Division of Urology, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 9 Penn Tower, Philadelphia, PA 19104, USA.
Med Clin North Am. 2011 Jan;95(1):253-64. doi: 10.1016/j.mcna.2010.08.026.
Elderly urologic patients require the same cautions as used in development of treatment programs for them in other disciplines. Because of potential interference with poor renal function or crossover effects with central or peripheral nervous system, however, many urologic drugs must be titrated appropriately. In treating cancer, erectile dysfunction, incontinence or urinary infection, patient quality of life and life span become dominant factors in making therapeutic decisions, by behavioral change, medication, or surgical intervention.
老年泌尿科患者需要与其他学科为他们制定治疗方案时一样谨慎。然而,由于潜在的肾功能障碍或与中枢或外周神经系统的交叉影响,许多泌尿科药物必须适当滴定。在治疗癌症、勃起功能障碍、尿失禁或尿路感染时,通过行为改变、药物治疗或手术干预,患者的生活质量和寿命成为治疗决策的主要因素。