Aging of the population is one of the most important natural processes in the modern world. With increasing age, the problems associated with the changed social status of the elderly person, his physical and psychological condition, adaptation to new relationships with family members and society as a whole, and many other aspects are sharply exacerbated.

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The UN Principles on Older Persons, adopted by the General Assembly of this organization in 1991, express contemporary views on the place and role of the elderly in society, affirming the view of old age as a period of active life, sufficiently productive and interesting. To make a full life for the elderly, by ensuring their independence, dignity, participation and decent care by all members of society, the possibility of realizing their internal potential is the quintessence of this document.

The main task of state structures at all levels responsible for ensuring the social well-being of the population is not only to provide the elderly with the required support and guaranteed free services, but also to make the process of transition to old age less painful and problematic, minimizing the negative consequences of the loss of the former “social person”.

The problem of uronephrology is one of the most important in geriatrics. The increase in the number of elderly and senile people leads to an increase in both the primary incidence and the overall prevalence of oncological diseases, benign prostatic hyperplasia, urolithiasis and nonspecific inflammatory diseases of the kidneys and upper urinary tract.

There is an annual increase in individuals with diseases of the genito-urinary organs by 1.2%. It should be noted that along with the increase in morbidity, mortality from a number of diseases also increases.

With aging, oxygen consumption by the kidneys decreases, the number of mitochondria in cells decreases, general ATP-ase activity decreases, which together reflects a decrease in the intensity of energy metabolism in the organ. The physiological level of renal circulation, glomerular filtration is progressively falling.

Excretory (nitrogen, water, electrolyte excretory) renal function decreases. In this case, age-related renal hypofunction, torpid (prolonged latent, prolonged recovery periods) type of reactions of the body to irritation are formed. This is facilitated by the age-specific features of neurohumoral regulation of the urinary system in old age – a decrease in the specific role of the nervous link, an increase in the importance of humoral.

Renal calyx, pelvis, ureter with age become denser, lose elasticity, increase capacity. Their rhythmic activity is violated, refluxes become more frequent. The wall of the bladder thickens, thickens, its capacity drops, which causes an increase in urge to urinate. Age-related changes in the bladder weaken the function of its closure, contributing to urinary incontinence. This is exacerbated by a decrease in the function of the reflex controlling the urination of higher nervous centers.

Age-related structural, metabolic, functional, regulatory changes reduce the reliability of the urinary system: promote the growth of pathological damage to its parts in old age, increase the likelihood of their decompensation (especially the kidneys) under stress.