PMID- 28947924 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1931-7212 (Print) IS - 1931-7220 (Electronic) IS - 1931-7212 (Linking) VI - 12 IP - 1 DP - 2017 Mar TI - The Aging Overactive Bladder: A Review of Aging-Related Changes from the Brain to the Bladder. PG - 42-47 LID - 10.1007/s11884-017-0406-7 [doi] AB - PURPOSE OF REVIEW: To understand the current literature on age-related neural and detrusor changes associated with overactive bladder symptoms. RECENT FINDINGS: Recent functional magnetic resonance imaging (fMRI) studies have unveiled an age-related decrease in the neural control of continence, represented in the insula, anterior cingulate cortex (ACC) and prefrontal cortex (PFC). Older individuals with overactive bladder symptoms also demonstrate heightened activation of the ACC with low volumes, representing increased bladder sensitivity or sense of urgency. At the level of the bladder, age-related changes in the urothelium, neurotransmitters/receptors (both muscarinic and purinergic), and inflammation [including nerve growth factor (NGF), monocyte chemoattractant protein-1 (MCP-1) and oxidative stress] are also associated with overactive bladder. SUMMARY: Overactive bladder among older adults is a complex condition incorporating physiologic age-related changes from the brain to the bladder and beyond. FAU - Suskind, Anne M AU - Suskind AM AD - Department of Urology, University of California, San Francisco, 400 Parnassus Ave, Box 0738, San Francisco, CA 94143, USA. LA - eng GR - K12 DK083021/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20170206 PL - United States TA - Curr Bladder Dysfunct Rep JT - Current bladder dysfunction reports JID - 101299193 PMC - PMC5609730 MID - NIHMS849935 OTO - NOTNLM OT - Detrusor overactivity OT - geriatric OT - inflammation OT - neurotransmitters OT - white matter disease COIS- Compliance with Ethics Guidelines Conflict of Interest Dr. Suskind has no conflicts of interests to declare EDAT- 2017/09/28 06:00 MHDA- 2017/09/28 06:01 PMCR- 2018/03/01 CRDT- 2017/09/27 06:00 PHST- 2017/09/27 06:00 [entrez] PHST- 2017/09/28 06:00 [pubmed] PHST- 2017/09/28 06:01 [medline] PHST- 2018/03/01 00:00 [pmc-release] AID - 10.1007/s11884-017-0406-7 [doi] PST - ppublish SO - Curr Bladder Dysfunct Rep. 2017 Mar;12(1):42-47. doi: 10.1007/s11884-017-0406-7. Epub 2017 Feb 6.