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The most common cause of urinary retention is BPH. This disorder starts around age 50 and symptoms may appear after 10–15 years. BPH is a progressive disorder and narrows the neck of the bladder leading to urinary retention. By the age of 70, almost 10 percent of males have some degree of BPH and 33% have it by the eighth decade of life.
The cause of overactive bladder is unknown. [1] Risk factors include obesity, caffeine, and constipation. [5] Poorly controlled diabetes, poor functional mobility, and chronic pelvic pain may worsen the symptoms. [1] People often have the symptoms for a long time before seeking treatment and the condition is sometimes identified by caregivers. [1]
Bladder symptoms affect women of all ages. However, bladder problems are most prevalent among older women. [79] Women over the age of 60 years are twice as likely as men to experience incontinence; one in three women over the age of 60 years are estimated to have bladder control problems. [73]
For women, there is a 20.5% risk for having a surgical intervention related to stress urinary incontinence. The literature suggests that white women are at increased risk for stress urinary incontinence. [12] Though pelvic floor dysfunction is thought to more commonly affect women, 16% of men have been identified with pelvic floor dysfunction. [13]
Weak bladder muscles, resulting in incomplete emptying of the bladder, or a blocked urethra can cause this type of incontinence. Autonomic neuropathy from diabetes or other diseases (e.g. Multiple sclerosis ) can decrease neural signals from the bladder (allowing for overfilling) and may also decrease the expulsion of urine by the detrusor ...
Prevalence increases with age. The prevalence of nocturia in older men is about 78%. Older men have a higher incidence of LUTS than older women. [25] Around one third of men will develop urinary tract (outflow) symptoms, of which the principal underlying cause is benign prostatic hyperplasia. [26]
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