Every September, Urology Awareness Month brings much-needed attention to the wide range of urological diseases that affect millions of people in the UK. From cancers of the bladder, kidney, prostate, penis and testicles, to benign but life-altering conditions such as incontinence, kidney stones, urinary tract infections (UTIs) and erectile dysfunction, urology health is a vital part of overall wellbeing.
For older adults, these issues are especially significant. With an ageing population, the prevalence of bladder leakage, prostate disease, and kidney-related problems is expected to rise sharply in the coming decade. Despite the scale of the challenge, urology health often remains overlooked, with embarrassment or stigma preventing many from seeking help.
One of the key goals of Urology Awareness Month is to encourage open, stigma-free conversations. Talking about incontinence, UTIs, or changes in urination may feel embarrassing, but healthcare professionals are highly experienced in supporting patients with these problems.
Family members and carers also play a crucial role in recognising symptoms and encouraging loved ones to seek medical advice. For older people who may already face multiple health challenges, this support is especially important.
This year’s campaign is focused on driving action, particularly around urinary leakage, which is a growing challenge in elderly care. With the right awareness, support, and healthcare strategies, the elderly can continue to live dignified, independent lives while managing urological conditions.
The Impact of Bladder Leakage on Later Life
Bladder leakage is one of the most common urological issues, yet also one of the least discussed. In the UK, 1 in 5 people live with bladder problems, and 1 in 3 women experience leakage at some point.
Among the elderly, the problem can arise for many reasons:
- Men may experience incontinence following prostate cancer treatment.
- Women may develop bladder issues after childbirth or during menopause.
- Both men and women may be affected by recurrent UTIs, bladder cancer, or the natural weakening of pelvic muscles with age.
Bladder leakage can have a profound effect on quality of life. It may restrict social activities, lead to isolation, and increase the risk of depression. On a practical level, the NHS spends significant resources each year on continence products, urology treatments, and associated care.
Urological Cancers: Spotting the Signs Early
According to The Urology Foundation, around half of us will face a urological condition in our lifetime. The elderly are particularly at risk of cancers in the urinary system, which includes:
- Bladder cancer
- Kidney cancer
- Prostate cancer
- Testicular cancer
- Penile cancer
- Upper urinary tract urothelial cancer (UTUC)
Symptoms to look out for include:
- Blood in the urine
- Lower back or abdominal pain
- Frequent urination, especially at night
- Difficulty or pain when passing urine
- A persistent feeling of incomplete bladder emptying
- Lumps or changes in the testicles or penis
These symptoms do not always indicate cancer, but they should never be ignored. Early diagnosis significantly improves treatment outcomes, making it vital that older adults feel confident in discussing these issues with their GP.