Abstract
Lower urinary tract symptoms (LUTS) are common in older people, and in particular older people with frailty. They are associated with significant impairment of quality of life, and numerous sequelae not seen in younger people with LUTS. Ageing is also associated with the presence of comorbidity and polypharmacy, both of which may cause or worsen LUTS, as well as cognitive and functional decline. The assessment of LUTS in older adults, therefore, must be comprehensive and consider factors outwith the lower urinary tract. Frailty, the state of enhanced vulnerability, is a key aspect of this assessment, and can be readily identified and quantified in the outpatient setting, allowing the development of an individualised and frailty-informed management plan. In this narrative review the current knowledge base regarding LUTS in older adults is outlined, and a framework for the assessment and treatment of LUTS in older adults is developed.
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