Incontinence and Sexual Dysfunction

Karl J Kreder; Sarah Fraumann Faris; Matthew Rizzo; Satish S‐C Rao

doi:10.1002/9781118772034.ch19

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Book chapter

Incontinence and Sexual Dysfunction

Karl J Kreder, Sarah Fraumann Faris, Matthew Rizzo and Satish S‐C Rao

The Wiley Handbook on the Aging Mind and Brain, pp.389-416

John Wiley & Sons, Ltd

04/18/2018

DOI: 10.1002/9781118772034.ch19

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Abstract

This chapter discusses urinary and fecal incontinence, impotence—the most common sexual impairment caused by neurological disorders—and their central nervous system (CNS) substrates. Fecal and urinary incontinence and genitourinary dysfunction are a costly healthcare problem that can be caused by lesions at several levels of the nervous system, in association with a variety of medical, neurologic, and psychiatric diagnoses. Key symptoms range from incontinence and impotence to sexual aberration. Patients with erectile dysfunction have several options for treatment including devices, oral, intraurethral or intracavernosal agents, or surgery. Pharmacologic therapy seems to benefit patients with detrusor instability. Surgical treatments for urge incontinence due to neurogenic and idiopathic detrusor overactivity are similar in men and women. Colostomy is an established surgical option typically reserved for patients with fecal incontinence refractory to multiple other treatment options.

sexual dysfunction

pharmacologic therapy

neurological disorders

psychiatric diagnoses

genitourinary dysfunction

fecal incontinence

surgical treatments

urinary incontinence

erectile dysfunction

urge incontinence

Details

Title: Subtitle: Incontinence and Sexual Dysfunction
Creators: Karl J Kreder
Sarah Fraumann Faris
Matthew Rizzo
Satish S‐C Rao
Contributors: Matthew Rizzo (Editor)
Steven Anderson (Editor)
Bernd Fritzsch (Editor)
Resource Type: Book chapter
Publication Details: The Wiley Handbook on the Aging Mind and Brain, pp.389-416
DOI: 10.1002/9781118772034.ch19
Publisher: John Wiley & Sons, Ltd; Chichester, UK
Number of pages: 28
Language: English
Date published: 04/18/2018
Academic Unit: Neurology; Iowa Neuroscience Institute; Biology; Craniofacial Anomalies Research Center; Obstetrics and Gynecology; Urology
Record Identifier: 9984051873402771

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