LAUSR

Resumen Los trastornos de la eliminacion urinaria, representados fundamentalmente por la aparicion de sintomas del tracto urinario inferior (STUI), constituyen uno de los problemas medico-quirurgicos mas relevantes en el paciente mayor, con un impacto negativo en su calidad de vida y considerables repercusiones en sus diferentes esferas. Sin embargo, muchos pacientes siguen sin ser diagnosticados por no consultar su problema medico, asumiendo que se trata de una patologia trivial, asociada inherentemente al envejecimiento y sin tratamiento eficaz. Por las circunstancias mencionadas, en el contexto clinico y sociosanitario de los pacientes mayores, resulta imprescindible referirse a su singularidad, al tratarse de un grupo etario que con frecuencia presenta cuadros clinicos larvados, presentaciones atipicas de las enfermedades, polimedicacion y una importante carga de comorbilidad. Solo de esta manera se podra establecer adecuadamente el limite entre su dimension clinico-patologica y la condicion de envejecimiento biologico. Urinary elimination disorders, essentially represented by the onset of lower urinary tract symptoms (LUTS), comprise one of the most relevant medical/surgical problems in the elderly patient, and have a negative effect on quality of life and considerable impact on different areas. However, many patients are not diagnosed because they do not seek medical advice for their problem, considering it a trivial disorder, inherently associated with ageing and for which there is no effective treatment. Due to the above, the singularity of the elderly patient must be referred to within their clinical, social and health context, since this is an age group that often presents with latent clinical symptoms, atypical disease presentations, polymedication and a significant comorbidity load. Only thus will it be possible to appropriately establish the limit between their clinical-pathological characteristics and the condition of biological ageing.