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available at http://www.ncbi.nlm.nih.gov/pubmed/29503533 Editorial Comment: Emerging data continue to show links between frailty in older adults and other associated comorbidities and problematic clinical conditions. This cross-sectional study of 492 community dwelling elderly men (mean SD age 74.2 5.6 years) in Korea compared measures of frailty with lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) assessed with the International Prostate Symptom Score and International Index of Erectile Function tools, respectively. Not surprisingly, the prevalence of frailty increased with worse severity of either LUTS or ED. One of the interesting aspects of this study was a subanalysis of confidence with erectile function (using the first question on the International Index of Erectile Function) and frailty. The data showed that prevalence of frailty was 18.7% for men with low confidence, 5.3% for those with moderate confidence, and 5.1% for those with high confidence of achieving and maintaining an erection. Those with low confidence had worse overall frailty in multiple components of the syndrome, including sarcopenia (39.0%), multimorbidity (37.7%), difficulty with mobility (35.7%), malnutrition risk (33.3%) and polypharmacy (23.0%). These data support recommendations to consider and evaluate for potential frailty in elderly men presenting with complaints of LUTS or ED. Multiple other studies have shown associations between increased frailty and negative clinical outcomes, including postoperative complications, in older adults. Understanding degree of frailty could help guide therapeutic choices. Future work may be useful in determining if measures to attenuate the effects of frailty are beneficial in certain circumstances. Tomas L. Griebling, MD, MPH Suggested Reading Seftel AD: Erectile dysfunction in the elderly: epidemiology, etiology and approaches to treatment. J Urol 2003; 169: 1999. Abrams P, Chapple C, Khoury S et al: Evaluation and treatment of lower urinary tract symptoms in older men. J Urol, suppl., 2013; 189: S93. Re: Urinary Incontinence and Indwelling Urinary Catheters as Predictors of Death after New-Onset Stroke: A Report of the South London Stroke Register G. John, S. Primmaz, S. Crichton and C. Wolfe Department of Internal Medicine, Hôpital Neuchâtelois, La Chaux-de-Fonds and Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland, and Department of Primary Care and Public Health Sciences, and Research and Development, Guy’s and St. Thomas’ Foundation Trust, King’s College London, London, United Kingdom J Stroke Cerebrovasc Dis 2018; 27: 118e124. doi: 10.1016/j.jstrokecerebrovasdis.2017.08.018 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/28918089available at http://www.ncbi.nlm.nih.gov/pubmed/28918089 Editorial Comment: Urinary incontinence (UI) occurs commonly after stroke. This is true for hemorrhagic and ischemic stroke events. Overall, about a third of patients with post-stroke incontinence will return to baseline, a third will remain incontinent and a third will improve, although not to baseline. Prior research has suggested that patients who remain incontinent or GERIATRICS 189 Copyright © 2019 American Urological Association Education and Research, Inc. Unauthorized reproduction of this article is prohibited.