男性尿失禁——综述及其与良性前列腺增大的关系。

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL THERAPEUTISCHE UMSCHAU Pub Date : 2023-04-01 DOI:10.1024/0040-5930/a001426
Benedikt Kranzbühler
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引用次数: 0

摘要

摘要:男性尿失禁是老年男性的常见病,可导致生活质量显著下降。据报道,在85岁以上的男性中,尿失禁的患病率上升至32%。尿失禁的危险因素有前列腺手术、高龄、不活动、尿路感染、糖尿病、认知障碍和神经系统疾病。尿失禁分为三种亚型:应激性尿失禁、急迫性尿失禁和混合性尿失禁。良性前列腺阻塞可导致逼尿肌过度活动和进一步的尿失禁。然而,医源性损伤或先前存在的泌尿外括约肌无力更为常见,并可导致前列腺手术后男性的压力性尿失禁。正确的治疗方法可以显著改善男性尿失禁的症状。不过,每个治疗方案都必须针对个别患者量身定制。
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[Male Incontinence - An Overview and its Relationship to Benign Prostatic Enlargement].

Male Incontinence - An Overview and its Relationship to Benign Prostatic Enlargement Abstract: Male urinary incontinence is a common disease in elderly men and can lead to a significantly reduced quality of life. Reported prevalence of urinary incontinence increases up to 32% in men over 85 years. Risk factors for urinary incontinence are prostate surgery, advanced age, immobility, urinary tract infections, diabetes mellitus, cognitive disorders, and neurological disease. Urinary incontinence is divided into three subtypes: stress urinary incontinence, urge urinary incontinence, and mixed urinary incontinence. Benign prostatic obstruction can lead to a detrusor overactivity and a further urge incontinence. However, iatrogenic injury or a preexisting weakness of the external urinary sphincter are more common and can lead to stress urinary incontinence in men following prostate surgery. A correct treatment can significantly improve symptoms in men suffering from urinary incontinence. Though, every treatment plan must be tailored to the individual patient.

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来源期刊
THERAPEUTISCHE UMSCHAU
THERAPEUTISCHE UMSCHAU MEDICINE, GENERAL & INTERNAL-
CiteScore
0.50
自引率
0.00%
发文量
75
期刊介绍: Monat für Monat ein aktuelles Thema der praktischen Medizin - als Sammlung ein hochaktuelles Nachschlagewerk.
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