113 Urinary Incontinence In Aging

In This Episode:

Dr. K discusses urinary incontinence in aging with geriatrician Dr. Nicole Didyk, founder of the blog and YouTube channel The Wrinkle. They discuss:

• Why this is such an important health issue to detect and address
• Why aging tends to bring on urinary continence issues
• The four main types of urinary incontinence to know about
• The DIAPPERS mnemonic geriatricians often use to check for common causes of incontinence
• Which medications can cause or worsen incontinence
• How health providers should evaluate and diagnose incontinence
• How to prevent and treat urinary issues
• Timed toileting and other approaches to managing incontinence in Alzheimer’s and other dementias

Related episode: 

092- Interview: Addressing Nighttime Urination & Insomnia in Aging

Related Resources:

• Urinary Incontinence in Aging: What to know when you can't wait to go
• From Dr. Didyk’s site TheWrinkle:
  • Interview with Dr. Adrian Wagg
  • Four Types of Incontinence video 
  • Reversible causes of incontinence
• Canadian Continence Foundation: https://www.canadiancontinence.ca/EN/about-us.php
• Continence Product advisor: https://www.continenceproductadvisor.org/
• International Urogynecological Association leaflets  available in multiple languages: https://www.yourpelvicfloor.org/leaflets/
• National Association for Continence: https://www.nafc.org/
• Bladder diaries:
  • https://myhealth.alberta.ca/Alberta/AlbertaDocuments/bladder-bowel-diary-printable.pdf (asks patient to measure urine output)
  • https://www.yourpelvicfloor.org/media/Bladder_Diary-5.pdf