Urinary Incontinence (UI)Urinary IncontinenceUrinary Incontinence in Old AgeUrinary Incontinence in Geriatric PopulationGeriatric SyndromesGeriatric SyndromeFrailty SyndromeFrailty
Study summary
The aim of this cross-sectional observational study is to examine the independent associations of urinary incontinence severity and post-void residual urine volume with frailty and other geriatric outcomes in older adults presenting to a urology outpatient clinic with urinary incontinence.
Eligibility
Sex
ALL
Min age
65 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age 65 years or older,
* Presence of involuntary urinary leakage according to the International Continence Society definition,
* At least one urinary leakage episode during the previous four weeks and an ICIQ-UI SF score of ≥1,
* General health status adequate to tolerate the outpatient assessment protocol,
* Ability to mobilize independently,
* Ability to understand instructions in Turkish and complete the study questionnaires,
* Willingness to participate and provision of written informed consent.
Exclusion Criteria:
* Acute urinary tract infection or acute lower urinary tract symptoms,
* History of major pelvic or orthopedic surgery within the previous six months,
* Acute musculoskeletal condition that may affect performance during the assessments,
* Neurological disease causing severe mobility limitations, including Parkinson's disease or stroke,
* Diabetic neuropathy,
* Severe cardiopulmonary disease, including New York Heart Association class III-IV heart failure or forced expiratory volume in one second below 30% of the predicted value,
* Dementia or severe cognitive impairment, defined as Global Deterioration Scale stage 4 or higher,
* Severe visual or hearing impairment that may prevent completion of the assessments,
* Terminal illness or active malignancy,
* Inability or unwillingness to provide informed consent,
* Unwillingness or inability to complete the assessment protocol.
Primary outcome measure(s)
Frailty Level Assessed Using the FRAIL Scale — During the single study visit (cross-sectional baseline assessment) The primary outcome is frailty level, assessed using the five-item FRAIL Scale. The total score ranges from 0 to 5, with higher scores indicating greater frailty. Participants will be classified as robust (0 points), prefrail (1-2 points), or frail (≥3 points). The primary exposures are urinary incontinence severity, assessed using the ICIQ-UI SF total score (range: 0-21), and post-void residual urine volume, recorded in milliliters as the mean of two consecutive bladder scanner measurements performed within 10 minutes after voiding. The independent associations of ICIQ-UI SF score and post-void residual urine volume with frailty level will be examined in the same multivariable regression model after adjustment for prespecified covariates.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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