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Managing urinary incontinence in older people
Subashini Thirugnanasothy
Department of Care of the Elderly, Freeman Hospital, Newcastle upon Tyne NE7 7DN S Thirugnanasothy
Cite this as: BMJ 2010;341:c3835 doi: 10.1136/bmj.c3835

Urinary incontinence is defined by the International Continence Society as involuntary urinary leakage.1 The condition is common among older people. It affects more than a fifth of people aged over 85 years, according to a recent cohort study,2 although this is probably an underestimate. Urinary incontinence has both physical and psychological consequences, including damage to skin, urinary tract infections, an
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Voluntary control of micturition is located in the frontal cortex Spinal cord When the bladder is distended activation of sympathetic outflow (T11-L2) maintains detrusor muscle relaxation and continence Parasympathetic nerve activation (S2-4) produces contraction of the detrusor muscle and relaxation of the internal sphincter to allow voiding in response to bladder filling S2-4


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