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Specifics of acute urological care in elderly patients


Authors: J. Špaček;  P. Navrátil jr.;  M. Broďák
Authors‘ workplace: Urologická klinika, FN Hradec Králové
Published in: Geriatrie a Gerontologie 2019, 8, č. 2: 43-47
Category: Original Article

Overview

Contemporary urology is developing in the direction of minimally invasive surgery, using modern medication and providing healthcare for men and women of all ages. However, the question is whether it is up to date with demographic trends of the present time. Nowadays, but especially in the coming years, the urologists will be gradually confronted with the increasing numbers of the aging population. This implies the need for a partial reorientation of urology. However, this trend needs to be reflected in the entire health system, including healthcare insurance companies. In elderly patients, the majority of the care is focused on the tumours of the upper and lower urinary tract with the leading role of prostate cancer in men. In cases of a benign diagnosis, it is worth mentioning, that urologists provide diagnosis and treatment of lower urinary symptoms, overactive bladder, incontinence, urinary tract infections, urolithiasis, and erectile dysfunction. All these diagnoses are separate units, they are given a symposium, and their issues are updated in the guidelines. As well as paediatric urology has its position, a new branch of urology focused on a geriatric patient will be probably formed.

Keywords:

Urology – acute care


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Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
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