Improving the utility of urine flow rate to exclude outlet obstruction in men with voiding symptoms

Article Abstract:

Older men with voiding difficulties often do not have bladder outlet obstruction (BOO). Other conditions may be amenable to treatment. If BOO is ruled out, it is then easier to treat. Urine flow rate measurement is not sensitive enough to reliably eliminate BOO. Decline in flow rate with age could be used to improve using such measurement, especially if used with data of postvoiding residual volume (PVR). A simple diagnostic algorithm taking in age, flowrate and PVR is useful.

Abnormalities, Diagnosis, Men, Men's health, Urinary organs, Urologic diseases, Bladder, Urination disorders

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Better use of hearing aids in hearing-impaired adults

Article Abstract:

Lack of recognition of hearing loss in patients is a justified criticism of primary care/geriatric clinicians. Often, however, clinicians encounter a patient who refuses to be evaluated for hearing loss and often a hearing aid is not wanted. Even those who have hearing aids may not use them, a source of frustration for clinicians. Newer designs of hearing aids are more comfortable and effective and have given patients new levels of satisfaction.

Care and treatment, Usage, Hearing aids, Deafness

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Clinical research and geriatric dizziness: the blind men and the elephant

Article Abstract:

Evaluating dizziness in older patients can be a great challenge to the physician. Although dizziness can be benign, it can also be due to underlying cardiovascular problems. Current research focuses on specific subgroups of patients and overly differentiated treatment options. A more comprehensive approach to dizziness is suggested, thereby avoiding both excessive diagnostic testing and the decision to do nothing.

Research, Risk factors, Stroke (Disease), Stroke, Vertigo

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