Incontinencia Urinaria en el adulto mayor: Una revisión actualizada de las estrategias terapéuticas

Urinary incontinence in the elderly is a prevalent condition that affects quality of life and is associated with geriatric syndromes such as depression, cognitive impairment and social isolation. Pelvic floor training remains the first line treatment, showing effectiveness in different types of urinary incontinence. Anticholinergic drugs and beta-3 adrenergic agonists are therapeutic options, although their adverse effects and low adherence limit their use. Therapeutic innovations include bulking agents, electroacupuncture and transcutaneous electrical stimulation, which have demonstrated efficacy and safety in recent studies, representing less invasive alternatives for those who cannot opt for conventional treatments. This work reviewed 50 articles in databases such as: Pubmed, Springer, and Proquest, using Google Scholar as search engine. After reading the accessible articles and applying the inclusion and exclusion criteria of the present research, 13 articles were selected, highlighting the need for interdisciplinary and personalized approaches that optimize clinical outcomes. Urinary incontinence in the elderly requires a comprehensive approach that combines therapeutic advances and adapted strategies to maximize efficacy and improve quality of life in this population.