S2e guideline "Urinary incontinence in geriatric patients": a summary

Abstract

In 2009, the first complete guideline for the diagnostic evaluation and treatment of urinary incontinence in geriatric patients, commissioned by the German Society of Geriatrics, was developed by the working group Urinary Incontinence and published in the guideline registry of the AWMF (Association of the Scientific Medical Societies in Germany). We are presenting an up-to-date summary of the most recent update published as an "S2e" guideline in January 2019. This is the only valid, up-to-date and complete guideline on urinary incontinence in German language. Each chapter was reviewed with a special focus on matters relevant to very old patients, i. e. multimorbid patients over 75 years of age or patients older than 80 years, all of whom, due to their particular vulnerability, are at risk of chronification and loss of autonomy. The chapters "Assessments", "Medicinal therapy", "Behavioural intervention", "Physiotherapeutic interventions" and "Therapeutic appliances" have been revised completely. In addition, the guideline now also includes an evaluation of the ß3-mimetic drug Mirabegron as well as a chapter on long-term urinary bladder drainage with a suprapubic or transurethral catheter including a review on the differential indication and possible consequences or complications.