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Title: Incontinence of urine in the elderly
Author: Thompson, John
Awarding Body: University of Glasgow
Current Institution: University of Glasgow
Date of Award: 1964
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1. The majority of cases of urinary incontinence in elderly patients are due to cerebral disease, resulting in diminished control of the bladder. 2. The bladder is commonly smaller than normal and shows early spontaneous contractions. 3. Many of the cases with brain disease are confused and the degree of confusion is related to the bladder size and the prognosis. 4. Infection of the urinary tract increases the patient's chances of becoming incontinent; cure of the infection improves the prognosis of the incontinence. 5. Cystometric examination is valuable in assessing the bladder capacity, the cerebral control, the prognosis and the probable response to therapy. 6. Rubber or plastic appliances have only a small part to play in treatment, as they require the co-operation of the patient. 7. Accurate recording of the incontinence is important in assessing the prognosis and response to treatment. 8. Treatment should be directed to improving mental performance, to blocking parasympathetic stimuli, to eliminating infection, and to overcoming any blockage to the outflow. 9. Further intensive investigation is needed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available