Incontinencia
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For the full versions of these articles see bmj.comCLINICAL REVIEW
Managing urinary incontinence in older people
Subashini Thirugnanasothy
Department of Care of the Elderly, Freeman Hospital, Newcastle upon Tyne NE7 7DN S Thirugnanasothy subathiru@yahoo.co.uk
Cite this as: BMJ 2010;341:c3835 doi: 10.1136/bmj.c3835
Urinary incontinence is defined by the International Continence Society as involuntary urinary leakage.1 The condition is common among older people. It affects more than a fifth of people aged over 85 years, according to a recent cohort study,2 although this is probably an underestimate. Urinary incontinence has both physical and psychological consequences, including damage to skin, urinary tract infections, an …ver más…
Voluntary control of micturition is located in the frontal cortex Spinal cord When the bladder is distended activation of sympathetic outflow (T11-L2) maintains detrusor muscle relaxation and continence Parasympathetic nerve activation (S2-4) produces contraction of the detrusor muscle and relaxation of the internal sphincter to allow voiding in response to bladder filling S2-4
T11-L2