Dorey G
Somerset Nuffield Hospital, Taunton and North Devon District Hospital Trust, Barnstaple.
Br J Nurs. 2000;9(8):497-501. doi: 10.12968/bjon.2000.9.8.6307.
Male lower urinary tract symptoms include frequency, nocturia, urgency, urge incontinence, stress incontinence, post-micturition dribble and post-prostatectomy incontinence. All of these symptoms can be treated conservatively. In this article, the first of two parts, a detailed subjective and objective assessment is provided based on a Delphi study undertaken by the author. The objective assessment includes a digital rectal examination to assess the pelvic floor muscle strength in order to provide a patient-specific exercise programme. The diagnosis of stress incontinence, urge incontinence, post-prostatectomy incontinence, post-micturition dribble and functional incontinence is made from the assessment. Men with lower urinary tract symptoms need a detailed subjective and objective assessment before a diagnosis is made and individual treatment is planned.
男性下尿路症状包括尿频、夜尿、尿急、急迫性尿失禁、压力性尿失禁、排尿后滴沥和前列腺切除术后尿失禁。所有这些症状都可以采用保守治疗。在本文（两部分中的第一部分）中，作者基于一项德尔菲研究进行了详细的主观和客观评估。客观评估包括直肠指检以评估盆底肌肉力量，从而制定针对患者的锻炼计划。通过该评估来诊断压力性尿失禁、急迫性尿失禁、前列腺切除术后尿失禁、排尿后滴沥和功能性尿失禁。有下尿路症状的男性在进行诊断和制定个体化治疗方案之前，需要进行详细的主观和客观评估。
