压力性尿失禁评估及保守治疗

S. Kalra, B. Brucker
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摘要

压力性尿失禁(SUI)是一种影响女性身体、心理和社会福祉的普遍疾病。SUI是最常见的尿失禁类型,估计患病率为8%至33%。尽管越来越多的人意识到这一点,但它仍然普遍被低估。确定问题并制定个性化的评估和治疗计划对于实现这些妇女的最佳结果和生活质量至关重要。有许多工具可以帮助临床医生做出适当的诊断,然后选择最佳的治疗方法,包括行为、医学和手术方法。尽管SUI有多种治疗选择,但保守治疗被认为是大多数患者的有效一线选择。本综述的目的是讨论目前对女性SUI的理解,并根据现有的最佳科学证据概述评估和保守的管理选择。关键词:压力性尿失禁,保守治疗,盆底运动,子宫托,阴道插入物,医学治疗
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Stress Urinary Incontinence Assessment and Conservative Treatments
Stress urinary incontinence (SUI) is a prevailing condition affecting women’s physical, psychological, and social well-being. SUI is the most common type of urinary incontinence, with an estimated prevalence of 8 to 33%. Despite increased awareness, it is still commonly underreported. Identifying the problem and developing an individualized assessment and treatment plan are essential for achieving the best outcome and quality of life for these women. Numerous tools exist that may aid clinicians in making an appropriate diagnosis and then selecting the optimal treatment, including behavioral, medical, and surgical approaches. Although a plethora of treatment options exist for SUI, conservative management is considered an effective first-line option for most patients. The purpose of this review is to discuss the current understanding of SUI in women and to outline the evaluations and conservative management options with the best available scientific evidence. This review contains 3 highly rendered figures, 2 tables, and 57 references Key words: Stress Urinary Incontinence, Conservative management, Pelvic Floor Exercises, Pessary, Vaginal inserts, medical treatment
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