Bladders do not appear to shrink with
age, suggesting that urinary troubles in older people
can no longer be considered a normal part of aging,
according to new study findings released this week.
Investigators from the University of Pittsburgh in
Pennsylvania found that women between the ages of
22 and 90 had bladders that could hold roughly the
same amount of fluid.
However, as women age, they become more prone to
a condition called overactive bladder, in which their
bladders went into spasm before becoming full, giving
them an overwhelming, urgent need to urinate.
These findings suggest that when women have to urinate
more often and more urgently as they age, that is
"not a normal part of aging," study author Dr. Neil
Resnick told Reuters Health. Instead, these women
likely have overactive bladder, which can be treated,
he said.
During the study, Resnick and his colleagues used
a catheter to fill the bladders of 95 women. They
measured how much liquid bladders could hold, how
soon women could sense their bladders were filling
up, and the strength of sphincter muscles that keep
liquid from escaping the bladder before women can
get to the bathroom.
The researchers found that as women aged, their sphincter
muscles tended to weaken. Furthermore, older women
were less able to sense their bladder was filling,
which meant they had less warning before they would
urgently need to urinate.
However, the total volume of the bladder did not
appear to change as women aged.
In an interview, Resnick explained that earlier studies
have suggested that women's bladders do, in fact,
shrink with age. However, these investigators may
have been "misled" by overactive bladder problems,
since many older women likely experienced muscle spasms
that caused them to urinate before their bladders
were completely full. This makes bladders appear much
smaller than they really are, Resnick noted.
In the current study, "people at age 90 had the same
capacity as people in their 20s or 30s," he said.
People dealing with overactive bladder have a few
options to treat the condition, Resnick noted, such
as cutting back on fluids, urinating more frequently,
exercises to retrain the bladder, or medication.
The current study was not funded by any company that
makes or sells a treatment for overactive bladder,
Resnick said.
He and his colleagues presented the findings on Tuesday
at the annual meeting of the American Urological Association
in San Antonio, Texas.