[Micturition disorders in people aged 65 and more].

Research overview

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Urinary continence requires the coordination of all components of the urinary system. This review aimed to clarify contemporary views on the nature of micturition disorders and to try to determine which amenities might be useful for older people with micturition disorders. PubMed and Google Scholar search engines were used to search for English-language full-text articles using the keywords: "micturition disorders," "bladder changes," "neurological disorders," "hypoactive detrusor," "improvements," "technology," "quality of life improvement," "elderly," "accessibility," "public toilets," "interior design". Forty-one articles were selected for the final analysis. With age the structure of the bladder walls changes. At the same time, there are physiological changes in the nervous system that make ideal control of continence and micturition difficult. In older men, benign prostate hypertrophy is a common urinary tract disorder, in women there is pelvic organ prolapse and mucosal atrophy due to hypoestrogenism, and in both sexes an increase in infections. Older people are more likely to have diseases of other systems that affect urinary function (stroke, Parkinson's disease, dementia, circulatory failure, diabetes). Urinary incontinence, is a major social problem that significantly affects the quality of life of seniors. E-visits, medical chatbots, medical apps, and examinations performed at the patient's home or in the general practitioner's outpatient clinic can facilitate access to medical services for these patients. There is a need to improve accessibility to specialists, rehabilitation, medication, hygiene products as well as easy access to toilets at home and in the urban environment. The development of electronic devices, mobile applications and use of artificial intelligence, can improve the quality of life of seniors also regarding urinary disorders. Med Pr Work Health Saf. 2025;76(3):199-207.

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