Vascular incontinence: incontinence in the elderly due to ischemic white matter changes
This review article introduces the new concept of vascular incontinence, a disorder of bladder control resulting from cerebral white matter disease (WMD). The concept is based on the original observation in 1999 of a correlation between the severity of leukoareosis or WMD, urinary symptoms, gait dis...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2012-09-01
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| Series: | Neurology International |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/ni/article/view/3312 |
| _version_ | 1797763068730540032 |
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| author | Ryuji Sakakibara Jalesh Panicker Clare J. Fowler Fuyuki Tateno Masahiko Kishi Yohei Tsuyuzaki Emina Ogawa Tomoyuki Uchiyama Tatsuya Yamamoto |
| author_facet | Ryuji Sakakibara Jalesh Panicker Clare J. Fowler Fuyuki Tateno Masahiko Kishi Yohei Tsuyuzaki Emina Ogawa Tomoyuki Uchiyama Tatsuya Yamamoto |
| author_sort | Ryuji Sakakibara |
| collection | DOAJ |
| description | This review article introduces the new concept of vascular incontinence, a disorder of bladder control resulting from cerebral white matter disease (WMD). The concept is based on the original observation in 1999 of a correlation between the severity of leukoareosis or WMD, urinary symptoms, gait disorder and cognitive impairment. Over the last 20 years, the realization that WMD is not a benign incidental finding in the elderly has become generally accepted and several studies have pointed to an association between geriatric syndromes and this type of pathology. The main brunt of WMD is in the frontal regions, a region recognized to be crucial for bladder control. Other disorders should be excluded, both neurological and urological, such as normalpressure hydrocephalus, progressive supranuclear palsy, etc., and prostatic hyperplasia, physical stress incontinence, nocturnal polyuria, etc. Treatment involves management of small vessel disease risk factors and anticholinergic drugs that do not easily penetrate the blood brain barrier to improve bladder control. |
| first_indexed | 2024-03-12T19:36:16Z |
| format | Article |
| id | doaj.art-3cac631aa0a0429f9f2d3508606d9bae |
| institution | Directory Open Access Journal |
| issn | 2035-8385 2035-8377 |
| language | English |
| last_indexed | 2024-03-12T19:36:16Z |
| publishDate | 2012-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Neurology International |
| spelling | doaj.art-3cac631aa0a0429f9f2d3508606d9bae2023-08-02T04:09:15ZengMDPI AGNeurology International2035-83852035-83772012-09-0142e13e1310.4081/ni.2012.e132265Vascular incontinence: incontinence in the elderly due to ischemic white matter changesRyuji Sakakibara0Jalesh Panicker1Clare J. Fowler2Fuyuki Tateno3Masahiko Kishi4Yohei Tsuyuzaki5Emina Ogawa6Tomoyuki Uchiyama7Tatsuya Yamamoto8Neurology Department, Internal Medicine, Sakura Medical Center, Toho University, SakuraUro-Neurology, the National Hospital for Neurology and Neurosurgery, Queen Square, LondonUro-Neurology, the National Hospital for Neurology and Neurosurgery, Queen Square, LondonNeurology Department, Internal Medicine, Sakura Medical Center, Toho University, SakuraNeurology Department, Internal Medicine, Sakura Medical Center, Toho University, SakuraNeurology Department, Internal Medicine, Sakura Medical Center, Toho University, SakuraNeurology Department, Internal Medicine, Sakura Medical Center, Toho University, SakuraNeurology, Chiba University, ChibaNeurology, Chiba University, ChibaThis review article introduces the new concept of vascular incontinence, a disorder of bladder control resulting from cerebral white matter disease (WMD). The concept is based on the original observation in 1999 of a correlation between the severity of leukoareosis or WMD, urinary symptoms, gait disorder and cognitive impairment. Over the last 20 years, the realization that WMD is not a benign incidental finding in the elderly has become generally accepted and several studies have pointed to an association between geriatric syndromes and this type of pathology. The main brunt of WMD is in the frontal regions, a region recognized to be crucial for bladder control. Other disorders should be excluded, both neurological and urological, such as normalpressure hydrocephalus, progressive supranuclear palsy, etc., and prostatic hyperplasia, physical stress incontinence, nocturnal polyuria, etc. Treatment involves management of small vessel disease risk factors and anticholinergic drugs that do not easily penetrate the blood brain barrier to improve bladder control.http://www.pagepress.org/journals/index.php/ni/article/view/3312geriatric incontinence, white matter change, overactive bladder, vascular incontinence |
| spellingShingle | Ryuji Sakakibara Jalesh Panicker Clare J. Fowler Fuyuki Tateno Masahiko Kishi Yohei Tsuyuzaki Emina Ogawa Tomoyuki Uchiyama Tatsuya Yamamoto Vascular incontinence: incontinence in the elderly due to ischemic white matter changes Neurology International geriatric incontinence, white matter change, overactive bladder, vascular incontinence |
| title | Vascular incontinence: incontinence in the elderly due to ischemic white matter changes |
| title_full | Vascular incontinence: incontinence in the elderly due to ischemic white matter changes |
| title_fullStr | Vascular incontinence: incontinence in the elderly due to ischemic white matter changes |
| title_full_unstemmed | Vascular incontinence: incontinence in the elderly due to ischemic white matter changes |
| title_short | Vascular incontinence: incontinence in the elderly due to ischemic white matter changes |
| title_sort | vascular incontinence incontinence in the elderly due to ischemic white matter changes |
| topic | geriatric incontinence, white matter change, overactive bladder, vascular incontinence |
| url | http://www.pagepress.org/journals/index.php/ni/article/view/3312 |
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