiding Dysfunction in Older Adults
Key points
Introduction
Brain imaging of bladder control
Functional MRI studies in healthy subjects
Connectivity
Effect of aging on brain activation and connectivity
Summary
References
The Role of Urodynamics in Elderly Patients
Key points
Introduction
Positioning
Urodynamic testing
Lower urinary tract symptoms that are common in the geriatric population
Special circumstances in elderly patients
Summary
References
Associations Between Urinary Symptoms and Sexual Health in Older Adults
Key points
Sexual health among older adults
Prevalence of sexual dysfunction
The multifactorial nature of sexual dysfunction
Overall health status and sexual dysfunction
Interrelationship between urinary disorders and sexual dysfunction
Association between lower urinary tract symptoms and sexual dysfunction in men
Association between lower urinary tract symptoms and sexual dysfunction in women
Practice implications
References
Surgical Risk and Comorbidity in Older Urologic Patients
Key points
Introduction
Preoperative risk assessment in the older urologic patient
Frailty: a single preoperative risk assessment
Single-organ systems: important risk assessment adjuncts
Cardiac assessment
Nutritional assessment
Pulmonary assessment
Renal assessment
Population-based assessment
What the urologist can do
Future directions
References
Management of Small Renal Masses in the Older Adult
Key points
Introduction
Epidemiology
Diagnosis
Treatment
Summary
Major summary points
References
Prostate Cancer in Elderly Men: Screening, Active Surveillance, and Definitive Therapy
Key points
Introduction
Screening
Localized prostate cancer: management options
Active surveillance
Prostatectomy
Radiotherapy
Androgen deprivation therapy
Chemotherapy
Summary
References
Late-Onset Hypogonadism and Testosterone Replacement in Older Men
Key points
Introduction
Demography
Evaluation
Pharmacologic strategies
Effects of testosterone replacement
Risk of testosterone replacement
Monitoring strategies
Summary/Discussion
References
Contemporary Systemic Therapy for Urologic Malignancies in Geriatric Patients
Key points
Introduction
Prostate cancer
Bladder cancer
Renal cell carcinoma
Summary and future
References
Palliative Care of Urologic Patients at End of Life
Key points
Introduction
Epidemiology
Treatment planning in advanced illness: prognostication
Treatment planning in advanced illness: understanding illness trajectories
Treatment planning in advanced illness: defining and discussing goals of care
Treatment planning in advanced illness: timing of palliative care
Symptom management
Symptoms
Summary
References
Index
Copyright
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CLINICS IN GERIATRIC MEDICINE Volume 31, Number 4
November 2015 ISSN 0749-0690, ISBN-13: 978-0-323-39334-8
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Contributors
Editor
TOMAS LINDOR GRIEBLING, MD, MPH John P. Wolf 33rd-Degree Masonic Distinguished Professor of Urology; Professor, Vice-Chair and Residency Program Director, Department of Urology; Faculty Associate, The Landon Center on Aging; Assistant Dean for Student Affairs, School of Medicine, The University of Kansas, Kansas City, Kansas
Authors
KARL-ERIK ANDERSSON, MD, PhD , Professor, Department of Urology, Institute for Regenerative M