GeriatricsUrology
Continence Assessment
NICE NG123 — distinguish stress / urge / mixed / overflow, conservative + pharmacological + surgical.
Source: NICE NG123 (2019)
Step 1 of ~2
info
Workup
Bladder diary 3 days; assess frequency, volume, urgency, incontinence pattern, fluid intake.
Examination: abdominal, PV (women — prolapse, atrophy), PR.
Urinalysis (UTI, glucosuria, haematuria).
Post-void residual (USS bladder; >100 mL abnormal in elderly).
U&E, glucose, calcium.
If doubt → urodynamics.
Distinguish: stress (cough/exertion — pelvic floor), urge (sudden need, OAB), mixed, overflow (chronic retention), functional (mobility/cognition).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Hydrocortisone (ICU — Stress Dosing) · Corticosteroid (ICU/Septic Shock)
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Ephedrine hydrochloride · Mixed alpha/beta-adrenergic agonist (vasopressor)
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Meptazinol · Mixed agonist-antagonist opioid
- Potassium chloride with glucose and sodium chloride · IV fluid (mixed)
Pathways
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only. Always apply local guidelines and clinical judgement.