Etiological factors in urinary incontinence in elderly female patients

Thirty incontinent women [above 60 years] were evaluated by full history, physical examination, voiding diary and full urodynamic studies. Another, 10 post menopausal women were studied as a control. Urodynamic data did not correlate with patient's symptomatology. No significant abnormal urodynamic data were encountered in control group. Females with urge incontinence showed detrusor instability in 53.8%, hypocompliance in 46.2% and higher level of infravesical urethral resistance than other types of incontinence, genuine stress incontinence was present in only 13.3% of patients, the above data point to the importance of studying elderly incontinent females urodynamically to establish the exact underlying defect