Geriatric Urology

Geriatric urology represents one of the largest overall sectors of care provided within the specialty of urology. As the incidence and prevalence of many clinical urologic conditions increase significantly in older adults, the practice of urology involves a need for advanced knowledge of the basic principles of geriatrics. Geriatric Urology outlines important topics in the care of elderly urology patients. The first section covers the biology of aging, changes in the genitourinary system, and common diseases including urologic conditions that may serve as warning signs of other disorders. Section two covers geriatric syndromes and implications for urologic care including frailty, polypharmacy, dementia, , and wound healing. Urologic conditions in older adults are explored in detail including urinary incontinence, pelvic organ prolapse, urinary tract infection, nocturia, and benign prostate diseases. Other topics covered include obtaining informed consent, development of advance directives, palliative medicine and care of the dying patient. Geriatric Urology is of great value to urologists, geriatricians, internists, residents and family practitioners.

Auteur
Tomas Lindor Griebling, MD, MPH

University of Kansas

Department of Urology and The Landon Center on Aging

Kansas City, KS

USA

Résumé

Geriatric Urology outlines important topics in the care of elderly urology patients. The first section covers the biology of aging, the genitourinary system and disease screening including urologic conditions serving as warning signs of other disorders. Section two covers geriatric syndromes and urology including frailty, polypharmacy, dementia, wound healing, osteoporosis and endocrinology. Urologic conditions in older adults are explored in detail including urinary incontinence, pelvic organ prolapse, urinary tract infection, nocturia, and benign prostate diseases. Other topics covered include obtaining informed consent, development of advance directives, palliative medicine and care of the dying patient. Geriatric Urology is of great value to urologists, geriatricians, internists, residents and family practitioners.

Contenu

1. Geriatric Urology and Aging Societies.- 2. The Biology of Aging and the Development of Lower Urinary Tract Dysfunction and Disease.- 3. Comorbidity and Underlying Medical Disease.- 4. Frailty.- 5. Medication Use and Polypharmacy in Older Adults.- 6. Dementia, Delirium, and Depression.- 7. Mobility, Gait, Balance, and Falls.- 8. Pressure Ulcers.- 9. Elder Mistreatment.- 10. Urinary Incontinence: Evaluation and Diagnosis.- 11. Urinary Incontinence: Nonsurgical Treatments.- 12. Urinary Incontinence: Surgical Treatments.- 13. Pelvic Organ Prolapse in Older Adults.- 14. Urinary Tract Infections in Older Adults.- 15. Nocturia.- 16. Lower Urinary Tract Symptoms and Benign Prostate Diseases in Older Men.- 17. Prostate Cancer in Older Adults.- 18. Bladder Cancer.- 19. Kidney Cancer.- 20. Penis, Testis, Urethra, and Other Genitourinary Malignancies.- 21. Renal Failure, Dialysis, and Transplantation in Older Adults.- 22. Stones and Endourology in Older Adults.- 23. Sexual Health in Elderly Women.- 24. Geriatric Sexuality.- 25. Genitourinary Trauma in Geriatric Patients.- 26. Preoperative Anesthetic Evaluation and Clinical Decision Making.- 27. Anesthesia for the Geriatric Urologic Patient.- 28. Postoperative Management of the Geriatric Patient.- 29. Critical Care in Older Adults.- 30. Palliative Care.- 31. Healthcare Financing and Public Policy.- 32. The Future of Geriatric Urology.